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Wellness
> Managing Mesothelioma Pain
Cancer causes pain by extension of the tumor into soft tissues,
nerve compression, getting into the bones, and by raising intercranial
pressure.
The World Health Organization lists drugs used to fight cancer
pain:
| Category |
Basic drugs |
Alternatives |
| Non-opioids |
aspirin
paracentamol
ibuprofen
indometacin
|
choline magnesium trisalyicylate
diflunisal
naproxen
diclofenac |
| Opioids for mild to moderate
pain |
codeine |
dihydrocodeine
dextropropoxyphene
standardized opium
tramadol |
| Opioids for moderate to severe pain |
morphine |
methadone
hydromorphone
oxycodone
levorphanol
pethidine
buprenorphine |
| Opioid antagonist |
naloxone |
|
| Antidepressants |
amitriptyline |
imipramine |
| Anticonvulsants |
carbamazepine |
valproic acid |
| Corticosteroids |
prednisolone
dexamethasone |
prednisone
betamethasone |
According to the WIO, some pains respond well to a combination
of drugs, such as an opioid and a non-opioid or a coritcosteroid
with an opioid.
Doctors also consider whether the pain is neuropathic, in which
case antidepressants and anticonvulsants may be better options.
Analgesics are usually given by mouth, although rectal suppositories
may be used for patients with vomiting or gastrointestinal obstruction.
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