Breakthrough Pain in Patients with Cancer. Neoplasm related pain (acute) (chronic)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 18 and above Patients with soft, visceral and bone marrow malignancies, patients with a diagnosis of malignant tumors or malignant tumors At least 1-4 episodes of pain per day Receiving an opioid regimen for the control of pain at a constant and similar dose (oral morphine or opioid similar to 60-1000 mg / day / oral oxycodone 30 mg daily) Having informed consent to participate in the study
Exclusion criteria
Exclusion criteria: History of receiving interatcal opioids Patients with history of mucositis / osteomathitis Grade II and above based on the definition of the terminology of the incidence of complications Having a condition that affects subcutaneous fentanyl tolerance or absorption of buccal mucosa Pregnancy / Breastfeeding Sleep apnea Active metastasis in the brain by increasing intracranial pressure Chronic lung obstruction Renal or liver dysfunction Brady's remarkable arrhythmias have not been diagnosed with heart disease Any sudden increase in unrelated cancer pain Conscious unwillingness to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity. Timepoint: At the onset of the episode before the start of the drug, 15, 30, 45 and 60 minutes after starting treatment. Method of measurement: The severity of pain is measured using a numeric rating scale (NRS-11) (0 = painless, mild 1-3, moderate 6-4, severe 10-7).;Episode of pain. Timepoint: Every time a breakthrogh pain occurs. Method of measurement: Recorded by patients. | — |
Secondary
| Measure | Time frame |
|---|---|
| Side effects. Timepoint: After taking each dose of medicine. Method of measurement: Recorded by patient. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shahid Beheshti University of Medical Sciences