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Conventional analgesics for bone pain 

Conventional analgesics for bone pain
Chapter:
Conventional analgesics for bone pain
Author(s):

John Zeppetella

DOI:
10.1093/med/9780199215737.003.0006
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date: 27 October 2020

Patients with cancer-induced bone pain (CIBP) often report that their pain varies during the course of the day. In general, two types of pain pattern can be identified: a continuous pain (‘background pain’); and a transitory exacerbation of pain (‘breakthrough pain’). This chapter will review the evidence for the effectiveness of conventional analgesics in the management of both background and breakthrough CIBP (i.e. non-opioid analgesics, opioid analgesics). It should be noted that some patients with CIBP may require additional forms of pharmacological intervention to deal with associated muscle spasm (e.g. benzodiazepines), or nerve impingement (e.g. cortico- steroids).

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