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[Usefulness of fentanyl patch (Durotep) in cancer patients when rotated from morphine preparations].
Masui. 2007 Mar; 56(3):317-23.M

Abstract

BACKGROUND

[corrected] The transdermal fentanyl patch (Durote patch) is an opioid preparation requiring replacement once in three days, which is occasionally prescribed to replace morphine preparations. The conversion ratio from morphine to fentanyl has been claimed to be 100:1 or 150:1, but there may exist individual variations.

METHODS

We retrospectively evaluated the analgesic effects and adverse effects of fentanyl patch in 24 cases among 22 patients (11 men and 11 women).

RESULTS

There were some reasons for switching; the major one was for home-care. In most cases rotation was completed in a few days and the side effects disappearance or were reduced, but 4 cases of them showed severe diarrhea or exhibited exacerbation of the pain, and had to go back to morphine. There were a wide variations of conversion ratio with a mean of 96.6.

CONCLUSIONS

The fentanyl patch is a useful agent to control severe cancer pain because of excellent analgesic effect, less adverse effects and more convenience as well as itsundesirable characteristics when transition of patients to home-care is considered or oral administration should be avoided. Above all it offers a great possibility to improve cancer patient's quality of life.

Authors+Show Affiliations

Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

17366919

Citation

Akiyama, Yasuko, et al. "[Usefulness of Fentanyl Patch (Durotep) in Cancer Patients when Rotated From Morphine Preparations]." Masui. the Japanese Journal of Anesthesiology, vol. 56, no. 3, 2007, pp. 317-23.
Akiyama Y, Iseki M, Izawa R, et al. [Usefulness of fentanyl patch (Durotep) in cancer patients when rotated from morphine preparations]. Masui. 2007;56(3):317-23.
Akiyama, Y., Iseki, M., Izawa, R., Ishii, K., Miyazaki, T., Yamaguchi, S., & Tani, Y. (2007). [Usefulness of fentanyl patch (Durotep) in cancer patients when rotated from morphine preparations]. Masui. the Japanese Journal of Anesthesiology, 56(3), 317-23.
Akiyama Y, et al. [Usefulness of Fentanyl Patch (Durotep) in Cancer Patients when Rotated From Morphine Preparations]. Masui. 2007;56(3):317-23. PubMed PMID: 17366919.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Usefulness of fentanyl patch (Durotep) in cancer patients when rotated from morphine preparations]. AU - Akiyama,Yasuko, AU - Iseki,Masako, AU - Izawa,Rika, AU - Ishii,Kouta, AU - Miyazaki,Toyo, AU - Yamaguchi,Seiko, AU - Tani,Yuichiro, PY - 2007/3/21/pubmed PY - 2007/5/2/medline PY - 2007/3/21/entrez SP - 317 EP - 23 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 56 IS - 3 N2 - BACKGROUND: [corrected] The transdermal fentanyl patch (Durote patch) is an opioid preparation requiring replacement once in three days, which is occasionally prescribed to replace morphine preparations. The conversion ratio from morphine to fentanyl has been claimed to be 100:1 or 150:1, but there may exist individual variations. METHODS: We retrospectively evaluated the analgesic effects and adverse effects of fentanyl patch in 24 cases among 22 patients (11 men and 11 women). RESULTS: There were some reasons for switching; the major one was for home-care. In most cases rotation was completed in a few days and the side effects disappearance or were reduced, but 4 cases of them showed severe diarrhea or exhibited exacerbation of the pain, and had to go back to morphine. There were a wide variations of conversion ratio with a mean of 96.6. CONCLUSIONS: The fentanyl patch is a useful agent to control severe cancer pain because of excellent analgesic effect, less adverse effects and more convenience as well as itsundesirable characteristics when transition of patients to home-care is considered or oral administration should be avoided. Above all it offers a great possibility to improve cancer patient's quality of life. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/17366919/[Usefulness_of_fentanyl_patch__Durotep__in_cancer_patients_when_rotated_from_morphine_preparations]_ DB - PRIME DP - Unbound Medicine ER -