Question 1

what is baseline pain and breakthrough pain?

Accepted Answer

Types of daily pain: Baseline pain: the type of pain experienced by the patient for at least half of a day. Breakthrough pain is the intensified pain from the baseline.

Question 2

what is breakthrough pain?

Accepted Answer

Acute pain: Breakthrough refers to episodes of acute worsening of pain symptoms in a person being treated for chronic pain. If it occurs infrequently then immediate releasr pain meds are used to relieve discomfort. If it is occuring frequently, then an attempt to adjust the dosage of long acting analgesic can be attempted. The goal is to limit breakthrough pain and keep the patient as comfortable as possible.

Question 3

actiq for breakthrough pain only?

Accepted Answer

Maybe: Actiq is not the best breakthrough pain medication in my opinion. It is expensive and from my experience doesn't work better than less expensive oral options. Also, fentanyl has a relatively short half life and i find that most of my patients who are prescribed breakthrough pain medication almost never have any left at the end of the month, so they are really using it as maintenence medication.

Question 4

what would be a good med for me for breakthrough pain ? oramorph 10mg/5ml doesn't seem to help much.

Accepted Answer

No easy answer: As to be able to best guide you, one would ideally need to know more specifics about the exact causes of your pain, quality of your pain and what medications you have tried in the past.  Sounds like you need the input of a pain specialist.  Best of luck.

Question 5

how does actiq work for breakthrough pain?

Accepted Answer

Very short effect: For this reason this med shouldn't be used for non-cancer pain. The effect lasts for at most 1 to 1 hours. Tolerance develops rapidly because of the rapid, intense effect. This results in the need for higher and higher doses over a very short time. This med is most appropriate for patients not expected to survive for more than several months as the med becomes less effective rapidly.

Question 6

is actiq a good choice for breakthrough pain?

Accepted Answer

Actiq: Actiq contains fentanyl. The onset and duration closely resembles that of btp. Since Actiq there are newer forms that work quicker while keeping the same duration. The fda in their infinite.

Question 7

safest med to take with 12 mcg fentanyl patch for breakthrough pain?

Accepted Answer

Many options: Any short to intermediate acting narcotic prescribed by your physician specifically for breakthrough pain and taken exactly as directed should be safe.

Question 8

is morphine 20mg per day okay for breakthrough pain for my chronic pain ! ?

Accepted Answer

Impossible to answer: Chronic narcotic use has enormous risks, especially in a 35 year old. Without detailed knowledge of your history, this question is impossible to answer. From the list of your other medical issues i would urge finding other treatments to address the pain and anxiety/depression besides narcotics.

Question 9

i have been wearing norspan 10 + 20 for 2 years and 5 months. breakthrough pain is frequent now. doc is reluctant to increase weekly dose. i am 72.

Accepted Answer

Defeats purpose: Usually buprenorphine/naloxone products are used in patients who have had problems in the past with opioid dependency.  The hope would be to eventually wean from the norspan.  Increasing the dosage would contradict the purpose.  Need to find out why the breakthrough is increasing and treat the source not the symptom.

Question 10

how long after taking oxycontin can you take hydrocodone for breakthrough pain?

Accepted Answer

Any time: The time is probably not important. The important question is why would a 32 year be dependent on multiple narcotic medications?

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Doctor answers about:

What is baseline pain and breakthrough pain

A member asked:

What is baseline pain and breakthrough pain?

A member asked:

What is breakthrough pain?

A member asked:

Actiq for breakthrough pain only?

A member asked:

What would be a good med for me for breakthrough pain ? oramorph 10mg/5ml doesn't seem to help much.

A member asked:

How does actiq work for breakthrough pain?

A member asked:

Is actiq a good choice for breakthrough pain?

A member asked:

Safest med to take with 12 mcg fentanyl patch for breakthrough pain?

A member asked:

Is morphine 20mg per day okay for breakthrough pain for my chronic pain ! ?

A member asked:

I have been wearing norspan 10 + 20 for 2 years and 5 months. breakthrough pain is frequent now. doc is reluctant to increase weekly dose. i am 72.

A member asked:

How long after taking oxycontin can you take hydrocodone for breakthrough pain?

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