Ketamine combined with morphine for the management of cancer pain in a patient with meperidine tolerance and addiction

Suna Akın Takmaz; Nurten İnan; Solmaz Günal; Çetin Kaymak; Melike Sakallı; Bayazit Dikmen

Suna Akın Takmaz^¹, Nurten İnan^¹, Solmaz Günal^¹, Çetin Kaymak^¹, Melike Sakallı^¹, Bayazit Dikmen^²

¹Ministry of Health Ankara Training and Research Hospital, Anesthesiology and Reanimation Department, Ankara, Turkey
²Ministry of Health, Numune Training and Research Hospital, Anesthesiology and Reanimation Department, Ankara, Turkey

Abstract

Pain treatment of patients with opioid addiction and tolerance may be challenging due to their unexpectedly higher pain sensitivities and opioid requirements. It has been reported that the N-methyl-D-aspartate receptor is involved in mechanisms of tolerance to opioid analgesics. Recently enhancement of morphine induced analgesia by low dose ketamine addition to the treatment regimen has been reported. We report a cancer patient with meperidine tolerance and psychological dependency to the agent who was afterwards successfully treated with morphine-ketamine combination.

BibTex	`@article{ agri753, author = {Suna Akın Takmaz, Nurten İnan, Solmaz Günal, Çetin Kaymak, Melike Sakallı, Bayazit Dikmen}, title = {Ketamine combined with morphine for the management of cancer pain in a patient with meperidine tolerance and addiction}, journal = {Agri}, year = {2005}, volume = {17}, number = {3}, pages = {44-47}, publisher = {The Turkish Society of Algology} }`
RIS	`TY - JOUR AU - Suna Akın Takmaz, Nurten İnan, Solmaz Günal, Çetin Kaymak, Melike Sakallı, Bayazit Dikmen PY - 2005 TI - Ketamine combined with morphine for the management of cancer pain in a patient with meperidine tolerance and addiction SP - 44 EP - 47 JO - The Journal of the Turkish Society of Algology J2 - Agri VL - 17 IS - 3 PB - ER -`
EndNote	`%0 Journal Article %A Suna Akın Takmaz, Nurten İnan, Solmaz Günal, Çetin Kaymak, Melike Sakallı, Bayazit Dikmen %T Ketamine combined with morphine for the management of cancer pain in a patient with meperidine tolerance and addiction %J The Journal of the Turkish Society of Algology %D 2005 %V 17 %N 3 %P 44-47`
APA	Suna Akın Takmaz, Nurten İnan, Solmaz Günal, Çetin Kaymak, Melike Sakallı, Bayazit Dikmen (2005). Ketamine combined with morphine for the management of cancer pain in a patient with meperidine tolerance and addiction. The Journal of the Turkish Society of Algology, 17(3), 44-47.
MLA	Suna Akın Takmaz, Nurten İnan, Solmaz Günal, Çetin Kaymak, Melike Sakallı, Bayazit Dikmen. "Ketamine combined with morphine for the management of cancer pain in a patient with meperidine tolerance and addiction" The Journal of the Turkish Society of Algology, vol. 17, no. 3, 2005, pp. 44-47.
Chicago	Suna Akın Takmaz, Nurten İnan, Solmaz Günal, Çetin Kaymak, Melike Sakallı, Bayazit Dikmen. "Ketamine combined with morphine for the management of cancer pain in a patient with meperidine tolerance and addiction" The Journal of the Turkish Society of Algology 17, no. 3 (2005): 44-47.
AMA	Suna Akın Takmaz, Nurten İnan, Solmaz Günal, Çetin Kaymak, Melike Sakallı, Bayazit Dikmen. Ketamine combined with morphine for the management of cancer pain in a patient with meperidine tolerance and addiction. Agri. 2005; 17(3): 44-47.
Vancouver	Suna Akın Takmaz, Nurten İnan, Solmaz Günal, Çetin Kaymak, Melike Sakallı, Bayazit Dikmen. Ketamine combined with morphine for the management of cancer pain in a patient with meperidine tolerance and addiction. Agri. 2005; 17(3): 44-47.

Ketamine combined with morphine for the management of cancer pain in a patient with meperidine tolerance and addiction

Abstract

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