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一名55岁慢性下腰痛女性的普瑞巴林依赖及处理

Pregabalin Dependence and Management in a 55-Year-Old Female with Chronic Low Back Pain.

作者信息

Vasudeva Abhimanyu, Tripathi Richa

机构信息

Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Gorakhpur, Gorakhpur, IND.

Psychiatry, All India Institute of Medical Sciences, Gorakhpur, Gorakhpur, IND.

出版信息

Cureus. 2023 Aug 25;15(8):e44085. doi: 10.7759/cureus.44085. eCollection 2023 Aug.

Abstract

This case report explores the complexities of managing chronic pain and the subsequent development of pregabalin dependence in a 55-year-old female patient with a prior history of vertebral fracture. Over a period of 10 years, the patient relied on a combination of Aceclofenac and pregabalin to alleviate her pain. An alternative treatment approach was implemented, involving adjustments to medication dosages and gradual tapering. Throughout the treatment process, interdisciplinary collaboration played a pivotal role in addressing unexpected symptoms such as facial movements and neck swelling. This case report highlights the significance of recognizing and addressing pregabalin dependence in patients with chronic pain.

摘要

本病例报告探讨了一名有椎体骨折病史的55岁女性患者在管理慢性疼痛及随后出现普瑞巴林依赖方面的复杂性。在10年的时间里,该患者依靠双氯芬酸和普瑞巴林的联合使用来缓解疼痛。实施了一种替代治疗方法,包括调整药物剂量和逐渐减药。在整个治疗过程中,跨学科协作在处理如面部运动和颈部肿胀等意外症状方面发挥了关键作用。本病例报告强调了认识和处理慢性疼痛患者中普瑞巴林依赖的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34df/10518057/4decb0977daf/cureus-0015-00000044085-i01.jpg

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