Reduction in constipation and laxative requirements following opioid rotation to methadone: A report of four cases

被引：43

作者：

Daeninck, PJ

Bruera, E

机构：

[1] Univ Alberta, Grey Nuns Community Hlth Ctr, Palliat Care Program, Edmonton, AB, Canada

[2] Univ Alberta, Div Palliat Care Med, Edmonton, AB, Canada

来源：

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | 1999年 / 18卷 / 04期

关键词：

cancer pain; opioid rotation; methadone; constipation; laxatives;

D O I：

10.1016/S0885-3924(99)00086-X

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Constipation is a common symptom in cancer patients, especially in those who are receiving opioid analgesics for pain. Although several articles have recently examined constipation with respect to causation and treatment, little research has been done to elucidate the effects of different opioids on the bowel. Recent research has found that laxative doses may be lower in patients using methadone as an analgesic, but changes in constipation were not measured. We report here on four cases in which patients had improvement in constipation and decreased laxative requirements following opioid rotation to methadone. J Pain Symptom Manage 1999;18:303-309. (C) U.S. Cancer Pain Relief Committee, 1999.

引用

页码：303 / 309

页数：7