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Drugs Context. 2021 Sep 14;10. doi: 10.7573/dic.2021-6-1. eCollection 2021.

Transdermal buprenorphine for pain management in children.

Drugs in context

Giorgio Attinà, Alberto Romano, Silvia Triarico, Stefano Mastrangelo, Palma Maurizi, Antonio Ruggiero

Affiliations

  1. Pediatric Oncology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
  2. Università Cattolica Sacro Cuore, Rome, Italy.

PMID: 34567202 PMCID: PMC8443125 DOI: 10.7573/dic.2021-6-1

Abstract

Pain is one of the main symptoms reported by sick children, particularly by those suffering from cancer. Opioids are very useful in controlling this symptom but they are burdened with significant side effects that limit their use in children. Buprenorphine is a strong opioid that, due to its particular pharmacological characteristics, ensures excellent pain relief with fewer side effects than other opioids. The transdermal formulation allows for good pain control associated with optimal compliance by patients and few limitations on daily life. Unfortunately, transdermal buprenorphine use remains off-label for the control of chronic pain in children; therefore, it is desirable that new studies can validate its use in the paediatric population. This review aims to analyse the clinical advantages of transdermal buprenorphine in the paediatric population and the possible side effects registered in daily clinical practice.

Copyright © 2021 Attinà G, Romano A, Triarico S, Mastrangelo S, Maurizi P, Ruggiero A.

Keywords: buprenorphine; children; opioids; pain; transdermal

Conflict of interest statement

Disclosure and potential conflicts of interest: The authors declare that they have no conflicts of interest relevant to this manuscript. The International Committee of Medical Journal Editors (ICMJE)

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