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- M Kloke.
- Zentrum für Palliativmedizin, Kliniken Essen-Mitte, 45136, Henricistrasse 92, Essen, Deutschland. m.kloke@kliniken-essen-mitte.de
- Urologe A. 2007 Jan 1; 46 (1): 7-8, 10-3.
AbstractThe World Health Organization guidelines for cancer pain therapy from 1986 are still valid. A prerequisite for adequate pain palliation is an exact anamnesis and pain diagnosis. A multimodal, staged therapeutic concept then needs to be formulated according to the requirements of the patient. The pharmacological treatment starts with non-opioids. If pain control remains insufficient, weak opioids are added. In case of persistent pain these are replaced by strong opioids. The availability of new opioids and/or preparations admits a more sophisticated approach to metabolic disorders and specific pain syndromes. Depending on the presenting pain type, co-analgesics might be added.
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