Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

CiteULike is a free service for managing and discovering scholarly references - click here to get started.

Sign In to gain access to subscriptions and/or personal tools.
Palliative Medicine
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by McMunnigall, F
Right arrow Articles by Welsh, J
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by McMunnigall, F
Right arrow Articles by Welsh, J
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

case-report

Opioid withdrawal syndrome on switching from hydromorphone to alfentanil

F McMunnigall

Haematology Department, Southern General Hospital, 1345 Govan Rd, Glasgow

J Welsh

Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, University of Glasgow, Beatson West of Scotland Cancer Centre

Opioid switching is increasingly practiced. This patient did not tolerate morphine, oxycodone or hydromorphone due to opioid toxicity. Finally switch to alfentanil was performed. The patient developed classical opioid withdrawal symptoms and signs from discontinuation of the hydromorphone. Administration of small aliqouts of this drug reversed the symptoms. The existance of incomplete cross tolerance between  hydromorphone and alfentanil is demonstrated.

Key Words: alfentanil •  hydromorphone • opioid • switching • withdrawal

Palliative Medicine, Vol. 22, No. 2, 191-192 (2008)
DOI: 10.1177/0269216307085391
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?