Cancer Pain Management-Nonopoid Analgesics.
10.5124/jkma.2010.53.2.164
- Author:
Dong Hee KIM
1
Author Information
1. Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Korea. anedhkim@hanmail.net
- Publication Type:Original Article
- Keywords:
Acetaminophen;
Cancer pain;
Nonopioid analgesics;
Nonsteroidal antiinflammatory drugs (NSAIDs);
Opioids
- MeSH:
Acetaminophen;
Analgesics;
Analgesics, Non-Narcotic;
Analgesics, Opioid;
Anti-Inflammatory Agents, Non-Steroidal;
Gastrointestinal Hemorrhage;
Humans;
Resin Cements
- From:Journal of the Korean Medical Association
2010;53(2):164-168
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cancer pain patients have various diagnosis, stage of disease, response to pain, and treatments and individualized treatment methods are thus needed. Use of Nonopioid analgesics is the first step treatment (according to WHO ladder) for mild to moderate pain, and may be useful for second or third step treatments when combined with weak or strong opioids to reduce side effects of opioids and to create synergy between the two drugs. Acetaminophen and nonsteroidal antiinflammatory drugs(NSAIDs) are also nonopioid analgesics. NSAIDs have a ceiling effect, along with antipyretic, analgesic and antiinflammatory effects, while not producing physical and psychological dependence. Adverse effects of NSAIDs include gastrointestinal hemorrhage, coagulopathy, and deterioration of renal function.
