Usefulness of fentanyl patch (Durotep) in cancer patients when rotated from morphine preparations

[corrected] The transdermal fentanyl patch (Durote patch) is an opioid preparation requiring replacement once in three days, which is occasionally prescribed to replace morphine preparations. The conversion ratio from morphine to fentanyl has been claimed to be 100:1 or 150:1, but there may exist in...

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Bibliographic Details
Published inMasui. The Japanese journal of anesthesiology Vol. 56; no. 3; p. 317
Main Authors Akiyama, Yasuko, Iseki, Masako, Izawa, Rika, Ishii, Kouta, Miyazaki, Toyo, Yamaguchi, Seiko, Tani, Yuichiro
Format Journal Article
LanguageJapanese
Published Japan 01.03.2007
Subjects
Administration, Cutaneous
Adolescent
Adult
Aged
Analgesics, Opioid - administration & dosage
Analgesics, Opioid - adverse effects
Female
Fentanyl - administration & dosage
Fentanyl - adverse effects
Humans
Male
Middle Aged
Morphine - administration & dosage
Morphine - adverse effects
Neoplasms - complications
Pain, Intractable - drug therapy
Pain, Intractable - etiology
Palliative Care
Quality of Life
Retrospective Studies
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Summary:[corrected] The transdermal fentanyl patch (Durote patch) is an opioid preparation requiring replacement once in three days, which is occasionally prescribed to replace morphine preparations. The conversion ratio from morphine to fentanyl has been claimed to be 100:1 or 150:1, but there may exist individual variations. We retrospectively evaluated the analgesic effects and adverse effects of fentanyl patch in 24 cases among 22 patients (11 men and 11 women). There were some reasons for switching; the major one was for home-care. In most cases rotation was completed in a few days and the side effects disappearance or were reduced, but 4 cases of them showed severe diarrhea or exhibited exacerbation of the pain, and had to go back to morphine. There were a wide variations of conversion ratio with a mean of 96.6. The fentanyl patch is a useful agent to control severe cancer pain because of excellent analgesic effect, less adverse effects and more convenience as well as itsundesirable characteristics when transition of patients to home-care is considered or oral administration should be avoided. Above all it offers a great possibility to improve cancer patient's quality of life.
ISSN:0021-4892