Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News Editorials & Other Articles General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

mucifer

(25,501 posts)
1. Sometimes fentanyl is the best choice for pediatric hospice patients with
Mon Jul 3, 2017, 07:59 AM
Jul 2017

end stage cancer. The great thing is that pediatric cancer survival rates have really gone up. The docs are getting better at the treatment regimens.

Regarding pain management kids sometimes refuse to swallow pills or liquids and needles are scary. They have to be on a moderate amount of oral narcotics before starting the lowest dose of fentanyl patch. We don't use fentanyl as much as we used to. We often go to subcutaneous (very tiny needle that go in the skin and not a vein) infusions. But, still for some cases fentanyl patches are the best choice. We often have children on VERY high doses of narcotics to control pain. The dosing for oral narcotics can be as high or higher than the fentanyl dose.

If the doctors are trained in pain management they can use fentanyl effectively.

All of that said, I can understand why they would take fentanyl off the market. We would lose a tool in our tool box. But, it might need to happen to save more lives.

Recommendations

0 members have recommended this reply (displayed in chronological order):

Latest Discussions»Editorials & Other Articles»Doctors raked in cash to ...»Reply #1