Pregabalin for Opioid-Refractory Pain in a Patient with Ankylosing Spondylitis
Background. Ankylosing spondylitis (AS) is a systemic inflammatory disease with chronic back pain as the most common presenting symptom. We present a case of a male patient with AS reporting symptoms of severe low back pain, buttock pain, and limited spinal mobility. After chronic treatment with opi...
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Wiley
2013-01-01
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Series: | Case Reports in Psychiatry |
Online Access: | http://dx.doi.org/10.1155/2013/912409 |
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author | Konstantinos A. Kontoangelos Anastasios V. Kouzoupis Panagiotis P. Ferentinos Ioannis D. Xynos Nikolaos V. Sipsas George N. Papadimitriou |
author_facet | Konstantinos A. Kontoangelos Anastasios V. Kouzoupis Panagiotis P. Ferentinos Ioannis D. Xynos Nikolaos V. Sipsas George N. Papadimitriou |
author_sort | Konstantinos A. Kontoangelos |
collection | DOAJ |
description | Background. Ankylosing spondylitis (AS) is a systemic inflammatory disease with chronic back pain as the most common presenting symptom. We present a case of a male patient with AS reporting symptoms of severe low back pain, buttock pain, and limited spinal mobility. After chronic treatment with opioids, we administered pregabalin at a dose of 300 mg as an analgesic agent while opioids were discontinued. Findings. Pain symptoms improved progressively, and opioids were gradually discontinued without any withdrawal symptoms reported. Conclusions. Pregabalin is potentially useful in the management of pain in patients with AS while effectively managing the discontinuation of opioid treatment. |
format | Article |
id | doaj-art-33674a05524b4367ad053552cdd0d5d4 |
institution | Kabale University |
issn | 2090-682X 2090-6838 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Psychiatry |
spelling | doaj-art-33674a05524b4367ad053552cdd0d5d42025-02-03T05:46:19ZengWileyCase Reports in Psychiatry2090-682X2090-68382013-01-01201310.1155/2013/912409912409Pregabalin for Opioid-Refractory Pain in a Patient with Ankylosing SpondylitisKonstantinos A. Kontoangelos0Anastasios V. Kouzoupis1Panagiotis P. Ferentinos2Ioannis D. Xynos3Nikolaos V. Sipsas4George N. Papadimitriou51st Department of Psychiatry, Eginition Hospital, Athens University Medical School, 74 Vas Sofias Avenue, 11528 Athens, Greece1st Department of Psychiatry, Eginition Hospital, Athens University Medical School, 74 Vas Sofias Avenue, 11528 Athens, Greece1st Department of Psychiatry, Eginition Hospital, Athens University Medical School, 74 Vas Sofias Avenue, 11528 Athens, GreecePathophysiology Department, Laikon General Hospital, Athens University Medical School, 11528 Athens, GreecePathophysiology Department, Laikon General Hospital, Athens University Medical School, 11528 Athens, Greece1st Department of Psychiatry, Eginition Hospital, Athens University Medical School, 74 Vas Sofias Avenue, 11528 Athens, GreeceBackground. Ankylosing spondylitis (AS) is a systemic inflammatory disease with chronic back pain as the most common presenting symptom. We present a case of a male patient with AS reporting symptoms of severe low back pain, buttock pain, and limited spinal mobility. After chronic treatment with opioids, we administered pregabalin at a dose of 300 mg as an analgesic agent while opioids were discontinued. Findings. Pain symptoms improved progressively, and opioids were gradually discontinued without any withdrawal symptoms reported. Conclusions. Pregabalin is potentially useful in the management of pain in patients with AS while effectively managing the discontinuation of opioid treatment.http://dx.doi.org/10.1155/2013/912409 |
spellingShingle | Konstantinos A. Kontoangelos Anastasios V. Kouzoupis Panagiotis P. Ferentinos Ioannis D. Xynos Nikolaos V. Sipsas George N. Papadimitriou Pregabalin for Opioid-Refractory Pain in a Patient with Ankylosing Spondylitis Case Reports in Psychiatry |
title | Pregabalin for Opioid-Refractory Pain in a Patient with Ankylosing Spondylitis |
title_full | Pregabalin for Opioid-Refractory Pain in a Patient with Ankylosing Spondylitis |
title_fullStr | Pregabalin for Opioid-Refractory Pain in a Patient with Ankylosing Spondylitis |
title_full_unstemmed | Pregabalin for Opioid-Refractory Pain in a Patient with Ankylosing Spondylitis |
title_short | Pregabalin for Opioid-Refractory Pain in a Patient with Ankylosing Spondylitis |
title_sort | pregabalin for opioid refractory pain in a patient with ankylosing spondylitis |
url | http://dx.doi.org/10.1155/2013/912409 |
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