Transdermal buprenorphine in pain management--experiences from clinical practice: Five case studies.

Abstract:

:Buprenorphine is a semi-synthetic opioid derived from thebaine. The transdermal formulation of buprenorphine has been available in Belgium for 3 years, during which time the Pain Clinic of the St Elisabeth of Verviers Hospital has gained experience in the use of transdermal buprenorphine for the treatment of moderate-to-severe pain. This paper presents four cases of chronic, non-malignant pain, and one case of chronic cancer pain. By starting patients on low doses and slowly titrating upwards, transdermal buprenorphine matrix patches provided effective analgesia and were well tolerated. Low doses of transdermal buprenorphine were created by cutting the smallest available matrix patch (35 mug/h) into halves or quarters. The initial dose was then gradually titrated upwards to the dose needed for optimum pain relief by the patients. No problems were encountered in switching patients from prior analgesic therapy with other opioids to transdermal buprenorphine.

journal_name

Int J Clin Pract

authors

Louis F

doi

10.1111/j.1742-1241.2006.01109.x

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

1330-4

issue

10

eissn

1368-5031

issn

1742-1241

pii

IJCP1109

journal_volume

60

pub_type

杂志文章
  • Application of antimicrobial stewardship to optimise management of community acquired pneumonia.

    abstract::The aim of this study was to review the application of antimicrobial stewardship principles to the management of community-acquired pneumonia (CAP). Data from 14 published clinical studies, meta-analyses and practice guidelines regarding the application of antimicrobial stewardship strategies to the management of CAP ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2011.02704.x

    authors: Bosso JA,Drew RH

    更新日期:2011-07-01 00:00:00

  • Irbesartan has no short-term effect on insulin resistance in hypertensive patients with additional cardiometabolic risk factors (i-RESPOND).

    abstract:AIMS:Intervention studies have shown that angiotensin receptor blockers (ARB) may reduce the incidence of type 2 diabetes mellitus. It is currently unclear whether short-term therapy with ARBs affects metabolic parameters. METHODS:i-RESPOND, a randomised, controlled, multicentre, double-blind study evaluated the effec...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1742-1241.2009.02246.x

    authors: Parhofer KG,Birkeland KI,DeFronzo R,Del Prato S,Bhaumik A,Ptaszynska A

    更新日期:2010-01-01 00:00:00

  • Review on the coronavirus disease (COVID-19) pandemic: Its outbreak and current status.

    abstract:BACKGROUND:In late December 2019 and on 1st January 2020, the coronavirus (COVID-19) infecting humans was first identified in Wuhan, Hubei Province, China. Later cases have also been confirmed worldwide. Coronaviruses are RNA viruses that are phenotypically and genotypically diverse. Globally, as of 6th April 2020, lab...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/ijcp.13637

    authors: Almaghaslah D,Kandasamy G,Almanasef M,Vasudevan R,Chandramohan S

    更新日期:2020-11-01 00:00:00

  • Five-year experience with tadalafil in the UK: an effective treatment for erectile dysfunction.

    abstract:BACKGROUND:Erectile dysfunction (ED) is a common medical condition. In the UK, approximately 2.3 million men suffer from moderate-to-severe ED, many of whom do not consult a healthcare professional about the problem. Phosphodiesterase-type 5 (PDE5) inhibitors have revolutionised treatment for ED and three such drugs ar...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2009.02123.x

    authors: Dinsmore W

    更新日期:2009-08-01 00:00:00

  • Tuning fork (128 Hz) versus neurothesiometer: a comparison of methods of assessing vibration sensation in patients with diabetes mellitus.

    abstract::The current study compared the effectiveness of the graduated tuning fork (128 Hz) and the neurothesiometer in assessing vibration sensation perception in patients presenting with type II diabetes mellitus. A quota sample of patients (n = 21; age range 43-73 years) were assessed using the neurothesiometer and tuning f...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2005.00650.x

    authors: O'Neill J,McCann SM,Lagan KM

    更新日期:2006-02-01 00:00:00

  • State of the art in beta2-agonist therapy: a safety review of long-acting agents.

    abstract::Despite concerns in the 1970s and 1980s about the safety of short-acting beta2-agonists, it is now generally accepted that these agents, used at appropriate doses, provide safe and effective treatment for asthma symptoms. After their introduction, beta2-agonists with a long duration of action--formoterol and salmetero...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:

    authors: Rabe KF

    更新日期:2003-10-01 00:00:00

  • Prevention of secondary stroke and transient ischaemic attack with antiplatelet therapy: the role of the primary care physician [corrected].

    abstract:BACKGROUND:Stroke risk is heightened among patients who have had a primary stroke or transient ischaemic attack (TIA). The primary care physician is in the best position to monitor these patients for stroke recurrence. Because stroke recurrence can occur shortly after the primary event, guidelines recommend initiating ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2007.01515.x

    authors: Kirshner HS

    更新日期:2007-10-01 00:00:00

  • Evaluation of physician's knowledge in Jordan about the ACC/AHA blood cholesterol guidelines.

    abstract:BACKGROUND:Elevated levels of blood lipids are considered a major modifiable risk factor for the development of cardiovascular diseases. The optimal management of dyslipidaemia remains inadequate worldwide. Accordingly, there is an increasing need to evaluate the basis that health care providers are using to control dy...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.13784

    authors: Rababa'h AM,Mustafa R,Rabab'ah M,Khasawneh M,Ababneh M,Khraisha S,Altarabsheh SE

    更新日期:2020-10-23 00:00:00

  • The current management of cystic fibrosis.

    abstract::Cystic fibrosis (CF) is one of the commonest lethal inherited conditions among Caucasians. It affects multiple organ systems and exhibits a range of clinical problems of varying severity. Life expectancy has improved in recent years as treatment regimes have become more intensive, but current treatments are expensive,...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:

    authors: Lees CM,Smyth RL

    更新日期:2000-04-01 00:00:00

  • Management of advanced breast cancer with endocrine therapy: the role of the primary healthcare team.

    abstract::Of the 25,000 new cases of breast cancer annually in the UK, at least half will develop metastases at some time. Approximately one-third of these will be hormone-sensitive and thus suitable for endocrine manipulation. Such patients may live for several years. Care should be patient-centred and evidence-based, with pri...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:

    authors: Theobald AJ

    更新日期:2000-12-01 00:00:00

  • Complications of a simple procedure: de Quervain's disease revisited.

    abstract::We reviewed the results of 22 operations performed on 21 patients for the relief of de Quervain's disease over the last six years. At a mean follow-up of 34 months (range 4-78 months), 18 of 22 wrists had complete relief of their original symptoms. One patient required reoperation because of inadequate decompression, ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:

    authors: Mellor SJ,Ferris BD

    更新日期:2000-03-01 00:00:00

  • Chronic inflammation is negatively associated with prostate cancer and high-grade prostatic intraepithelial neoplasia on needle biopsy.

    abstract::Tissue inflammation has been linked to cancer in several disease models. We tested the association between chronic inflammation and prostate cancer (PCa), as well as high-grade prostatic intraepithelial neoplasia (HGPIN), in prostatic needle biopsy specimens. Tissues from 4526 men, who underwent systematic ultrasound-...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2006.00905.x

    authors: Karakiewicz PI,Benayoun S,Bégin LR,Duclos A,Valiquette L,McCormack M,Bénard F,Saad F,Perrotte P

    更新日期:2007-03-01 00:00:00

  • Impact of cerebrovascular pathology on behavioural and neuropsychiatric symptoms in patients with Alzheimer's dementia: findings from a retrospective, naturalistic study.

    abstract:AIM:Cerebrovascular disease (CVD) has been associated with depression and a host of neuropsychiatric conditions including dementia. This study assessed the relationship between cerebrovascular findings reported on MRI brain scans and neuropsychiatric symptoms (NPS) and behavioural problems in patients with Alzheimer's ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2009.02079.x

    authors: Klugman A,Marshall J,Tabet N

    更新日期:2009-07-01 00:00:00

  • Anti-venom-induced myelopathy in a semipoisonous snakebite.

    abstract::A 40-year-old woman developed myelopathy manifesting as Brown Sequard syndrome after administration of Anti-venom (polyvalent enzyme-refined equine globulin supposed to neutralise 0.6 mg of standard cobra venom, 0.45 mg of standard krait venom, 0.6 mg of standard Russel's viper venom and 0.45 mg of saw scaled viper ve...

    journal_title:International journal of clinical practice

    pub_type: 信件

    doi:10.1111/j.1368-5031.2004.00201.x

    authors: Biswas R,Irodi A,Paul A,Ghimere G,Joshi KR,Alurkar VM,Shetty KJ

    更新日期:2004-06-01 00:00:00

  • The use of paracetamol (acetaminophen) among a community sample of people with chronic non-cancer pain prescribed opioids.

    abstract:BACKGROUND:The regular use of simple analgesics in addition to opioids such as paracetamol (or acetaminophen) is recommended for persistent pain to enhance analgesia. Few studies have examined the frequency and doses of paracetamol among people with chronic non-cancer pain including use above the recommended maximum da...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.12716

    authors: Hoban B,Larance B,Gisev N,Nielsen S,Cohen M,Bruno R,Shand F,Lintzeris N,Hall W,Farrell M,Degenhardt L

    更新日期:2015-11-01 00:00:00

  • The impact of publishing medical specialty society guidelines on subsequent adoption of best practices: a case study with type 2 diabetes.

    abstract:AIMS:Our goal was to determine the effect of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) consensus algorithm for the initiation and adjustment of type 2 diabetes (T2D) therapy, published in 2006, on the incidence of early metformin monotherapy (EMM), defined as ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2009.02319.x

    authors: Huang EA,Zdon GS,Moore RJ,Jane Moran H,Quick WW

    更新日期:2010-04-01 00:00:00

  • Hypertriglyceridaemia and NK cell lymphoma.

    abstract::This case report describes a patient who presented with pyrexia of unknown origin allied with hypertriglyceridaemia (16.2 mmol/l) but not hypercholesterolaemia (4.1 mmol/l). Investigations identified the cause of the pyrexia as an adult T-cell lymphoma of natural killer cell phenotype (CD3[+], CD7[+], anti-TCR alpha/b...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:

    authors: Suryanarayanan S,Wierzbicki AS,Carr R,Ritter JM

    更新日期:2003-12-01 00:00:00

  • Effect of Helicobacter pylori infection and eradication therapy on interleukin-6 levels in patients with Familial Mediterranean Fever.

    abstract::It is being questioned if Helicobacter pylori infection, which causes a chronic inflammatory response, can increase the frequency and severity of attacks in patients with Familial Mediterranean Fever (FMF) and if the impact of inflammatory response can be diminished by eradication of the infection. To evaluate if ther...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2006.01098.x

    authors: Ozel AM,Demirturk L,Aydogdu A,Gultepe M,Yazgan Y,Imirzalioglu N,Gurbuz AK,Narin Y

    更新日期:2008-05-01 00:00:00

  • Management of the elderly patient with advanced non-small cell lung cancer.

    abstract::Non-small cell lung cancer (NSCLC) is the most lethal of the common solid malignancies. It is predominantly a disease of the elderly with the median age at diagnosis 68 years. Unfortunately, the majority of patients present with advanced disease whereby palliation is the primary aim of treatment. The elderly have a lo...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1368-5031.2005.00795.x

    authors: Cheong KA,Chrystal K,Harper PG

    更新日期:2006-03-01 00:00:00

  • An analysis of an open access general practitioner bone densitometry service.

    abstract::General practitioners (GPs) are increasingly involved in the selective opportunistic case finding of osteoporosis and treatment of this condition. An open access bone densitometry service has existed for GPs in the Cardiff area since 1993. The purpose of this study was to assess the effectiveness of this service, part...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1368-5031.2004.00151.x

    authors: Sim MF,Stone M,Johansen A,Ho P,Pettit RJ,Evans WD

    更新日期:2004-03-01 00:00:00

  • Effects of cigarette smoking on the antioxidant defence in young healthy male volunteers.

    abstract::Cigarette smoking induces a significant oxidant effect related to variety of free radical-related diseases often affecting the upper respiratory tract, unless it is effectively compensated by the antioxidant barriers of the humans. In the present study, the evaluation of the antioxidant compensatory mechanisms, by est...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2004.00340.x

    authors: Charalabopoulos K,Assimakopoulos D,Karkabounas S,Danielidis V,Kiortsis D,Evangelou A

    更新日期:2005-01-01 00:00:00

  • Bone turnover 18 months after a single intravenous dose of zoledronic acid.

    abstract::Zoledronic acid inhibits bone resorption for up to 12 months. It is not known whether the duration of this antiresorptive effect extends beyond this period of time. The aim of this study was to evaluate the changes in bone turnover at 12 months (T12) and 18 months (T18) after a single injection of 4 mg of zoledronic a...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2007.01392.x

    authors: Borba VZ,Paz-Filho G,Kulak CA,Seibel MJ,Bilezikian JP

    更新日期:2007-06-01 00:00:00

  • Cariprazine for bipolar depression: What is the number needed to treat, number needed to harm and likelihood to be helped or harmed?

    abstract:OBJECTIVE:Cariprazine is an oral antipsychotic approved in the US for the treatment of schizophrenia, acute bipolar mania, and most recently, bipolar depression. The aim of this systematic review is to describe the efficacy, tolerability and safety of cariprazine for the treatment of depressive episodes associated with...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.13397

    authors: Citrome L

    更新日期:2019-10-01 00:00:00

  • Expectations about and experiences with insulin therapy contribute to diabetes treatment satisfaction in insulin-naïve patients with type 2 diabetes.

    abstract:AIM:The aim of this study was to investigate how patients' expectations about and experiences with insulin therapy contribute to diabetes treatment satisfaction. METHODS:The Expectations about Insulin Therapy (EAITQ) and the Experience with Insulin Therapy Questionnaires (EWITQ) were administered at baseline and end-p...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1742-1241.2010.02363.x

    authors: Naegeli AN,Hayes RP

    更新日期:2010-06-01 00:00:00

  • An integrated care pathway to save the critically ischaemic diabetic foot.

    abstract::This prospective study describes and evaluates the efficacy of an integrated care pathway for the management of the critically ischaemic diabetic foot patients by a multidisciplinary team. A weekly joint diabetes/vascular/podiatry ward round and outpatient clinic was established where patients were assessed within 7 d...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1368-5031.2006.00953.x

    authors: El Sakka K,Fassiadis N,Gambhir RP,Halawa M,Zayed H,Doxford M,Greensitt C,Edmonds M,Rashid H

    更新日期:2006-06-01 00:00:00

  • Otosclerosis 2: the medical management of otosclerosis.

    abstract::The rationale for medical therapy for otospongiosis is to slow down and eventually stop the phase of bone resorption. There is some increase in the incidence of stapedial otospongiosis in a low-fluoride area compared with a high-fluoride area. Sodium fluoride treatment has a role to play in preventing the onset and pr...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2009.02046.x

    authors: Uppal S,Bajaj Y,Coatesworth AP

    更新日期:2010-01-01 00:00:00

  • Diagnostic accuracy of non-radiologist performed ultrasound for abdominal aortic aneurysm: systematic review and meta-analysis.

    abstract:BACKGROUND:Ultrasonography is increasingly used by clinicians to identify abdominal aortic aneurysms (AAA). We performed a systematic review and meta-analysis comparing the accuracy of non-radiologist performed ultrasound (NRPUS) for AAA disease to the 'gold standard' of radiologist performed aortic imaging (RPI), intr...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/ijcp.12453

    authors: Concannon E,McHugh S,Healy DA,Kavanagh E,Burke P,Clarke Moloney M,Walsh SR

    更新日期:2014-09-01 00:00:00

  • Short-acting beta 2-agonist and oral corticosteroid use in asthma patients prescribed either concurrent beclomethasone and long-acting beta 2-agonist or salmeterol/fluticasone propionate combination.

    abstract::Prescriptions for short-acting beta(2)-agonists (SABAs) and oral corticosteroids recorded in a primary care database were used as markers of asthma control. Drug use in the 6 months before and after step-up in treatment from inhaled corticosteroids [ICs; total daily dosage of < or =1000 microg beclomethasone dipropion...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2005.00455.x

    authors: Angus R,Reagon R,Cheesbrough A

    更新日期:2005-02-01 00:00:00

  • Direct-to-consumer testing: more risks than opportunities.

    abstract::As a result of incessant genetic discoveries and remarkable technological advancements, the availability and the consequent consumer's request for genetic testing are growing exponentially, leading to the development of a 'parallel' market, i.e. the direct-to-consumer (DTC) testing, also known as 'direct access testin...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2011.02774.x

    authors: Lippi G,Favaloro EJ,Plebani M

    更新日期:2011-12-01 00:00:00

  • Efficacy and tolerability of candesartan cilexetil vs. amlodipine as assessed by home blood pressure in hypertensive patients.

    abstract::This randomised, double-blind study compared the anti-hypertensive efficacy and tolerability of Candesartan cilexetil (CC 8-16 mg) and Amlodipine (AML 5-10 mg) on home blood pressure (HBP) measurements in mild-to-moderate hypertensive patients. After a 2-week wash-out, patients aged 18-74 years, with a sitting diastol...

    journal_title:International journal of clinical practice

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1742-1241.2005.00296.x

    authors: Imbs JL,Nisse-Durgeat S,French Collaborative Candesartan Study Group.

    更新日期:2005-01-01 00:00:00