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Levy MH , Rosen SM , Kedziera P
Transdermal Fentanyl - Seeding Trial in Patients with Chronic Cancer Pain
Journal of Pain and Symptom Management. 1992 Apr;7(3) :S48-S50
PMID: ISI:A1992HU82600009   
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Abstract
In this study, 6 patients with pain from advanced cancer were enrolled in a multicenter, open-label seeding trial of transdermal fentanyl. Following equianalgesic dose conversion, transdermal fentanyl patches were applied every 3 days. Mean fentanyl dosage doubled by week 2 and tripled by week 4. Pain control improved in all patients. There were no significant changes in mood, constipation, nausea, sedation, daily activities, or interpersonal relationships from pretrial to posttrial analyses. Following the study period, 5 patients were monitored for a mean total of 55 days with a mean final fentanyl dose of 240-mu-g/hr. As part of a comprehensive cancer pain management program, transdermal fentanyl appears to be safe and effective, and should prove to be a useful addition to currently available opioid analgesics.
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English Article S HU826 J PAIN SYMPTOM MANAGE