Buprenorphine: an old dog with new tricks.

IF 2 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Current Opinion in Supportive and Palliative Care Pub Date : 2025-03-01 Epub Date: 2025-01-30 DOI:10.1097/SPC.0000000000000743
Ai Deen Ng, Andrew Dickman
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Abstract

Purpose of review: The survival rate of patients with a cancer or palliative care diagnosis has improved over the years although pain remains a debilitating symptom that many patients still require treatment with opioids. Compared to full mu-opioid receptor agonists such as morphine and oxycodone, buprenorphine continues to remain a second- or third-line choice in this group of patients.We have reviewed the pharmacology and clinical utility of buprenorphine to stimulate debate around the first-line use of buprenorphine in the management of pain in cancer patients.

Recent findings: Buprenorphine has a pharmacological profile that is unique and unlike any other opioid. It is associated with many immediate and long-term benefits, with lower risks of adverse effects that make it an ideal first-line choice in the management of cancer pain.

Summary: Buprenorphine appears to be a promising choice of opioid for cancer patients. Studies have found that buprenorphine is a safe and effective choice for many patients, making it a suitable first-line option for the management of cancer pain.

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丁丙诺啡:老狗耍新把戏。
回顾目的:尽管疼痛仍然是一种虚弱的症状,许多患者仍然需要阿片类药物治疗,但癌症或姑息治疗诊断患者的生存率多年来有所改善。与全阿片受体激动剂如吗啡和羟考酮相比,丁丙诺啡仍然是这组患者的二线或三线选择。我们回顾了丁丙诺啡的药理学和临床应用,以激发关于丁丙诺啡在一线治疗癌症患者疼痛的争论。最近的发现:丁丙诺啡具有独特的药理学特征,不同于任何其他阿片类药物。它具有许多即时和长期的益处,不良反应的风险较低,使其成为治疗癌症疼痛的理想一线选择。摘要:丁丙诺啡似乎是癌症患者阿片类药物的一个有希望的选择。研究发现,丁丙诺啡对许多患者来说是一种安全有效的选择,使其成为治疗癌症疼痛的合适一线选择。
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来源期刊
Current Opinion in Supportive and Palliative Care
Current Opinion in Supportive and Palliative Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.70
自引率
0.00%
发文量
54
期刊介绍: A reader-friendly resource, Current Opinion in Supportive and Palliative Care provides an up-to-date account of the most important advances in the field of supportive and palliative care. Each issue contains either two or three sections delivering a diverse and comprehensive coverage of all the key issues, including end-of-life management, gastrointestinal systems and respiratory problems. Current Opinion in Supportive and Palliative Care is an indispensable journal for the busy clinician, researcher or student.
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