Morphine Mouthwash in Oral Mucositis: A Mini Review
Journal Title: Palliative Medicine & Hospice Care – Open Journal - Year 2016, Vol 2, Issue 2
Abstract
Oral mucositis is a frequent adverse effect of chemotherapy and radiation therapy in cancer patients. The mucositis impacts overall quality of life (QoL) by producing pain with variable intensity leading to difficulty in oral intake, lack of sleep, etc. A multimodal therapy is advocated for management of oral mucositis in cancer patients and includes certain preventive and therapeutic interventions aiming at symptom control. The systemic analgesics are frequently used but may be associated various side effects associated with analgesics including opioid. The use of oral submucosal route for opioids has been advocated in view of existence of peripheral opioid receptors for its analgesic property. We review the literature for use of morphine mouthwash for management of painful oral mucosisits.
Authors and Affiliations
Rakesh Garg
Keywords
Related Articles
- EP ID EP548721
- DOI 10.17140/ PMHCOJ-2-115
- Views 207
- Downloads 0
The Fight against the “Human Disaster” of Cancer in the Middle Eastern Countries
Cancer is considered to be one of the leading causes of death globally. With the increasing prevalence of cancer, the World Health Organization (WHO) expects cancer cases to surge in the next two decades from 14 million...
The Challenge of Allocating Scarce Medical Resources During a Disaster in a Low Income Country: A Case Study from the 2010 Haitian Earthquake
Scarce medical resources during a natural disaster challenge the existing protocols for medical intervention. Triage decisions about which patient to care for can be extremely stressful for a medical team. This case anal...
Challenges in Palliative Care Research: Experience from a Randomized Controlled Trial in Refractory Cancer Cachexia
There is a paucity of research studies in palliative care with less than 1% of clinical trials being relevant to the hospice and palliative care setting.1 Difficulties in conducting studies with this client group such as...
A Feasibility Study to Investigate the Effect of Nutritional Support for Advanced Cancer Patients in an Inpatient Hospice in Japan
Backgrounds: There has been no prospective study to investigate the effect of nutritional support for advanced cancer patients in inpatient hospices. Therefore, we conducted a prospective observational study to explore t...
Product or Process: Cultural Competence or Cultural Humility?
The Institute of Healthcare’s Triple Aim Initiative (TAI) identifies the improvement of patients’ experience as one of three key components necessary for optimizing the American health care and cost-delivery systems.1 Wi...