慢性疼痛に対する長期モルヒネ治療

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  • Oral morphine is suitable for the treatment of chronic non-cancer pain
  • ショウレイ マンセイ トウツウ ニ タイスル チョウキ モルヒネ チリョウ

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Since 1988, we have administered morphine, based on the “WHO method of cancer pain relief”, to patients suffering from severe chronic non-cancer pain. The greater part of the patients completed the therapy with satisfactory results within a few months. In fourteen patients the treatment was continued effectively up to over one year. In the case of a 55 year-old female (SLE), severe spinal and multiple joint pain were relieved with morphine and daily activity was restored for 13 years. In another case, a 48 year-old female (Scleroderma), with severe pain due to ulcers on the fingers and toes was treated well with morphine for 7 years. As the pain-relieving dose of morphine was varied according to the severity of pain, it decreased promptly with no trouble after pain was reduced in all patients. It is an essential part of our treatment strategy to advise patients on the proper use of morphine when taking analgesics (morphine) as their own decision and maintaining a pain-free state at all times. When “patient-controlled pain-relief” with oral morphine is carried out well, it becomes a reliable and safe method for the treatment of severe chronic pain.

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