Diazepam as an adjuvant analgesic to morphine for pain due to skeletal muscle spasm

被引:5
|
作者
Srivastava, M [1 ]
Walsh, D [1 ]
机构
[1] Cleveland Clin, Taussig Canc Ctr, Harry R Horvitz Ctr Palliat Med, Dept Hematol & Med Oncol, Cleveland, OH 44195 USA
关键词
bone metastases; cancer pain; diazepam; morphine; muscle spasm;
D O I
10.1007/s00520-002-0386-8
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Side effects of morphine are common when it is given in titrated doses to control severe pain in advanced cancer. We describe a case of severe back pain resistant to parenteral morphine accompanied by muscle spasm, in which the addition of diazepam. both had an opioid-sparing effect and provided superior symptomatic relief. Diazepam appears to have a specific role as an adjuvant analgesic for pain due to skeletal muscle spasm associated with painful vertebral metastases.
引用
收藏
页码:66 / 69
页数:4
相关论文
共 50 条
  • [1] Diazepam as an adjuvant analgesic to morphine for pain due to skeletal muscle spasm
    Manish Srivastava
    Declan Walsh
    [J]. Supportive Care in Cancer, 2003, 11 : 66 - 69
  • [2] MANAGEMENT OF PAIN DUE TO MUSCLE SPASM
    GOLD, H
    BIGELOW, N
    TRAVELL
    [J]. NEW YORK STATE JOURNAL OF MEDICINE, 1945, 45 (19) : 2085 - 2097
  • [3] MORPHINE AND MUSCLE SPASM
    WALE, L
    [J]. LANCET, 1976, 1 (7972): : 1301 - 1301
  • [4] EVALUATION OF A COMBINED MUSCLE RELAXANT ANALGESIC AS AN EFFECTIVE THERAPY FOR PAINFUL SKELETAL-MUSCLE SPASM
    SCHEINER, JJ
    [J]. CURRENT THERAPEUTIC RESEARCH-CLINICAL AND EXPERIMENTAL, 1972, 14 (04): : 168 - &
  • [6] THE MYTH OF SKELETAL-MUSCLE SPASM
    JOHNSON, EW
    [J]. AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 1989, 68 (01) : 1 - 1
  • [7] Baclofen as an Adjuvant Analgesic for Cancer Pain
    Yomiya, Kinomi
    Matsuo, Naoki
    Tomiyasu, Shiro
    Yoshimoto, Tetsusuke
    Tamaki, Tomohiro
    Suzuki, Tsutomu
    Matoba, Motohiro
    [J]. AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2009, 26 (02): : 112 - 118
  • [8] ADJUVANT ANALGESIC THERAPY IN CANCER PAIN
    WALSH, TD
    [J]. ADVANCES IN PAIN RESEARCH AND THERAPY, 1990, 16 : 155 - 169
  • [9] Analgesic Effects of Morphine in Combination with Adjuvant Drugs in Rats
    Leppert, Wojciech
    Okulicz-Kozaryn, Irena
    Kaminska, Ewa
    Szulc, Michal
    Mikolajczak, Przemyslaw
    [J]. PHARMACOLOGY, 2014, 94 (5-6) : 207 - 213
  • [10] Morphine Concentrations in Skeletal Muscle
    Hargrove, Veronica M.
    Molina, D. Kimberley
    [J]. AMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY, 2014, 35 (01): : 73 - 75