How Do I Treat Pain Killer Addiction?
The cancer three-step analgesia method was recommended by the World Health Organization (WHO) in 1986, and clinical pain treatment has been included in one of the four priorities to solve tumor problems worldwide. Treatment with cancer pain medicines on time can relieve more than 90% of cancer patients, and some patients have increased their confidence due to the disappearance of pain, which can improve the quality of life and prolong life.
Cancer three-step analgesia
- Chinese name
- Cancer three-step analgesia
- Launch time
- 1986
- Launch organization
- World Health Organization
- Field
- medicine
- Medication
- Cancer pain medicine
- The cancer three-step analgesia method was recommended by the World Health Organization (WHO) in 1986, and clinical pain treatment has been included in one of the four priorities to solve tumor problems worldwide. Treatment with cancer pain medicines on time can relieve more than 90% of cancer patients, and some patients have increased their confidence due to the disappearance of pain, which can improve the quality of life and prolong life.
- specific plan
- First step
- Mild pain is given non-opioids (non-steroidal anti-inflammatory drugs) plus or minus auxiliary analgesics. Note: There is a problem with the maximum effective dose (ceiling effect note) of non-steroidal analgesics. Commonly used drugs include paracetamol, aspirin, diclofenac, gadoquine, ibuprofen, fenbutide (ibuprofen sustained-release capsules), indomethacin (indomethacin), and iridotin (indomethacin controlled release tablets) and many more.
- Second step
- For moderate pain, weak opioids are given plus or minus non-steroidal anti-inflammatory drugs and adjuvant analgesics. Weak opioids also have a ceiling effect. Commonly used drugs are codeine, strong tonidine, tramadol, chimantin (tramadol sustained-release tablets), digramine (codeine controlled-release tablets), and so on.
- Third step
- Severe pain was given to opioids plus or minus non-steroidal anti-inflammatory drugs and adjuvant analgesics. Strong opioids do not have a ceiling effect, but can produce tolerance, and the dose needs to be appropriately increased to overcome the tolerance phenomenon. In the past, morphine analgesia was considered an addiction, so it was unwilling to give patients morphine. Now this view has been proven wrong-cancer patients who use morphine rarely develop addiction. The drugs commonly used in this ladder include morphine tablets, meficon (morphine sustained-release tablets), mecontin (morphine controlled-release tablets, rectal administration), and so on. However, dulentin, a painkiller commonly used in the past, is not recommended for the control of chronic pain due to factors such as the toxicity of its metabolites.
- Take proactive medication for pain management. Analgesics should be given regularly, not when necessary, and the next medication should be given before the previous effect of the drug disappears, so that the pain can be sustained. With proper treatment, all but a few cases can be well controlled.