Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPC

A Caraceni, G Hanks, S Kaasa, MI Bennett… - The lancet …, 2012 - thelancet.com
Here we provide the updated version of the guidelines of the European Association for
Palliative Care (EAPC) on the use of opioids for the treatment of cancer pain. The update …

Intranasal drug delivery: an efficient and non-invasive route for systemic administration: focus on opioids

S Grassin-Delyle, A Buenestado, E Naline… - Pharmacology & …, 2012 - Elsevier
Intranasal administration is a non-invasive route for drug delivery, which is widely used for
the local treatment of rhinitis or nasal polyposis. Since drugs can be absorbed into the …

Intranasal delivery of systemic-acting drugs: small-molecules and biomacromolecules

A Fortuna, G Alves, A Serralheiro, J Sousa… - European Journal of …, 2014 - Elsevier
As a non-invasive route, intranasal administration offers patient comfort and compliance
which are hurdled in parenteral drug therapy. In addition, the current recognition that the …

Opioids for the management of breakthrough pain in cancer patients

G Zeppetella, AN Davies - Cochrane Database of Systematic …, 2013 - cochranelibrary.com
Background This review is an update of a previously published review in the Cochrane
Database of Systematic Reviews (Issue 1, 2006). Breakthrough pain is a transient …

Breakthrough cancer pain: twenty-five years of study

S Mercadante, RK Portenoy - Pain, 2016 - journals.lww.com
Breakthrough cancer pain (BTcP) is an episode of severe pain that “breaks through” a
period of persistent pain at least partly controlled by a stable opioid regimen. Although …

Pharmacokinetics of non-intravenous formulations of fentanyl

J Lötsch, C Walter, MJ Parnham, BG Oertel… - Clinical …, 2013 - Springer
Fentanyl was structurally designed by Paul Janssen in the early 1960s as a potent opioid
analgesic (100-fold more potent than morphine). It is a full agonist at μ-opioid receptors and …

A comparison of intranasal fentanyl spray with oral transmucosal fentanyl citrate for the treatment of breakthrough cancer pain: an open-label, randomised, crossover …

S Mercadante, L Radbruch, A Davies… - … medical research and …, 2009 - Taylor & Francis
Objective: The efficacy of intranasal fentanyl spray (INFS) was compared with that of oral
transmucosal fentanyl citrate (OTFC) for the relief of cancer-related breakthrough pain (BTP) …

A multicenter, placebo-controlled, double-blind, multiple-crossover study of Fentanyl Pectin Nasal Spray (FPNS) in the treatment of breakthrough cancer pain

RK Portenoy, AW Burton, N Gabrail, D Taylor… - PAIN®, 2010 - Elsevier
This randomized, double-blind, crossover study assessed the efficacy and tolerability of a
new rapid onset nasal fentanyl formulation (Fentanyl Pectin Nasal Spray; FPNS) for …

Multi-centre European study of breakthrough cancer pain: pain characteristics and patient perceptions of current and potential management strategies

A Davies, G Zeppetella, S Andersen, A Damkier… - European Journal of …, 2011 - Elsevier
This study involved 320 cancer patients from four Northern European countries. Patients
with breakthrough pain were questioned about the characteristics of their pain, the current …

Cannabinoid-mediated modulation of neuropathic pain and microglial accumulation in a model of murine type I diabetic peripheral neuropathic pain

CC Toth, NM Jedrzejewski, CL Ellis… - Molecular …, 2010 - journals.sagepub.com
Background: Despite the frequency of diabetes mellitus and its relationship to diabetic
peripheral neuropathy (DPN) and neuropathic pain (NeP), our understanding of underlying …