Gabapentin as an adjuvant to opioid analgesia for neuropathic cancer pain

Augusto Caraceni, Ernesto Zecca, Cinzia Martini, Franco De Conno

Research output: Contribution to journalArticle

Abstract

Gabapentin was administered as an 'add on' therapy to 22 patients with neuropathic cancer pain only partially responsive to opioid therapy. Global pain, butting pain, shooting pain episodes, and allodynia were assessed separately. Gabapentin was given for at least a week and efficacy was assessed after 7 to 14 days of therapy. Global pain score decreased from a mean (± SD) of 6.4 (± 1.5) to 3.2 (± 1.3) (95% confidence interval of the baseline minus final score differences [95% CI] = 1.0-2.4). Burning pain intensity decreased from a mean (± SD) of 5.1 (± 3.6) to 2.0 (± 2.3) (95% CI = 1.5-3.8), and episodes of shooting pain decreased in frequency from 7.2 (± 3.7) to 2.2 (± 2.2) daily episodes (95% CI = 1.8-4.3). Allodynia was found in 9 patients and disappeared in 7 during gabapentin administration. Twenty patients judged the new drug efficacious in relieving their symptoms. The potential role of gabapentin as an adjuvant to opioid analgesia in cancer pain is discussed.

Original languageEnglish
Pages (from-to)441-445
Number of pages5
JournalJournal of Pain and Symptom Management
Volume17
Issue number6
DOIs
Publication statusPublished - Jun 1999

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Keywords

  • Adjuvant
  • Cancer pain
  • Gabapentin
  • Neuropathic pain
  • Opioid analgesia

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Neurology
  • Nursing(all)

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