Aberrant Behavior Associated with Opioid Analgesic in a Patient with Lymphoma after the Disappearance of a Tumor Causing Pain: Case Report
- VernacularTitle:痛みの原因となった腫瘍消失後も遷延する痛みをもつ患者に,オピオイド鎮痛薬の薬物関連異常行動を認めた悪性リンパ腫の1例
- Author:
Ayano Taniguchi
;
Chul Kwon
;
Akiko Yamashiro
;
Toyoshi Hosokawa
- Publication Type:Journal Article
- Keywords: cancer survivors; opioid analgesics; aberrant drug-related behaviors; chemical coping; chronic pain
- From:Palliative Care Research 2016;11(3):548-552
- CountryJapan
- Language:Japanese
-
Abstract:
More patients are now surviving cancer thanks to early diagnosis and improved treatment. Chronic pain in cancer survivors is problematic and the risk of chronic therapy with opioids includes abuse or addiction. We describe a patient with lymphoma whose behavior became aberrant while under treatment with opioid analgesics to manage anxiety after a painful tumor disappeared. Using opioid analgesics to manage emotional distress rather than pure physical pain has been defined as chemical coping, which is considered as an early stage of abuse or addiction. Knowledge of opioid analgesics and aberrant drug-related behaviors is necessary to manage chronic pain in cancer survivors.