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10.1136/bcr-2014-204551 http://scihub22266oqcxt.onion/10.1136/bcr-2014-204551 C4054124!4054124!24899014     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       BMJ+Case+Rep 2014 ; 2014 (ä): ä Nephropedia Template TP {{tp|p=24899014|t=2014. Opioid-induced hyperalgesia: when pain killers make pain worse |pdf=|usr=}}{{24899014}} gab.com Text Opioid-induced hyperalgesia: when pain killers make pain worse JO: BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=24899014 #FOAvip A 44-year-old woman had a temporal glioma and was admitted to the hospice with pain that was not controlled despite escalating opioids. Her pain levels rose after every dose increase resulting now in continuous pain, making her very low in mood. Her short-term memory had also declined in a stepwise fashion with each increase in opioids. Additionally, her poor health had had a detrimental effect on family life. Physical examination was difficult due to allodynia but no major abnormality was found. The team suspected opioid-induced hyperalgesia and decided to cut the patient's opioids by one-third initially. This immediately improved the overall pain. The opioids continued to be decreased incrementally every 1?2?days until the pain had disappeared completely. She was stabilised on a dose almost one-seventh of her original regime. Mood and memory also improved as opioids decreased and she was discharged home after 8?days. Twit Text FOAVip Opioid-induced hyperalgesia: when pain killers make pain worse ????BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=24899014 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=24899014 #FOAvip English Wikipedia <ref>{{Cite pmid|24899014}}</ref> Opioid-induced hyperalgesia: when pain killers make pain worse #MMPMID24899014 Kaneria A BMJ Case Rep 2014[]; 2014 (ä): ä PMID24899014show ga A 44-year-old woman had a temporal glioma and was admitted to the hospice with pain that was not controlled despite escalating opioids. Her pain levels rose after every dose increase resulting now in continuous pain, making her very low in mood. Her short-term memory had also declined in a stepwise fashion with each increase in opioids. Additionally, her poor health had had a detrimental effect on family life. Physical examination was difficult due to allodynia but no major abnormality was found. The team suspected opioid-induced hyperalgesia and decided to cut the patient's opioids by one-third initially. This immediately improved the overall pain. The opioids continued to be decreased incrementally every 1?2?days until the pain had disappeared completely. She was stabilised on a dose almost one-seventh of her original regime. Mood and memory also improved as opioids decreased and she was discharged home after 8?days. äOpioid-induced hyperalgesia: when pain killers make pain worse (epmc).pdf DeepDyve Pubget Overpricing