Treatment of Failed Back Surgery Syndrome in a Forty-Three-Year-Old Man With High-Dose Oxycodone/Naloxone

INTRODUCTION: Failed back surgery syndrome (FBSS) is an increasing cause of chronic pain in most countries. This poses high costs to both patients and National Health Organizations. CASE PRESENTATION: In this report, multimodal pain management based on daily high-dose oxycodone/naloxone (OXN 180/90...

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Detalles Bibliográficos
Autor principal: Bujedo, Borja Mugabure
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377163/
https://www.ncbi.nlm.nih.gov/pubmed/25893186
http://dx.doi.org/10.5812/aapm.21009
Descripción
Sumario:INTRODUCTION: Failed back surgery syndrome (FBSS) is an increasing cause of chronic pain in most countries. This poses high costs to both patients and National Health Organizations. CASE PRESENTATION: In this report, multimodal pain management based on daily high-dose oxycodone/naloxone (OXN 180/90 mg) led to reduced patient's pain score and improved quality of life. CONCLUSIONS: Oxycodone/naloxone can be a good alternative for the management of FBSS when other interventional or pharmacologic strategies have failed. In this case report, higher doses than those recommended as a maximum daily ceiling (80/40 mg) were safely used in one selected patient with noncancer severe pain.

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