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Cancer pain medicine is an analgesic and analgesic drug that treats the symptoms of acute or chronic pain in cancer. It is divided into two categories: Chinese medicine and western medicine, such as Chinese medicine cancer pain medicine cancer Tongning, and western medicine cancer pain medicine aspirin.

Cancer pain medicine

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Cancer pain medicine is used to treat acute or chronic pain of cancer

Cancer pain medicine is used to treat acute or chronic pain of cancer

Cancer pain medicines include Chinese medicine cancer pain medicine and western medicine cancer pain medicine.

Western medicine cancer pain medicine analgesia has the characteristics of clear mechanism, rapid action, high efficiency and long-lasting, and easy to master the dosage, but it has more toxic and side effects.

Traditional Chinese medicine cancer pain medicine can help solve the mental and psychological impact on patients' pain, improve the subjective symptoms of patients, and improve the quality of life of patients. ^[2]

Cancer pain medicine

Cancer Tongning, Jiangxia Ointment, Xingqi Tongbian Recipe, Zhihan San, Wenyang Zhitong Recipe

Cancer pain

Composition: Musk, Rhubarb, Cork, Coptis chinensis, Hembo, Tian San Qi, Asarum, Raw Mackerel, Borneol.

Efficacy: Xiehuoxiaoji analgesic, used for cancer pain due to heat, blood stasis. The prescription used Huangbai, Huanglian to clear the heat and purify the fire, the rhubarb promotes blood circulation, stasis and analgesia, hematoxylin, panax notoginseng, stasis and collateral analgesia, asarum, borneol, Kaiyu Huoxue Dingpao, and pomegranate anti-cancer and anti-tumor product. The combination of various medicines can relieve diarrhea and heat, remove stasis and poison, and achieve the purpose of treating cancer pain.

Cancer pain medicine

Non-opioid analgesics (representative drugs)

classification	Common effective dose	Route of administration	Major toxic side effects
aspirin	250 ~ 1000	oral	Allergies, gastrointestinal side effects, platelet dysfunction
Acetaminophen	500 ~ 1000	oral	Liver and kidney toxicity
Ibuprofen	200 ~ 400	oral	Gastrointestinal side effects, thrombocytopenia
Indomethacin	25-50	oral	Gastrointestinal side effects, headache, dizziness
Naproxen	250-500 (bid)	oral	Mild gastrointestinal side effects
Jiabaibaining	1 ~ 2 pieces	oral	Liver and kidney toxicity
Estin	25 ~ 75 / 12h	oral	Gastrointestinal side effects
Nabumetone	1000 / 24h (before bedtime)	oral	Cross-allergy with aspirin, mild gastrointestinal side effects
Lornoxicam	8mg (bid-qid)	oral	Mild gastrointestinal side effects
Diclofenac sodium	50mg tid	oral	Gastrointestinal side effects
Potassium diclofenate	25mg qd-bid	rectum	Headache, dizziness, allergies
Meloxicam	7.5 ~ 15mg / d	oral	Mild gastrointestinal side effects
Celecoxib	200mg / 24h	oral	Mild gastrointestinal side effects

Strong opioid analgesics

classification	Common effective dose (Mg / 4 ~ 6h)	Route of administration	Major toxic side effects
Morphine hydrochloride	5 ~ 30mS / q4h-q6h 10mg / q4h ~ q6h	oral Intramuscular, subcutaneous	Constipation, vomiting, nausea Lethargy, dysuria, respiratory depression
Morphine Sulfate Controlled Release Tablets	10 ~ 30mgql2h	oral	Constipation, vomiting, nausea
Morphine Hydrochloride Controlled Release Tablets	10 ~ 30mgql2h	oral	Constipation, vomiting, nausea
Fentanyl transdermal patch	25 ~ 75ug / q 72h	Transdermal drug delivery	Mild constipation, vomiting, nausea
Methadone	10 ~ 20mg / time	oral	Constipation, vomiting, nausea
Oxycodone Hydrochloride Controlled Release Tablets	l0mgql2h	oral	Constipation, vomiting, nausea

5 main dosing principles for western medicine cancer pain medicine

Principle 1: Oral administration.
Principle 2: Dosing on time.
Principle three: three-step administration. Depending on the severity of the patient's pain, the drug is administered at different levels. In addition, the use of some auxiliary drugs can increase the effect of analgesia and reduce the dose of analgesics. These drugs include the corticosteroids dexamethasone and prednisone, which reduce pain caused by peripheral nerve edema and compression; the antidepressants amitriptyline, doxepin, mesalol, and prozac are used to relieve pain, Sedation and improve mood; anticonvulsants carbamazepine and phenytoin sodium can treat laceration and burning-like pain and pain after chemoradiotherapy; hydroxyazine antihistamines are used for analgesia, sedation and antiemetic.
Principle four: individualized medication.
Principle five: closely observe the changes of patients after medication, deal with the side effects of various drugs in a timely manner, observe and evaluate the efficacy of drugs, and adjust the dosage of drugs in a timely manner.
In addition, we must pay attention to the interaction between drugs and the comprehensive treatment of drug analgesia combined with other methods. At present, the State Food and Drug Administration has lifted extreme restrictions on the use of morphine by cancer patients, which reflects support for cancer pain control and palliative care. ^[3]