Doctor insights on:
What Is Baseline Pain And Breakthrough Pain
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. ...Read moreSee 1 more doctor answer
No: Breakthorugh (btp) pain is pain that is above the baseline pain. Not all episodes of btp require attention. 50% have no cause - it just happens. Btp usually peaks in 3-5 min and lasts about 40-60min. ...Read more
What would be a good med for me for breakthrough pain ? Oramorph 10mg/5ml doesn't seem to help much.
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. ...Read more
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. ...Read moreSee 2 more doctor answers
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. ...Read moreSee 1 more doctor answer
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.
Opioid issues: Some docs just don't feel comfortable increasing pain meds, but it sounds like you might be due for an increase. However, other things need to be considered, including other health issues, concerns about falls, and the nature of your pain. I would recommend seeing a pain specialist or physiatrist to discuss other modalities, functional issues and increase or change in pain meds. Best of luck! ...Read moreSee 1 more doctor answer
Maybe: The active ingredient in Actiq is fentanyl, the same medication in the Duragesic patch. As such, i tend to prescribe fentanyl products for breakthrough pain in my patients with chronic pain on around the clock opioid treatment. Actiq works well, but takes a while to kick in, and needs to be rubbed on the cheek for a while. There are other products that work faster and not swallowed as much. ...Read moreSee 1 more doctor answer
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