With oncology, a wide variety of pills and other anesthetics can be used. It should be noted that in the initial and medium stages of the disease, pain is generally more or less tolerated (if there is any at all), so anesthesia with the help of special drugs may not be prescribed.
Along with this, in the late stages, malignant neoplasm is manifested by severe pain, which is often impossible to tolerate, therefore a doctor, when evaluating the patient’s condition and individual characteristics, chooses potent pills and medications that can help. With cancer of the lungs, bones, prostate and other organs, drugs from the group of opiates are prescribed. This is a special drug with a high content of narcotic substances.
Admission of the painkillers for oncology should be under the supervision of a doctor, which is required to adjust the dose and the most effective intake of a certain amount of medicine.
Narcotic pain relievers are the main method of treating severe pain in different areas of medicine, including oncology. Narcotic analgesics obtained from opium poppy juice are called opiates, and synthetic drugs that are close to opioids.
A list of opiates approved for use in cancer is given in a special legislative act. Radical treatment of pain in cancer is possible with the help of surgical operations, chemotherapy. But in the case of generalization of the tumor, these methods are ineffective, and the only way to combat the pain is the introduction of medications, that is, opiates.
To use opiates in cancer effectively, the following principles must be adhered to:
- use of a single scale of pain assessment
- use of a uniform tactic of pain management, which is based on strict compliance with the prescribed drug intensity of pain. Light opiates in cancer are prescribed only for moderate pain, and potent opiates – only for intolerable pain. This approach avoids the unjustified prescription of opiates in cancer and avoids possible side effects of their use
- treatment of pain should, if possible, be directed to its cause.
The dose and mode of use of opiates, for example, Tramadol and other drugs available in pharmacies for cancer should be effective in terms of relief of pain and safe for the patient. If anesthesia is not enough, then the effect of summation of pain and overloading of the nervous system and the formation of a persistent pain syndrome, which is very difficult to treat, can occur. The dose and mode of application of opiates is to be determined only by a doctor, taking into account the individual need for anesthesia of a particular patient. In the case of developing tolerance to narcotic analgesics and the growing need for them, the doses should be increased in favor of the patient, and should change according to the mode of administration of the drugs.
The use of only one opioid with cancer for analgesia is inexpedient; a much better effect will be when combined with non-steroid analgesics.