
Comparison between Transdermal Buprenorphine and Transdermal Fentanyl for Postoperative Pain Relief after Major Abdominal Surgeries
Author(s) -
Zia Arshad,
Ravi Prakash,
Shiv Gautam,
Sanjeev Kumar
Publication year - 2015
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2015/16327.6917
Subject(s) - medicine , transdermal , analgesic , fentanyl , anesthesia , perioperative , buprenorphine , sedation , dosing , bolus (digestion) , transdermal patch , abdominal surgery , adverse effect , opioid , surgery , pharmacology , receptor
Opioid is generally regarded as an important part of multimodal, perioperative analgesia, especially for moderate to severe pain. Amongst the various modes of delivery transdermal route has several potential benefits over oral and parentral administration. These include noninvasive dosing, better absorption and lack of first-pass metabolism. A transdermal drug delivery system provides steady and continuous drug delivery resulting in steady plasma concentration. Bolus dosing of systemic analgesic results in supra and sub therapeutic plasma resulting in toxic and sub analgesic plasma drug concentration. It also improves patient compliance.