Health Condition 1: D10- Benign neoplasm of mouth and pharynx
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)All the admitted patient with locally advanced head and neck cancer having moderate to severe cancer pain (NRS greater than 5) and inadequate relief with adequate doses of step 2 (tramadol) analgesics. Patients in age group 18 years to 70 years of either gender. Patients who have given informed written consent will be included in this study.
Exclusion criteria
Exclusion criteria: Contraindication and allergic to study drugs, Patients with severe cardiac, respiratory, hepatic, or renal disease, malabsorption syndrome Patients with history of substance abuse such as tobacco/ opioid ,etc, Patients who received strong opioid analgesics over past 1month, Patient on use of pain reduction techniques such as nerve block over past 3 months, Patients having distant metastasis, Patient having psychiatric disorder, Patient with severe nausea and vomiting.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity using Numeric Rating Scale The Incidence of Breakthrough Pain and number of rescue doses of oral morphine (5mg) Clinical profile of symptom severity using Edmonton Symptom Assessment ScaleTimepoint: Every 4th hourly over 1st 24 hours and then on 3rd day, 7th day and 14th day. | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life using :- The World Health Organization Quality Of Life (WHOQOL) Timepoint: day 0, 7 and 14;The physical status using :- Eastern Cooperative Oncology Group (ECOG) Performance StatusTimepoint: Day 0,7 and 14;a) Adverse effects like nausea, vomiting, pruritus and drowsiness. (b)Bowel Function Index to assess constipationTimepoint: day 7 and 14. | — |
Countries
India
Contacts
Geetanjali Medical College and Hospital