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Reply With QuoteI thought this article was interesting, especially for Spine Patients with chronic non-cancer pain treated with opioids.
This is a discussion on ESMO: Fentanyl Nasal Spray Quells Breakthrough Pain (CME/CE) within the Pain Management forums, part of the General Spine Discussion Forums category; MILAN (MedPage Today) -- Fentanyl nasal spray controlled more than 90% of episodes of breakthrough pain in cancer patients -- ...
ESMO: Fentanyl Nasal Spray Quells Breakthrough Pain (CME/CE) MILAN (MedPage Today) -- Fentanyl nasal spray controlled more than 90% of episodes of breakthrough pain in cancer patients -- without the need for rescue medication -- according to data from three phase III clinical trials...
ESMO: Fentanyl Nasal Spray Quells Breakthrough Pain (CME/CE) (click here for the full article at MedPage Today)
Justin Averna
Founder & President, Spine Patient Society™
www.SpinePatientSociety.org
A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization
I'm here to help.
- 1994: Football Injury, Severe Hyperextension
- 1997: Snow Skiing Injury
- 3/7/1997: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
- 4/2008: 4.5 years pain-free before "new" leg pain
- 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
Questions? Suggestions? Need help with registering, creating a signature, etc.?
justin (at) spinepatientsociety.org
Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.
Re: ESMO: Fentanyl Nasal Spray Quells Breakthrough Pain (CME/CE) I thought this article was interesting, especially for Spine Patients with chronic non-cancer pain treated with opioids.
Justin Averna
Founder & President, Spine Patient Society™
www.SpinePatientSociety.org
A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization
I'm here to help.
- 1994: Football Injury, Severe Hyperextension
- 1997: Snow Skiing Injury
- 3/7/1997: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
- 4/2008: 4.5 years pain-free before "new" leg pain
- 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
Questions? Suggestions? Need help with registering, creating a signature, etc.?
justin (at) spinepatientsociety.org
Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.
Re: ESMO: Fentanyl Nasal Spray Quells Breakthrough Pain (CME/CE) Agree with Justin. The patient could titrate the dose much like patient in a hospital dose with an IV pain pump.
On the other hand, I don't believe I would trust every Tom, Dick, & Harry that come thru the door wanting it. It would need to be for long term opiate tolerant patients that you could trust as I suspect there would be high demand for this on the street as a single med or mix with some street drug.
I was given a couple of Fentanyl lollipops for nerve ablation. I got them at the pharmacy and figured I had ample experience sucking on lollipops. Wrong!! I spent half an hour sucking on the wrong end of the thing. Beginning to get kind of panicky before I was told to use the other end. I finely got the right end in my mouth in the waiting room and got totally anesthetized to the point I didn't care what they were going to do with me. I heard the staff got tired of hearing me sing Bang-Bang Lulu.
Low back pain became somewhat dehabilitating in 2005
Have had 11 steroid injections, IDET, Trial for nerve stimulator, PT, chiropractic trial, practically every med known to mankind. Discogram indicated three diseased levels with L5-S1 being the most likely pain generator. Post minimally invasive PLIF with internal fixation (titanium) on 12-28-09 of L5-S1. Doing better than expected. Last opioid 7/9/10. Five months pain free, then my neck turned against me. MRI on 12/1/10-- disease at C2 to C7. Only surgical alternative is to fuse entire C-spine. Diagnosed now with Aggressive Relapsing-Remitting Multiple Sclerosis with cord & brainstem active lesions
Re: ESMO: Fentanyl Nasal Spray Quells Breakthrough Pain (CME/CE) OMG. Too funny Jack-of-all-trades!!!Originally Posted by Jack-of-all-trades
CL
• January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
• June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
• April 2006 right hip, labral tear and repair
• April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
• July 2, 2008 ALIF & Laminectomy @ L6/S1
• July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
• August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
• March 10, 2009 Right SI Joint Fusion
• April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
• September 30, 2010 lumbar facet rhizotomy
• December 9, 2010 12 bilateral lumbar trigger point and steroid injections
• December 23, 2010 12 more bilateral trigger point injections w/o steroid
• February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
July 18, 2011
Re: ESMO: Fentanyl Nasal Spray Quells Breakthrough Pain (CME/CE) This might turn into the "New Cocaine" on the streets of the USA...
People are gonna need to be real carefull with this stuff if it gets in the hands of the wrong people its over...
C4-5: Mild disc height loss with central annular fissure. Small broad-based left paracentral disc protrusion. Moderate central canal stenosis-the disc protrusion abuts and mildly flattens the left ventral surface of the spinal canal.
C5-6: Disc desiccation with mild height loss.Diffuse discosteophyte bulge anduncovertebral joint hypertrophy, moderate central canal stenosis- Severe neuroforaminal stenosis bilaterally, right greater than left
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