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Sarica A, Servettaz A, Abou Taam M, Herlem E, Carlier C, Trenque T. [Methadone-induced edema: A case report]. Presse Med 2015; 44:552-4. [PMID: 25753962 DOI: 10.1016/j.lpm.2014.12.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2014] [Revised: 11/28/2014] [Accepted: 12/15/2014] [Indexed: 12/30/2022] Open
Affiliation(s)
- Audrey Sarica
- CHU de Reims, centre régional de pharmacovigilance, 51090 Reims cedex, France
| | - Amélie Servettaz
- CHU de Reims, service de médecine interne, maladies infectieuses et immunologie clinique, 51090 Reims cedex, France
| | - Malak Abou Taam
- CHU de Reims, centre régional de pharmacovigilance, 51090 Reims cedex, France.
| | - Emmanuelle Herlem
- CHU de Reims, centre régional de pharmacovigilance, 51090 Reims cedex, France
| | - Claire Carlier
- CHU de Reims, service de médecine interne, maladies infectieuses et immunologie clinique, 51090 Reims cedex, France
| | - Thierry Trenque
- CHU de Reims, centre régional de pharmacovigilance, 51090 Reims cedex, France
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Dawson C, Paterson F, McFatter F, Buchanan D. Methadone and oedema in the palliative care setting: a case report and review of the literature. Scott Med J 2014; 59:e11-3. [DOI: 10.1177/0036933014530057] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction Methadone is a synthetic opioid which is being used with increased frequency in the palliative care setting for management of complex pain. There have been cases published reporting the development of oedema with methadone maintenance therapy but no cases on the association with methadone and peripheral oedema in the palliative care setting. As yet, the underlying mechanisms are unclear. Case presentation This case report describes a gentleman with ependymoma and difficult-to-control lower back pain and scrotal pain. This pain had failed to respond to other strong opioids. He was prescribed methadone and then subsequently developed bilateral peripheral oedema. Case management Peripheral oedema resolved following cessation of methadone. Conclusions This highlights an important potential adverse effect of methadone in a society of increased methadone prescription for pain control. The published literature to date is reviewed and possible underlying mechanisms explored.
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Affiliation(s)
- Camilla Dawson
- Palliative Medicine Registrar, Department of Palliative Care, Ninewells Hospital, Dundee, UK
| | - Fiona Paterson
- Specialty Doctor, Department of Palliative Care, Ninewells Hospital, Dundee, UK
| | - Fiona McFatter
- Palliative Medicine Consultant, Department of Palliative Care, Ninewells Hospital, Dundee, UK
| | - Deans Buchanan
- Clinical Lead and Palliative Medicine Consultant, Department of Palliative Care, Ninewells Hospital, Dundee, UK
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Current world literature. Curr Opin Organ Transplant 2009; 14:211-7. [PMID: 19307967 DOI: 10.1097/mot.0b013e32832ad721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Cox JM. Important lessons in opioid selection. Am J Health Syst Pharm 2008; 65:1599-600; author reply 1600-1. [DOI: 10.2146/ajhp080035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Joshua M. Cox
- Good Samaritan Hospital
2222 Philadelphia Drive
Dayton, OH 45406
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Current awareness: Pharmacoepidemiology and drug safety. Pharmacoepidemiol Drug Saf 2008. [DOI: 10.1002/pds.1488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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