Abstract
To perform cancer pain control effectively on a large scale, as in an university hospital, the“Cancer Pain Control Manual”was created at Showa University Hospital and has been in use since April 1989. Early treatment methods, according to the“Cancer Pain Control Manual”were approved in almost all cases. However several areas of treatment must be improved to meet the requirement of various patients. Therefore, to improve the quality of life of patients, the following three new methods were evaluated and adopted : (1) preparation of sublingual buprenorphine, (2) preparation of 4 % morphine injection solution, and (3) use of eptaLocine. The value of sublingual buprenorphine for outpatients and for patients who are not able to take oral medications was indicated. The 4 % morphine injection solution was useful to administer a large dose of morphine to patients. Eptazocine was useful to suppress the side effects of opioid analgesics. As a result of this evaluation, the“Cancer Pain Control Manual”has been substantially improved in all aspects.
