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Long-term analgesic pharmacotherapy in addiction to intranasal fentanyl
Bartlomiej Olczak1, Anna Zaforemska2, Aleksandra Cialkowska-Rysz2
1Department of Palliative Medicine, Medical University of Lodz Faculty of Medicine, Lodz, Poland baolczak@gmail.com.
Objective:
The risk of inappropriate use of opioid drugs increases, especially the short-acting ones. The risk of addiction in patients with cancer with a relatively good prognosis is a challenge. The aim of the study is to evaluate the decision to continue therapy with a short-acting fentanyl.
Methods:
The study concerns a 49-year-old male patient with an advanced neuroendocrine tumour in the pre-sacral region. The research method includes the medical history and physical examination, an analysis of the patient's medical record and a self-designed questionnaire to assess the degree of dependence on opioid drugs.
Results:
The analysis of the results of the survey confirmed the patient's dependence on opioid drugs. He gave positive answers to 16 out of 19 questions in the survey.
Conclusion:
Despite an addiction, the improvement of life quality is of the utmost importance. Therefore, decision to continue the intranasal fentanyl therapy is justified because of toleration and a high satisfactory effect.
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