[HTML][HTML] Frequency, indications, outcomes, and predictive factors of opioid switching in an acute palliative care unit

S Mercadante, P Ferrera, P Villari, A Casuccio… - Journal of pain and …, 2009 - Elsevier
The aim of this study was to prospectively evaluate the frequency, indications, outcomes,
and predictive factors associated with opioid switching, using a protocol that had been …

No pain relief from morphine? Individual variation in sensitivity to morphine and the need to switch to an alternative opioid in cancer patients

J Riley, JR Ross, D Rutter, AU Wells, K Goller… - Supportive care in …, 2006 - Springer
Goals of work The aims of this study were (1) to prospectively evaluate the clinical benefits of
switching from morphine to an alternative opioid, using oxycodone as first-line alternative …

Opioid switching in cancer pain: From the beginning to nowadays

S Mercadante, E Bruera - Critical Reviews in Oncology/Hematology, 2016 - Elsevier
Opioid switching is the process of changing from one opioid to another to obtain a
satisfactory clinical balance between analgesia and adverse effects. This pharmacological …

Opioid switching: a systematic and critical review

S Mercadante, E Bruera - Cancer treatment reviews, 2006 - Elsevier
Cancer patients with pain may not respond to increasing doses of opioids because they
develop adverse effects before achieving an acceptable analgesia, or the analgesic …

Opioid switch in palliative care, opioid choice by clinical need and opioid availability

HC Müller-Busch, G Lindena, K Tietze… - European Journal of …, 2005 - Elsevier
Availability of different WHO-step 3 opioids has encouraged the discussion on their value
and led to the concepts of opioid rotation. Rotation is suggested, when other measures fail to …

Conversion ratios for opioid switching in the treatment of cancer pain: a systematic review

S Mercadante, A Caraceni - Palliative medicine, 2011 - journals.sagepub.com
In this paper we describe the results of a systematic search of the literature on conversion
ratios during opioid switching. This is part of a project of the European Palliative Care …

European Palliative Care Research Collaborative pain guidelines: opioid switching to improve analgesia or reduce side effects. A systematic review

O Dale, K Moksnes, S Kaasa - Palliative medicine, 2011 - journals.sagepub.com
According to a Cochrane review on opioid switching, sound evidence on the practice of
substituting one strong opioid with another to improve pain control and reduce adverse …

Hyperalgesia and opioid switching

S Mercadante, E Arcuri - American Journal of Hospice and …, 2005 - journals.sagepub.com
Opioids, intended to abolish pain, can unexpectedly produce hyperalgesia, particularly
during rapid opioid escalation. Opioid switching could be a therapeutic option in a condition …

Switching methadone: a 10-year experience of 345 patients in an acute palliative care unit

S Mercadante - Pain Medicine, 2012 - academic.oup.com
Background. The aim of this study was to retrospectively review the chart of cancer patients
switched to methadone for unfavorable response to the previous opioid. Methods …

Opioid switching and rotation in primary care: implementation and clinical utility

NE Slatkin - Current medical research and opinion, 2009 - Taylor & Francis
Background: Opioid therapy is the standard treatment for moderate-to-severe cancer pain
and is becoming a more frequent treatment for moderate-to-severe chronic noncancer pain …