علاج التهاب السحايا العنكبوتية اللاصق الذي يستلزم إدارة الألم بأفيونيات قوية طويلة المفعول

References

• Failure of LDN or Low Dose Opioid to control Pain: Switch to a potent long-acting opioid. Options: fentanyl patch or a morphine or oxycodone long-acting preparation.
• Severe Pain Flares: Short acting hydromorphone, oral 2.0 to 8.0 mg. For optimal relief, use ultra potent hydromorphone injectable (50 mg/ml). Five (5.0) mg is only 0.1 cc which is injected subcutaneously under the skin (Source: Anazao Laboratories, Tampa, Florida).