A study on cancer pain and sleep parameters of cancer patıents: Hydromorphone Hydrochloride
Keywords:
Cancer Pain, sleep, opioidAbstract
The ratio of painless sleep was 80% in our study.
26 (52%) of the patients showed no side effects, while 10 (20%) had nausea and 6 (12%) had constipation. 8 (16%) of the patients were found to have other side effects. The frequency of those side effects was nausea, constipation, dizziness, vomiting, respiratory failure and diarrhea respectively.[table 4]
Hydromorphone hydrochloride helped to eliminate sleep disorder, shortness of breath and snoring and relatively improved amount of sleep and adequacy of sleep. It was found that 90% of our patients were able to fall asleep in 1-5 minutes; however 82% did not have enough amount of sleep. 78% of patients had no feeling of dizziness during the day; 82% did not have shortness of breath; 80% reported that they slept without pain, while 41% reported that they did not sleep at all.
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Vgontzas AN, Chrousos GP. Sleep, The Hypothalamicpituitary- Adrenal Axis, and Cytokines: Multiple Interactions and Disturbances in Sleep Disorders. Endocrinol Metab Clin North Am 2002;31(1):15-36.
Palangio M, Northfelt DW, Portenoy RK ,et all.Dose Conversion and Titration with a Novel, Once-Daily, OROS® Osmotic technology, Extended-Release Hydromorphone Formulation in the Treatment of Chronic Malignant or Nonmalignant Pain. J Pain Symptom Manage.2002;23:355-368.
Resiine T,Pastemak G. Opioid Analgesics and Antagonists. In Hardman JG Limbird LE, Molinoff PB, eds. Goodmans ᵟ Gilmans The Pharmacological Basis of Therapeutics. 9th ed. Newyork ,NY: Mc Graw-Hill;1995:521-555
Sarhil N,Walsh D, Nelson KA Hydromorphone: Pharmacology and Clinicall Applications in Cancer Patients. Support Care Cancer .2001;9:84-96
Wallace M, Skowronski R,Khanna S, Tudor J,Thipphawong J. Efficacy and safety evaluation of Once-Daily OROS® Hydromorphone in Patients with Chronic Low Back Pain: A Pilot Open-Label Study Cun Med Res Opin. 2007;23P1-P9
Carla I,Ripamonti MD,Tiziana Campa MD,Elena Fagnoni MD, Normal-Release Oral Morphine Starting Dosen Cancer Patients with Pain Clin. J. Pain 2009;25:386-390
David Lussier,1'2 Ute Richarz3 and Gabriele Finco4 Use of Hydromorphone, with Particular Reference to the OROS® Formulation, in the Elderly DRUGS AGING
;27(4):327-335
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