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Another lesson from the earthquake: Transdermal fentanyl dependence in two child victims
Hüseyin Oğuzhan Aslantaş1, Şehim Kutlay1, Haydar Gök1
1Department of Physical Medicine and Rehabilitation, Ankara University Faculty of Medicine, Ankara, Türkiye.
Insights
Transdermal fentanyl patches (TFPs) can cause dependence in pediatric patients, as seen in two earthquake survivors. Careful TFP use is crucial to prevent opioid dependence in children.
Area of Science:
- Pediatric Medicine
- Pain Management
- Pharmacology
Background:
- The 2023 Kahramanmaraş earthquake caused widespread casualties and injuries.
- Severe pain management in pediatric earthquake survivors often involves potent analgesics like transdermal fentanyl patches (TFPs).
Abstract:
Thousands died in the Kahramanmaraş-centered earthquake in February 2023, and even more were injured. Some were administered transdermal fentanyl patches (TFPs) due to severe pain. Two pediatric patients, both severely injured victims of the earthquake, developed dependence on TFPs and experienced difficulties during the cessation of fentanyl treatment. The first child was discharged while still being administered fentanyl after four months. In the second case, TFPs could be ceased after four months. This study aimed to emphasize that TFPs can lead to dependence in pediatric patients as well; hence, they should be used more carefully to avoid any potential dependency.
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