Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Efficacy of Oxycodone for Dyspnea in End-stage Heart Failure with Renal Insufficiency
Masayuki TanakaHirofumi MaebaTakeshi SenooJunji IwasakaAki OhkitaHaruna KitaKazuki UchitaniYasuhiko Hirota
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JOURNALS OPEN ACCESS

2018 Volume 57 Issue 1 Pages 53-57

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Abstract

A 67-year-old man with dilated cardiomyopathy and renal insufficiency was admitted to our hospital with dyspnea secondary to end-stage heart failure. We introduced oxycodone for medically refractory dyspnea instead of morphine because of the patient's renal insufficiency. After the administration of oxycodone, his dyspnea was alleviated without any adverse opioid effects, such as respiratory depression. After treating his heart failure, he was able to leave the intensive care unit. Oxycodone may therefore be a reliable agent for the treatment of dyspnea in patients with end-stage heart failure and renal insufficiency.

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© 2018 by The Japanese Society of Internal Medicine
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