Long-term high-dose oral morphine in phantom limb pain with no addiction risk

Vinod Kumar; Rakesh Garg; Sachidanand Jee Bharati; Nishkarsh Gupta; Sushma Bhatanagar; Seema Mishra; Yatan Pal Singh Balhara

doi:10.4103/0973-1075.150198

Long-term high-dose oral morphine in phantom limb pain with no addiction risk

Vinod Kumar, Rakesh Garg, Sachidanand Jee Bharati, Nishkarsh Gupta, Sushma Bhatanagar, Seema Mishra, Yatan Pal Singh Balhara

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Chronic phantom limb pain (PLP) is a type of neuropathic pain, which is located in the missing/amputated limb. Phantom pain is difficult to treat as the exact basis of pain mechanism is still unknown. Various methods of treatment for PLP have been described, including pharmacological (NSAIDs, opioids, antiepileptic, antidepressants) and non-pharmacological (TENS, sympathectomy, deep brain stimulation and motor cortex stimulation). Opioids are used for the treatment of neuropathic pain and dose of opioid is determined based on its effect and thus there is no defined ceiling dose for opioids. We report a case where a patient receiving high-dose oral morphine for chronic cancer pain did not demonstrate signs of addiction.

Original language	English (US)
Pages (from-to)	85-87
Number of pages	3
Journal	Indian Journal of Palliative Care
Volume	21
Issue number	1
DOIs	https://doi.org/10.4103/0973-1075.150198
State	Published - Jan 1 2015
Externally published	Yes

Bibliographical note

Publisher Copyright:
© 2015, Medknow Publications. All rights reserved.

Keywords

Addiction
Cancer pain
High dose morphine
Phantom limb

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Publisher link

10.4103/0973-1075.150198

Find It

Find It at U of M Libraries

Cite this

@article{177228e64c04444589d94918f28f58d2,

title = "Long-term high-dose oral morphine in phantom limb pain with no addiction risk",

abstract = "Chronic phantom limb pain (PLP) is a type of neuropathic pain, which is located in the missing/amputated limb. Phantom pain is difficult to treat as the exact basis of pain mechanism is still unknown. Various methods of treatment for PLP have been described, including pharmacological (NSAIDs, opioids, antiepileptic, antidepressants) and non-pharmacological (TENS, sympathectomy, deep brain stimulation and motor cortex stimulation). Opioids are used for the treatment of neuropathic pain and dose of opioid is determined based on its effect and thus there is no defined ceiling dose for opioids. We report a case where a patient receiving high-dose oral morphine for chronic cancer pain did not demonstrate signs of addiction.",

keywords = "Addiction, Cancer pain, High dose morphine, Phantom limb",

author = "Vinod Kumar and Rakesh Garg and Bharati, {Sachidanand Jee} and Nishkarsh Gupta and Sushma Bhatanagar and Seema Mishra and Balhara, {Yatan Pal Singh}",

year = "2015",

month = jan,

day = "1",

doi = "10.4103/0973-1075.150198",

language = "English (US)",

volume = "21",

pages = "85--87",

journal = "Indian Journal of Palliative Care",

issn = "0973-1075",

publisher = "Medknow Publications and Media Pvt. Ltd",

number = "1",

}

TY - JOUR

T1 - Long-term high-dose oral morphine in phantom limb pain with no addiction risk

AU - Kumar, Vinod

AU - Garg, Rakesh

AU - Bharati, Sachidanand Jee

AU - Gupta, Nishkarsh

AU - Bhatanagar, Sushma

AU - Mishra, Seema

AU - Balhara, Yatan Pal Singh

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Chronic phantom limb pain (PLP) is a type of neuropathic pain, which is located in the missing/amputated limb. Phantom pain is difficult to treat as the exact basis of pain mechanism is still unknown. Various methods of treatment for PLP have been described, including pharmacological (NSAIDs, opioids, antiepileptic, antidepressants) and non-pharmacological (TENS, sympathectomy, deep brain stimulation and motor cortex stimulation). Opioids are used for the treatment of neuropathic pain and dose of opioid is determined based on its effect and thus there is no defined ceiling dose for opioids. We report a case where a patient receiving high-dose oral morphine for chronic cancer pain did not demonstrate signs of addiction.

AB - Chronic phantom limb pain (PLP) is a type of neuropathic pain, which is located in the missing/amputated limb. Phantom pain is difficult to treat as the exact basis of pain mechanism is still unknown. Various methods of treatment for PLP have been described, including pharmacological (NSAIDs, opioids, antiepileptic, antidepressants) and non-pharmacological (TENS, sympathectomy, deep brain stimulation and motor cortex stimulation). Opioids are used for the treatment of neuropathic pain and dose of opioid is determined based on its effect and thus there is no defined ceiling dose for opioids. We report a case where a patient receiving high-dose oral morphine for chronic cancer pain did not demonstrate signs of addiction.

KW - Addiction

KW - Cancer pain

KW - High dose morphine

KW - Phantom limb

UR - http://www.scopus.com/inward/record.url?scp=84922950564&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84922950564&partnerID=8YFLogxK

U2 - 10.4103/0973-1075.150198

DO - 10.4103/0973-1075.150198

M3 - Article

AN - SCOPUS:84922950564

SN - 0973-1075

VL - 21

SP - 85

EP - 87

JO - Indian Journal of Palliative Care

JF - Indian Journal of Palliative Care

IS - 1

ER -

Long-term high-dose oral morphine in phantom limb pain with no addiction risk

Abstract

Bibliographical note

Keywords

UN SDGs

Publisher link

Find It

Other files and links

Fingerprint

Cite this