We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
A Successful Case of Switching Treatment from Ketamine to Methadone for Complex Neuropathic Pain.
- Authors
Murakami, Satoshi; Asada, Takaaki; Kubota, Toru; Kawakami, Hiroyuki; Kokubun, Hideya; Uezono, Yasuhito
- Abstract
Background: Methadone is frequently used for the management of complex pain at the end of life by palliative care specialists. It is also used in low doses as an add-on therapy to chronic opioid treatment of cancer-related pain, usually with good effect, and without any reported severe adverse effects. However, there are few reports of switching from ketamine to methadone. Case: We report a case of a patient with rectal cancer and intractable pain. Switching from ketamine to methadone to maintain analgesia was successfully carried out without impacting activities of daily living. Established measurement tools, such as numerical rating scale, Douleur Neuropathique, Functional Independence Measure, and Barthel Index, were used. Conclusion: Switching from ketamine to methadone may be beneficial in relieving refractory cancer-related neuropathic pain without decreasing functioning.
- Subjects
METHADONE treatment programs; THERAPEUTICS; CANCER pain; PAIN measurement; NEURALGIA; RECTUM tumors; ACTIVITIES of daily living; KETAMINE; PAIN management; DISEASE complications
- Publication
Journal of Palliative Medicine, 2022, Vol 25, Issue 4, p686
- ISSN
1096-6218
- Publication type
Article
- DOI
10.1089/jpm.2021.0056