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Buprenorphine: Opioid Agonist-Antagonist for Refractory Pain of Sickle Cell Disease Patients During Hematopoietic Stem Cell Transplant, Uncontrolled By Full-Agonist Opioids

Buprenorphine: Innovative Pain Management Solution for Sickle Cell Disease Patients During Hematopoietic Stem Cell Transplant

Summary

Patients with sickle cell disease (SCD) undergoing bone marrow transplant (BMT) often experience severe pain uncontrolled by traditional opioids due to pre-existing tolerance. A pilot clinical trial showed that adding buprenorphine to the pain management regimen led to significantly lower opioid doses and improved pain control.

Practical Solutions

Introducing buprenorphine alongside traditional opioids can help manage acute pain during BMT in SCD patients more effectively, reducing the need for high opioid doses and minimizing adverse effects.

Value

By incorporating buprenorphine in pain management protocols, clinicians can enhance patient care, especially for those with complex pain backgrounds like SCD patients undergoing BMT. Further research and trials are needed to fully understand the benefits of buprenorphine compared to standard opioids.

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