Skip to main content
Top
Published in: Journal of Experimental & Clinical Cancer Research 1/2009

Open Access 01-03-2009 | Research

Intravenous flurbiprofen axetil can increase analgesic effect in refractory cancer pain

Authors: Hongyang Wu, Zhendong Chen, Guoping Sun, Kangsheng Gu, Yueyin Pan, Jiqing Hao, Yingying Du, Jie Ning

Published in: Journal of Experimental & Clinical Cancer Research | Issue 1/2009

Login to get access

Abstract

Background

The aim of this study was to investigate the analgesic effects of intravenous flurbiprofen axetil for the refractory pain in cancer patients.

Methods

2109 patients were screened from the department of medical oncology, the first affiliated hospital of Anhui medical university in China between October of 2007 and October of 2008. Thirty-seven cases of cancer patients who had bad effect from anaesthetic drugs were received administration of intravenous flurbiprofen axetil with dose of 50 mg/5 ml/day. The pain score was evaluated for pre- and post- treatment by Pain Faces Scale criteria, and the side effects were also observed.

Results

Intravenous flurbiprofen axetil increased the analgesic effects. The total effective rate was 92%. The side effects, such as abdominal pain, alimentary tract bleeding which were found in using NSAIDs or constipation, nausea, vomit, sleepiness which were found in using opioid drugs did not be found.

Conclusion

Intravenous flurbiprofen axetil could provide better analgesia effects and few side effects to patients with refractory cancer pain. It could also increase analgesia effects when combining with anesthetic drugs in treatment of moderate or severe pain, especially breakthrough pain, and suit to patients who can not take oral drugs for the reason of constipation and psychosomatic symptoms.
Literature
1.
go back to reference Villars P, Dodd M, West C, Koetters T, Paul SM, Schumacher K, Tripathy D, Koo P, Miaskowski C: Differences in the prevalence and severity of side effects based on type of analgesic prescription in patients with chronic cancer pain. J Pain Symptom Manage. 2007, 33: 67-77. 10.1016/j.jpainsymman.2006.07.011.CrossRef Villars P, Dodd M, West C, Koetters T, Paul SM, Schumacher K, Tripathy D, Koo P, Miaskowski C: Differences in the prevalence and severity of side effects based on type of analgesic prescription in patients with chronic cancer pain. J Pain Symptom Manage. 2007, 33: 67-77. 10.1016/j.jpainsymman.2006.07.011.CrossRef
2.
go back to reference Fallon M, McConnell S: The principles of cancer pain management. Clin Med. 2006, 6: 136-139.CrossRef Fallon M, McConnell S: The principles of cancer pain management. Clin Med. 2006, 6: 136-139.CrossRef
3.
go back to reference Roszkowski MT, Swift JQ, Hargreaves KM: Effect of NSAID administration on tissue levels of immunoreactive prostaglandin E2, leukotriene B4, and (S)-flurbiprofen following extraction of impacted third molars. Pain. 1997, 73: 339-345. 10.1016/S0304-3959(97)00120-6.CrossRef Roszkowski MT, Swift JQ, Hargreaves KM: Effect of NSAID administration on tissue levels of immunoreactive prostaglandin E2, leukotriene B4, and (S)-flurbiprofen following extraction of impacted third molars. Pain. 1997, 73: 339-345. 10.1016/S0304-3959(97)00120-6.CrossRef
4.
go back to reference Karasawa F, Ehata T, Okuda T, Satoh T: Propofol injection pain is not alleviated by pretreatment with flurbiprofen axetil, a prodrug of a nonsteroidal anti-inflammatory drug. J Anesth. 2000, 14: 135-137. 10.1007/s005400070020.CrossRef Karasawa F, Ehata T, Okuda T, Satoh T: Propofol injection pain is not alleviated by pretreatment with flurbiprofen axetil, a prodrug of a nonsteroidal anti-inflammatory drug. J Anesth. 2000, 14: 135-137. 10.1007/s005400070020.CrossRef
5.
go back to reference Yamashita K, Fukusaki M, Ando Y, Fujinaga A, Tanabe T, Terao Y, Sumikawa K: Preoperative administration of intravenous flurbiprofen axetil reduces postoperative pain for spinal fusion surgery. J Anesth. 2006, 20: 92-95. 10.1007/s00540-006-0389-6.CrossRef Yamashita K, Fukusaki M, Ando Y, Fujinaga A, Tanabe T, Terao Y, Sumikawa K: Preoperative administration of intravenous flurbiprofen axetil reduces postoperative pain for spinal fusion surgery. J Anesth. 2006, 20: 92-95. 10.1007/s00540-006-0389-6.CrossRef
6.
go back to reference Mizuno J, Sugimoto S, Kaneko A, Tsutsui T, Tsutsui T, Zushi N, Machida K: Convulsion following the combination of single preoperative oral administration of enoxacine and single postoperative intravenous administration of flurbiprofen axetil. Masui. 2001, 50: 425-428. Mizuno J, Sugimoto S, Kaneko A, Tsutsui T, Tsutsui T, Zushi N, Machida K: Convulsion following the combination of single preoperative oral administration of enoxacine and single postoperative intravenous administration of flurbiprofen axetil. Masui. 2001, 50: 425-428.
7.
go back to reference Fujii Y, Shiga Y: Flurbiprofen axetil preceded by venous occlusion in the prevention of pain on propofol injection in the hand: a prospective, randomized, double-blind, vehicle-controlled, dose-finding study in Japanese adult surgical patients. Clin Ther. 2005, 27: 588-593. 10.1016/j.clinthera.2005.05.003.CrossRef Fujii Y, Shiga Y: Flurbiprofen axetil preceded by venous occlusion in the prevention of pain on propofol injection in the hand: a prospective, randomized, double-blind, vehicle-controlled, dose-finding study in Japanese adult surgical patients. Clin Ther. 2005, 27: 588-593. 10.1016/j.clinthera.2005.05.003.CrossRef
8.
go back to reference Yang HW, Xie YQ, Guo QL: Clinical observation of propofol combined with flurbiprofen axetil for induced abortion anesthesia. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2006, 31: 752-755. Yang HW, Xie YQ, Guo QL: Clinical observation of propofol combined with flurbiprofen axetil for induced abortion anesthesia. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2006, 31: 752-755.
9.
go back to reference Ou Yang X, Wang W, Peng Y, et al: Analgesic effect of flurbiprofen axetil injection on cancer pain. Chinese Journal of Pain Medicine. 2005, 11: 281-283. Ou Yang X, Wang W, Peng Y, et al: Analgesic effect of flurbiprofen axetil injection on cancer pain. Chinese Journal of Pain Medicine. 2005, 11: 281-283.
10.
go back to reference Wong DL, Baker CM: Pain in children: comparison of assessment scales. Pediatr Nurs. 1988, 14: 9-17. Wong DL, Baker CM: Pain in children: comparison of assessment scales. Pediatr Nurs. 1988, 14: 9-17.
11.
go back to reference World Health Organization: Cancer pain relief and palliative care. 1990, Geneva: World Health Organization World Health Organization: Cancer pain relief and palliative care. 1990, Geneva: World Health Organization
13.
go back to reference Mizushima Y, Shoji Y, Kato T, Fukushima M, Kurozumi S: Use of lipid microspheres as a drug carrier for antitumour drugs. J Pharm Pharmacol. 1986, 38: 132-134.CrossRef Mizushima Y, Shoji Y, Kato T, Fukushima M, Kurozumi S: Use of lipid microspheres as a drug carrier for antitumour drugs. J Pharm Pharmacol. 1986, 38: 132-134.CrossRef
14.
go back to reference Washinton C: Stability of lipid emulsions for drug deliver. Adv Drug Delivery Rev. 1996, 20: 131-145. 10.1016/0169-409X(95)00116-O.CrossRef Washinton C: Stability of lipid emulsions for drug deliver. Adv Drug Delivery Rev. 1996, 20: 131-145. 10.1016/0169-409X(95)00116-O.CrossRef
15.
go back to reference Park KM, Lee MK, Hwang KJ, Kim CK: Phospholipid-based microemulsions of flurbiprofen by the spontaneous emulsification process. Int J Pharm. 1999, 183: 145-154. 10.1016/S0378-5173(99)00080-0.CrossRef Park KM, Lee MK, Hwang KJ, Kim CK: Phospholipid-based microemulsions of flurbiprofen by the spontaneous emulsification process. Int J Pharm. 1999, 183: 145-154. 10.1016/S0378-5173(99)00080-0.CrossRef
16.
go back to reference Yamazaki Y, Sonoda H, Seki S: Effects of preoperatively administered flurbiprofen axetil on the action of inhaled anesthesia and postoperative pain. Masui. 1995, 44: 1238-1241. Yamazaki Y, Sonoda H, Seki S: Effects of preoperatively administered flurbiprofen axetil on the action of inhaled anesthesia and postoperative pain. Masui. 1995, 44: 1238-1241.
17.
go back to reference Xu G, Li X, Duan L, Zhu T, Xie Q, Zhou Y, Wang B, Deng Y, Shen L, Yuan X: Phase II clinical study for flubiprofen axetil injection in treatment of moderate postoperative pain. Chinese New Drugs Journal. 2004, 13: 846-848. Xu G, Li X, Duan L, Zhu T, Xie Q, Zhou Y, Wang B, Deng Y, Shen L, Yuan X: Phase II clinical study for flubiprofen axetil injection in treatment of moderate postoperative pain. Chinese New Drugs Journal. 2004, 13: 846-848.
18.
go back to reference Duan L, Li X: Clinical application of flurbiprofen axetil injection. Chinese New Drugs Journal. 2004, 13: 851-852. Duan L, Li X: Clinical application of flurbiprofen axetil injection. Chinese New Drugs Journal. 2004, 13: 851-852.
Metadata
Title
Intravenous flurbiprofen axetil can increase analgesic effect in refractory cancer pain
Authors
Hongyang Wu
Zhendong Chen
Guoping Sun
Kangsheng Gu
Yueyin Pan
Jiqing Hao
Yingying Du
Jie Ning
Publication date
01-03-2009
Publisher
BioMed Central
Published in
Journal of Experimental & Clinical Cancer Research / Issue 1/2009
Electronic ISSN: 1756-9966
DOI
https://doi.org/10.1186/1756-9966-28-33

Other articles of this Issue 1/2009

Journal of Experimental & Clinical Cancer Research 1/2009 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine