Effect of Indomethacin Mouthwash on Pain Due to Chemotherapy-Induced Oral Mucositis.

Effect of Indomethacin Mouthwash on Pain Due to Chemotherapy-Induced Oral Mucositis.
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吲哚美辛漱口水对化疗引起的口腔粘膜炎疼痛的影响。

DOI:
10.1089/jpm.2020.0116
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发表时间:
2020
期刊:
影响因子:
2.8
通讯作者:
Sugiura M. Kuroda S.
Sugiura M. Kuroda S.
中科院分区:
医学3区
文献类型:
--
作者:
Yasu T;Momo K;Horii M;Yokoyama K;Ono K;Kiyomi A;Sugiura M. Kuroda S.

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编辑先生:口腔粘膜炎(OM)是一种常见的不良反应,发生在20%-80%接受化疗的患者中。1,2严重的OM疼痛通常通过阿片类药物的经皮、注射或口服给药进行治疗。然而,在使用阿片类制剂的OM患者中尚未实现充分的疼痛缓解,需要替代治疗选择。我们以前曾报道,吲哚美辛喷雾剂(IM-Sp),制备为局部溶液(0.25%的IM),是安全和有效的OM治疗血癌患者。3,4然而,IM-Sp需要药剂师准备两个小时,这对于OM患者的大规模使用是一个缺点。因此,我们开发了一种IM漱口水(IM-MW),只需三到五分钟的准备时间,患者可以在家里准备。使用INTEBAN® SP制备IM-MW。简而言之,将含有25 mg IM的1粒INTEBAN® SP胶囊在90 ° C下溶解于90 mL水中并摇动三分钟。一旦溶液达到室温,患者可以在饭前使用10 mL溶液进行30秒MW(并吐出)。将IM-MW制备成含有90 mL IM-MW的瓶子,该IM-MW在4 ℃下储存,以每天三次的剂量足以储存三天。在通过高-pH值制备IM-MW后7天内,
Dear Editor: Oral mucositis (OM) is a common adverse event occurring in 20%–80% of patients receiving chemotherapy. 1, 2 Severe OM pain is usually treated with transdermal, injection or oral administration of opioids. However, sufficient pain relief has not been achieved in OM patients using opioid preparations, and alternative therapeutic options are required. We have previously reported that an indomethacin spray (IM-Sp), prepared as a topical solution (0.25% of IM), is safe and effective for OM treatment in patients with blood cancer. 3, 4 However, IM-Sp requires a two-hour preparation by pharmacists, representing a drawback for large-scale use inOM patients. Therefore, we developed an IM-mouthwash (IM-MW), which takes only three to five minutes for preparation and can be prepared by the patients at home. IM-MW was prepared using INTEBAN® SP. In brief, 1 capsule of INTEBAN® SP containing 25mg of IM was dissolved in 90mL of water at 90 C and shaken for three minutes. Once the solution reached room temperature, patients can use 10 mL solution for a 30-second MW (and spit out) before meals. IM-MW was prepared as bottles containing 90 mL, sufficient for three days at a dosing of three times a day, of IM-MW storage at 4 C. The IM stability within seven days after the preparation of IM-MW by high-
DOI: 10.1002/cncr.11671
发表时间: 2003-10-01
期刊: CANCER
影响因子: 6.2
作者:
Elting, LS;Cooksley, C;Cantor, SB
通讯作者: Cantor, SB