title: [2 cases of successful symptom management at home by using opioid rotation from a fentanyl preparation to a continuous subcutaneous injection of morphine hydrochloride, at a dose less than the equivalent dose based on the conversion table].
abstract: We report our experiences of 2 cases of successful pain management at home by using opioid rotation from a fentanyl preparation to a continuous subcutaneous injection of morphine hydrochloride, at a dose less than the equivalent dose based on the conversion table. Our experiences also suggested that opioid rotation according to the conversion ratios might be associated with the risk of delay in the detection of adverse reactions to opioid overdose in patients under home care, whose conditions cannot be checked frequently by health care providers.
authors.affiliation: Kawasaki Comprehensive Care Center, Municipal Ida Hospital, City of Kawasaki.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Sato
authors.forename: Tadashi
authors.initials: T
authors.lastname: Miyamori
authors.forename: Junko
authors.initials: J
authors.lastname: Koyanagi
authors.forename: Jutaro
authors.initials: J
authors.lastname: Murase
authors.forename: Shohei
authors.initials: S
authors.lastname: Saka
authors.forename: Nobuo
authors.initials: N
authors.lastname: Ishii
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Nishi
authors.forename: Tadashi
authors.initials: T
authors.lastname: Yamagishi
mesh_terms: D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000627:therapeutic use; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage / Q000627:therapeutic use*; D006699:Home Care Services; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage* / Q000627:therapeutic use; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D010534:Peritoneal Neoplasms / Q000150:complications; D013274:Stomach Neoplasms / Q000150:complications
chemical_list: D000701:Analgesics, Opioid; D009020:Morphine; D005283:Fentanyl