Success in Pain Management by Switch from Gabapentin to Pregabalin: A Case of Lung Cancer
10.2185/jjrm.60.104
- VernacularTitle:ガバペンチンからプレガバリンへのスイッチにより良好な疼痛コントロールが得られた肺癌患者の1例
- Author:
Hiroaki SHIBAHARA
;
Eri IMAI
;
Natsuko UEMATSU
;
Sanae KINOSHITA
;
Kaori MANO
;
Ayako YAMAMOTO
;
Masahiro AOYAMA
;
Daisaku NISHIMURA
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2011;60(2):104-108
- CountryJapan
- Language:Japanese
-
Abstract:
The patient was a woman in her 80s, who was referred to the palliative care team in our hospital for pain due to bone metastases from lung cancer. Although gabapentin and ifenprodil tartrate were administrated in addition to opioids and loxoprofen sodium, and the dose of opioids was increased, pain was not relieved remarkably. A switch from gabapentin to pregabalin brought remarkable pain relief. Before the internal use of pregabalin, the patient was often seen lyiing in bed because of pain. However, by pregabalin, she began to walk, pushing her wheelchair and smile often. Her ability to perform the basic activities of daily living was improved. The switch from gabapentin to pregabalin was one effective option when an analgesic adjuvant for cancer pain was chosen.