Chapter

Conventional analgesics for bone pain

John Zeppetella

in Cancer-related Bone Pain

Published on behalf of Oxford University Press

ISBN: 9780199215737
Published online May 2011 | e-ISBN: 9780199606979 | DOI: http://dx.doi.org/10.1093/med/9780199215737.003.0006

Series: Oxford Pain Management Library Opml P

Conventional analgesics for bone pain

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Patients with cancer-induced bone pain (CIBP) often report that their pain varies during the course of the day. In general, two types of pain pattern can be identified: a continuous pain (‘background pain’); and a transitory exacerbation of pain (‘breakthrough pain’). This chapter will review the evidence for the effectiveness of conventional analgesics in the management of both background and breakthrough CIBP (i.e. non-opioid analgesics, opioid analgesics). It should be noted that some patients with CIBP may require additional forms of pharmacological intervention to deal with associated muscle spasm (e.g. benzodiazepines), or nerve impingement (e.g. cortico- steroids).

Chapter.  3770 words.  Illustrated.

Subjects: Clinical Oncology ; Pain Medicine

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