Neuropathic pain in palliative care patients

Tomasz Dzierżanowski; Aleksandra Ciałkowska-Rysz

eISSN: 2081-2833
ISSN: 2081-0016

Medycyna Paliatywna/Palliative Medicine

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2/2010
vol. 2

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abstract:

Review paper

Neuropathic pain in palliative care patients

Tomasz Dzierżanowski

,

Aleksandra Ciałkowska-Rysz

Medycyna Paliatywna 2010; 2: 57–66

Online publish date: 2010/07/05

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Neuropathic pain is present in meaningful part of palliative care patients and appears therapeutic challenge. Cancer pain is successfully controlled in the vast majority of cases, however the effectiveness of the neuropathic pain treatment is many times only moderate. Most of available data and algorithms apply to non-cancer neuropathic pain and extrapolating the conclusions onto the palliative care population should be done with caution. There has been discussed epidemiology, patomechanism, available medications and non-pharmacological methods. The effectiveness of particular monotherapies has been compared, based on the available high quality systematic reviews. The best therapeutic strategy at this moment is politherapy according to WHO’s pain ladder, mainly using opioid (morphine, oxycodone) and co-analgetics: tricyclic antidepressant or anticonvulsant (pregabalin, gabapentin).

keywords:

Neuropathic pain in palliative care patients

Tomasz Dzierżanowski , Aleksandra Ciałkowska-Rysz

cancer pain, neuropathic pain

Tomasz Dzierżanowski

,

Aleksandra Ciałkowska-Rysz