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    Why equianalgesic tables are only part of the answer to equianalgesia

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    Author
    McPherson, M.L.
    Date
    2020
    Journal
    Annals of Palliative Medicine
    Publisher
    AME Publishing Company
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.21037/apm.2020.03.05
    Abstract
    Opioids are an important tool in the management of acute and chronic (cancer and non-cancer) pain. Pain and palliative care practitioners are frequently called upon to switch a patient from one opioid regimen to a different regimen either to gain better pain control, to minimize opioid-related adverse effects, to overcome opioid tolerance, or due to a change in patient status. To this end, equianalgesic tables have been published to guide practitioners in making these calculations. Despite being built on the best data available, equianalgesic tables do not tell the whole story, requiring the practitioner to thoroughly consider the patient's situation, and unknown variables. A five-step process is presented in this article that espouse a safe and effective way to switch from one opioid regimen to another. Directions for the future include better refinement of the data that informs the equianalgesic table, and perhaps inclusion of opioid utility data.
    Keyword
    Equianalgesia
    Equivalency
    Opioids
    Rotation
    Switching
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85082691429&doi=10.21037%2fapm.2020.03.05&partnerID=40&md5=7090b2f8480fe9cbfa2662af4d624782; http://hdl.handle.net/10713/12548
    ae974a485f413a2113503eed53cd6c53
    10.21037/apm.2020.03.05
    Scopus Count
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