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患者がほとんど(90%>)で,十分な鎮痛効果が得られていた(Wiffen 2016)。有害作用は,システマティックレビューの集計では,便秘,眠気,悪心,口渇,嘔吐があり(Wiffen 2014),1~2 割の患者が有害作用のため治療の変更が必要となる可能性があった(Wiffen 2017)。モルヒネを投与中は,同時に有害作用の治療を行う必要がある。したがって,がん疼痛(中等度から高度)のある患者に対して,モルヒネの投与を推奨する。

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twenty‒four‒hourly Kapanol compared to twelve‒hourly MS Contin in the treatment of III章推奨