Direct rotation from a fentanyl patch to a buprenorphine patch in a patient with chronic pain.

Q3 Medicine Journal of opioid management Pub Date : 2024-05-01 DOI:10.5055/jom.0865
Naomi Steenhof, John Flannery, Joyce Lee
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Abstract

Transitioning a patient with chronic pain from a fentanyl patch to a buprenorphine patch has not been well described in the literature. Even after a patient removes their fentanyl patch, the residual fentanyl in the skin continues to be absorbed for hours. Due to the risk of precipitated withdrawal when initiating buprenorphine, this transition is a more challenging opioid rotation to plan safely. We report a case of a patient who had been using a fentanyl patch for over 10 years and was successfully rotated directly to a buprenorphine patch.

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慢性疼痛患者从芬太尼贴剂直接转为丁丙诺啡贴剂。
文献中对慢性疼痛患者从芬太尼贴片过渡到丁丙诺啡贴片的描述并不详尽。即使患者取下芬太尼贴片,皮肤中残留的芬太尼仍会被吸收数小时。由于开始使用丁丙诺啡时存在骤然戒断的风险,因此这种过渡是一种更具挑战性的阿片类药物轮换安全计划。我们报告了一例使用芬太尼贴片超过 10 年的患者成功地直接轮换使用丁丙诺啡贴片的病例。
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来源期刊
Journal of opioid management
Journal of opioid management Medicine-Anesthesiology and Pain Medicine
CiteScore
1.00
自引率
0.00%
发文量
54
期刊介绍: The Journal of Opioid Management deals with all aspects of opioids. From basic science, pre-clinical, clinical, abuse, compliance and addiction medicine, the journal provides and unbiased forum for researchers and clinicians to explore and manage the complexities of opioid prescription.
期刊最新文献
A pilot study to examine the opioid prescribing practices of medical residents. Buprenorphine: An anesthesia-centric review. Initial dose of tapentadol and concomitant use of duloxetine are associated with delirium occurring after initiation of tapentadol therapy in cancer patients. Insurance coverage and consistent pricing is needed for over-the-counter naloxone. Naloxone coprescribing best practice advisory for patients at high risk for opioid-related adverse events.
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