Susana Cordeiro

An initial experience with oral morphine for cancer pain patients in a developing counpry, (Brasil)

Haddad, T.M. mraes. Pain Group of Rehabilitation Center, Dep. of Orthopeadics and~a~itologyandServiceof Anaesthesiology, SantaCasa j de Go Paulo, Brasil. AIM OF INVESTIGATION: In Brasil such a many develsping -tries, morphine preparations for oral intake is not available, but our pain group recieve powder to prepair oral solutions in 2 and5mgperml.Withthis solutionsduringtwoyearswe gave thosemorphine solutions in 4/4hs intervals for86 cancerpatientswithmanytypes of tumors. Alsoin same patients we used adjuvants drugs su& as calcitonine to control metastatic pain, triciclic antidepressants or fenotizinics for depressive behavior or inscatglia. RESULTS: We acchieve 76% of regular and good results, but these results could be *roved with selection of patients and more experience of OuT group team to handle the oral mor@xine solutions. The mostaamrn side effects were obstipation in 41,8% nauseaand vcxniting in 23,2% urine retention in 8,1%, and respiratory depreession one. CKXXUSIoNs: We believe that will be possible in developing uountries such as Brasil the cancer patients can be aliviate of their pain with oral rrorphine solutions and available adjuvants drugs,because thesedrugs are notexpansive andeasyto admnistrate.