{"id":232,"date":"2019-01-23T12:40:18","date_gmt":"2019-01-23T12:40:18","guid":{"rendered":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/?p=232"},"modified":"2019-01-30T16:04:05","modified_gmt":"2019-01-30T15:04:05","slug":"fentanil-per-via-transmucosa-oral-i-risc-dhiperalgesia","status":"publish","type":"post","link":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/fentanil-per-via-transmucosa-oral-i-risc-dhiperalgesia\/","title":{"rendered":"Fentanil per via transmucosa oral i risc d\u2019hiperalg\u00e8sia"},"content":{"rendered":"<p>Durant la darrera revisi\u00f3 peri\u00f2dica de les dades de seguretat de PecFent\u00ae (fentanil per via transmucosa oral) a Europa, s\u2019han identificat setze casos notificats d\u2019hiperalg\u00e8sia. Tamb\u00e9 s\u2019han descrit casos en publicacions cient\u00edfiques i en assaigs cl\u00ednics. Aquest risc s\u2019inclour\u00e0 a la fitxa t\u00e8cnica i al prospecte d\u2019aquest medicament.<\/p>\n<p>Els analg\u00e8sics opioides desencadenen processos biol\u00f2gics que inhibeixen el seu efecte terap\u00e8utic, i l\u2019\u00fas continuat promou l\u2019activaci\u00f3 de sistemes pronociceptius i es produeix hiperalg\u00e8sia.<\/p>\n<p>Com amb altres opiacis, en cas d\u2019un control del dolor insuficient en resposta a un augment de la dosi de fentanil, cal considerar la possibilitat d\u2019hiperalg\u00e8sia indu\u00efda per opioides. Pot estar indicat reduir la dosi de fentanil o b\u00e9 suspendre o revisar el tractament.<\/p>\n<p>El <a href=\"http:\/\/medicaments.gencat.cat\/web\/.content\/minisite\/medicaments\/professionals\/6_publicacions\/butlletins\/butlleti_farmacovigilancia\/documents\/arxius\/bfv_v16_n3.pdf\" target=\"_blank\" rel=\"noopener\">Butllet\u00ed de Farmacovigil\u00e0ncia de Catalunya<\/a> en revisa la q\u00fcesti\u00f3.<\/p>\n<p><img loading=\"lazy\" class=\"size-full wp-image-233 aligncenter\" src=\"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-content\/uploads\/sites\/5\/2019\/01\/Captura_1.png\" alt=\"\" width=\"461\" height=\"165\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Durant la darrera revisi\u00f3 peri\u00f2dica de les dades de seguretat de PecFent\u00ae (fentanil per via transmucosa oral) a Europa, s\u2019han identificat setze casos notificats d\u2019hiperalg\u00e8sia. Tamb\u00e9 s\u2019han descrit casos en publicacions cient\u00edfiques i en assaigs cl\u00ednics. Aquest risc s\u2019inclour\u00e0 a &hellip; <a href=\"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/fentanil-per-via-transmucosa-oral-i-risc-dhiperalgesia\/\">Continua llegint <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[19],"tags":[118,120,114,116],"_links":{"self":[{"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/posts\/232"}],"collection":[{"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/comments?post=232"}],"version-history":[{"count":1,"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/posts\/232\/revisions"}],"predecessor-version":[{"id":234,"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/posts\/232\/revisions\/234"}],"wp:attachment":[{"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/media?parent=232"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/categories?post=232"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blogs.bellvitgehospital.cat\/farmacologiaclinica\/wp-json\/wp\/v2\/tags?post=232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}