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- Borja Mugabure Bujedo.
- Department of Anesthesiology, Critical Care and Pain Medicine, Donostia University Hospital, San Sebastian, Spain ; Pain Relief Unit, Chronic Pain Management, Donostia University Hospital, San Sebastian, Spain.
- Anesth Pain Med. 2015 Apr 1;5(2):e21009.
IntroductionFailed 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 PresentationIn 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.ConclusionsOxycodone/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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