title: [Opioid rotation in pain therapy. Case report].
abstract: The use of opioids in the treatment of chronic pain is sometimes accompanied by inadequate pain relief and opioid-specific side-effects. Opioid rotation is a therapeutic approach, that can improve analgesia and provide a more advantageous analgesia and toxicity relationship. This article presents a case report and discusses the mechanisms, indications and possibilities of opioid rotation.
authors.affiliation: Abteilung für Anästhesiologie und operative Intensivmedizin, Klinikum Luwigsburg, Posilipostrasse 4, 71640 Ludwigsburg.
authors.forename: F
authors.initials: F
authors.lastname: Kefalianakis
authors.forename: M
authors.initials: M
authors.lastname: Kugler
authors.forename: R
authors.initials: R
authors.lastname: van der Auwera
authors.forename: G
authors.initials: G
authors.lastname: Kugler
mesh_terms: D000279:Administration, Cutaneous; D002908:Chronic Disease; D005283:Fentanyl / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D004091:Hydromorphone / Q000008:administration & dosage / Q000627:therapeutic use; D007279:Injections, Subcutaneous; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage / Q000627:therapeutic use; D009369:Neoplasms / Q000150:complications; D010146:Pain / Q000188:drug therapy* / Q000209:etiology
chemical_list: D009020:Morphine; D004091:Hydromorphone; D005283:Fentanyl