Long-Term High-dose Oral Morphine in Phantom Limb Pain with No Addiction Risk

Chronic phantom limb pain (PLP) is a type of neuropathic pain, which is located in the missing/amputated limb. Phantom pain is difficult to treat as the exact basis of pain mechanism is still unknown. Various methods of treatment for PLP have been described, including pharmacological (NSAIDs, opioid...

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Autores principales: Kumar, Vinod, Garg, Rakesh, Bharati, Sachidanand Jee, Gupta, Nishkarsh, Bhatanagar, Sushma, Mishra, Seema, Balhara, Yatan Pal Singh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332137/
https://www.ncbi.nlm.nih.gov/pubmed/25709194
http://dx.doi.org/10.4103/0973-1075.150198
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author Kumar, Vinod
Garg, Rakesh
Bharati, Sachidanand Jee
Gupta, Nishkarsh
Bhatanagar, Sushma
Mishra, Seema
Balhara, Yatan Pal Singh
author_facet Kumar, Vinod
Garg, Rakesh
Bharati, Sachidanand Jee
Gupta, Nishkarsh
Bhatanagar, Sushma
Mishra, Seema
Balhara, Yatan Pal Singh
author_sort Kumar, Vinod
collection PubMed
description Chronic phantom limb pain (PLP) is a type of neuropathic pain, which is located in the missing/amputated limb. Phantom pain is difficult to treat as the exact basis of pain mechanism is still unknown. Various methods of treatment for PLP have been described, including pharmacological (NSAIDs, opioids, antiepileptic, antidepressants) and non-pharmacological (TENS, sympathectomy, deep brain stimulation and motor cortex stimulation). Opioids are used for the treatment of neuropathic pain and dose of opioid is determined based on its effect and thus there is no defined ceiling dose for opioids. We report a case where a patient receiving high-dose oral morphine for chronic cancer pain did not demonstrate signs of addiction.
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spelling pubmed-43321372015-02-23 Long-Term High-dose Oral Morphine in Phantom Limb Pain with No Addiction Risk Kumar, Vinod Garg, Rakesh Bharati, Sachidanand Jee Gupta, Nishkarsh Bhatanagar, Sushma Mishra, Seema Balhara, Yatan Pal Singh Indian J Palliat Care Case Report Chronic phantom limb pain (PLP) is a type of neuropathic pain, which is located in the missing/amputated limb. Phantom pain is difficult to treat as the exact basis of pain mechanism is still unknown. Various methods of treatment for PLP have been described, including pharmacological (NSAIDs, opioids, antiepileptic, antidepressants) and non-pharmacological (TENS, sympathectomy, deep brain stimulation and motor cortex stimulation). Opioids are used for the treatment of neuropathic pain and dose of opioid is determined based on its effect and thus there is no defined ceiling dose for opioids. We report a case where a patient receiving high-dose oral morphine for chronic cancer pain did not demonstrate signs of addiction. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4332137/ /pubmed/25709194 http://dx.doi.org/10.4103/0973-1075.150198 Text en Copyright: © Indian Journal of Palliative Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kumar, Vinod
Garg, Rakesh
Bharati, Sachidanand Jee
Gupta, Nishkarsh
Bhatanagar, Sushma
Mishra, Seema
Balhara, Yatan Pal Singh
Long-Term High-dose Oral Morphine in Phantom Limb Pain with No Addiction Risk
title Long-Term High-dose Oral Morphine in Phantom Limb Pain with No Addiction Risk
title_full Long-Term High-dose Oral Morphine in Phantom Limb Pain with No Addiction Risk
title_fullStr Long-Term High-dose Oral Morphine in Phantom Limb Pain with No Addiction Risk
title_full_unstemmed Long-Term High-dose Oral Morphine in Phantom Limb Pain with No Addiction Risk
title_short Long-Term High-dose Oral Morphine in Phantom Limb Pain with No Addiction Risk
title_sort long-term high-dose oral morphine in phantom limb pain with no addiction risk
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332137/
https://www.ncbi.nlm.nih.gov/pubmed/25709194
http://dx.doi.org/10.4103/0973-1075.150198
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