Volume 16, Nos. 1-2 -- 2003
Optimizing analgesic response when pain is uncontrolled by oral opioids
Alternatives to the oral delivery of opioids
- Subcutaneous
- Rectal
- Intravenous
- Transdermal
- Intraspinal
- Transmucosal and sublingual
- Intranasal
- Topical
Online resources about options in opioid analgesic delivery
RESEARCH IN CANCER PAIN AND PALLIATIVE CARE:
Recent evidence about alternatives to oral opioid delivery
- Subcutaneous infusion delivery reviewed
- Teaching subcutaneous administration to relatives
- Rectal formulations for symptom control
- Intravenous route provides faster relief than oral route
- Intravenous morphine offers rapid relief
- Continuous intravenous infusion safe, effective and flexible
- Transdermal buprenorphine for chronic cancer pain
- Intrathecal home infusion reduces pain, improves survival
- Intrathecal opioids relieve nociceptive pain
- Effectiveness of transmucosal fentanyl over oral morphine
- Intranasal fentanyl citrate provides fast, temporary pain relief
- Patients preferences for analgesic routes of administration differ