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Doctor insights on: What Is Baseline Pain And Breakthrough Pain

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What is baseline pain and breakthrough pain?

What is baseline pain and breakthrough pain?

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. ...Read more

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What is breakthrough pain?

What is 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 more

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What's breakthrough pain like? As bad as original?

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

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Actiq for breakthrough pain only?

Actiq for breakthrough pain only?

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 more

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

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

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Actiq good for breakthrough pain?

Yes, but....: It is only indicated (fda approved) for breakthrough cancer pain. Most insurance companies will not pay for it for non-cancer pain. Newer formulations of the same basic drug work faster and seem to be better tolerated (subsys, fentora). ...Read more

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How does actiq work for breakthrough pain?

How does actiq work for breakthrough pain?

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 more

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Is actiq a good choice for breakthrough pain?

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 more

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Would Tapentadol be good as a breakthrough pain med ?

Would Tapentadol be good as a breakthrough pain med ?

Option for patients: The opioids may be indicated in a small subset of patients with chronic benign (nonmalignant) pain that is refractory to all treatment protocols. For more refractory cases, opioids such as sustained release oxycodone is now recommended. ...Read more

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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 more

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