一份关于用布普伦诺芬贴片治疗剂量终止失效的病例报告
Samiddhi D Weerasiri1, Leslie R Siegel2, Regina M Mackey3
1Internal Medicine Resident, PGY3, Mayo Clinic Rochester, MN, USA.
Journal of pain and symptom management
|January 30, 2026
概括
本案例报告详细介绍了第一例用布普伦诺芬贴片治疗剂量结束失败的情况. 经历磨损效应的患者可能会从更短的五天剂量间隔中受益,以持续缓解疼痛.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 疼痛管理 疼痛管理
- 在瘤学瘤学.
背景情况:
- 有效的疼痛管理在息治疗中至关重要.
- 这份报告涉及用布普伦诺芬贴片治疗剂量终止失败的新发现.
- 目前存在关于布普伦诺芬贴片在所有患者中的疗效的知识差距.
研究的目的:
- 报告第一个用布普伦诺芬贴片结束剂量失效的病例.
- 挑战布普伦诺芬贴片7天止痛功效的假设.
- 强调需要个性化疼痛管理策略的需要.
主要方法:
- 一个72岁的男性患有转移性腺癌的病例报告.
- 患者从特拉马多尔转换为布普伦诺芬贴片 (5mcg/hr).
- 在布普伦诺芬贴片治疗的第五天观察到磨损效应.
主要成果:
- 患者在第五天经历了布普伦诺芬止痛效应的持续磨损.
- 在第五天更换贴片可以缓解腹痛,改善生活质量.
- 这一案例证明了布普伦诺芬贴片治疗的剂量结束失败.
结论:
- 布普伦诺芬贴片可能不会为所有患者提供七天的止痛效果.
- 建议对布普伦诺芬效应过早消失进行查.
- 缩短五天的剂量间隔可能会改善一些患者的持续止痛.
相关概念视频
Dosage Regimen: Multiple Oral Dosage
255
Understanding how a drug's concentration fluctuates within the body over time is crucial in pharmacokinetics, particularly with multiple oral doses. A graphical representation of multiple oral dosages provides insight into these dynamics. Typical accumulation curves of a drug's concentration in the body reveal a sawtooth pattern, indicating periodic peaks and troughs correlating with each dose administration and the drug's subsequent elimination.The plasma concentration at any time during an...
255
Dosage Compensation
7.3K
In animals, gender is determined by the number and type of sex chromosome. For example, human females have two X chromosomes, and males have one X and one Y chromosome, whereas C.elegans with one X chromosome is a male, and the one with two X chromosomes is a hermaphrodite.
In addition to sexual development, the X chromosome has genes involved in autosomal functions such as brain development and the immune system. Therefore, males and females with distinct numbers of X chromosomes will...
In addition to sexual development, the X chromosome has genes involved in autosomal functions such as brain development and the immune system. Therefore, males and females with distinct numbers of X chromosomes will...
7.3K
Dosage Regimen: Individualization
184
Individualization in dosing regimens is the customization of medication doses for individual patients. Its necessity arises from the goal of maximizing therapeutic benefits while minimizing risks. This approach is pivotal because human responses to drugs can vary widely; what is effective for one person may be inadequate or excessive for another. Interpatient (intersubject) variability refers to differences in drug responses between individuals, while intrapatient (intrasubject) variability...
184
Long-patch Base Excision Repair
8.0K
Since the discovery of the two BER pathways, there has been a debate about how a cell chooses one pathway over the other and the factors determining this selection. Numerous in vitro experiments have pointed out multiple determinants for the sub-pathway selection. These are:
8.0K
Drug Dosage Regimen: Overview
4.5K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
4.5K
Dosage Regimen: Fixed Dose
2.4K
Fixed-dose regimens are a common approach to administer drugs to achieve and maintain desired levels of the drug in the body. In this dosing strategy, a specific amount of medication is given at regular intervals, often multiple times a day, to ensure a consistent drug concentration in the bloodstream.
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
2.4K


