Treatment of tumor pain

06/2018

MUDr. Marek Hakl, Ph.D.

Klinika aigezioiogie a preventivní péče, Medicinecare s.r.o.; Chirurgická klinika LF MU a FN, Brno

SUMMARY

Pain is one of the most common manifestations of oncological illness. Its basic treatment strategy is based on the World Health Organization's three-step ranking. Non-opioid analgetics, weak opioids and strong opioid medication are available for treatment. For the treatment of breakthrough pain, transmucosal fentanyls are now also available. In the treatment of oncological pain, non-invasive administration of analgesics is preferable to invasive, preferring retarded drugs or transdermal opioids, supplemented by fast-release forms for the treatment of acute pain worsening. Analgesic medication can be supplemented with additional comedications, especially from the group of anticonvulsants and antidepressants.

KEY WORDS

oncological pain, neopioid analgesics, opioids, breakthrough pain