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Letters |4 April 2000

Pain Management in Patients with Advanced Cancer

Janet Abrahm, MD

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Author, Article, and Disclosure Information
  • Hospital of the University of Pennsylvania; Philadelphia, PA 19104 (Abrahm)
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IN RESPONSE:
I agree with Dr. Berland that methadone is a very useful agent for some patients with cancer who have a steady level of pain, although I have had less success than he has in obtaining patient acceptance. I also find it difficult to obtain the liquid form for patients who are not participating in methadone maintenance programs. Although I agree with most of the reasons he cites, readers should be aware that a Food and Drug Administration-approved formulation of sustained-release morphine (Kadian, Faulding Laboratories, Raleigh, North Carolina) is available for suspension in water and placement in feeding tubes (1).
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Abrahm J. Pain Management in Patients with Advanced Cancer. Ann Intern Med. 2000;132:593. doi: 10.7326/0003-4819-132-7-200004040-00020

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Published: Ann Intern Med. 2000;132(7):593.

DOI: 10.7326/0003-4819-132-7-200004040-00020

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2000 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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