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Show THE SENTINEL Recent strides in drug therapy bring relief to the terminally ill of Terminally ill people Department need not fear the pain and Pharmacy Practice. "We related symptoms can now control the commonly associated majority of symptoms in with dying as medical the vast majority of . perceived problem, he notes. Its treatment is often a frustrating, controversial, but critical element care has improved patients." at the dramatically in the last Speaking decade, says a University American Association for of Utah pharmacy the Advancement of professor. Science meeting in "People frequently Washington, Lipman down some spend their remaining struck weeks or months dying misconceptions and gave instead of living, because information they don't have adequate about drug therapy to symptom control," says control symptoms in in many terminal illnesses. "Aggressive narcotic te Dr. Arthur G. Lipman, terminal disease. of the Pain is the most highly chairman S IFirMllXS I LI Pink Sctaon Z J ib.l79 Sfc?10n SteCkS r- ,09 ,b$l .59 .b Silver Bright formula, he adds. "When than benefits." use the same dosing Patients with terminal procedure regularly illnesses often experience e clock common, scheduled, nagging we get problems analgesics nausea, we ntermittentpain. Lipman emphatically discourages using the "Brampton Cocktail." a concoction still used in the United States which in was developed England during the last heroin does not have an century to treat advantage over other patients' a pain. The mixture narcotic analgesics fact that's consistently contains a narcotic ' documented in clinical analgesic, local studies, he says. anesthetic, chloroform The argument that water and alcohol. narcotics inherently "It's an irrational result in tolerance and combination that works, dependence in patients but it has no advantages by-th- excellent results with vomiting, constipation,, loss of appetite and simple narcotics." side Giving doses of drugs treatment-relate- d at regular intervals is effects. When such more symptoms are recognized and logical relieves and treated correctly, successfully pain, notes Lipman. relief is striking. "Rather than wait for The biggest treatment-induce- d pain to return to give problem is another dose, the key is to anticholinergic, or side prevent its recurrence. effects, explains Lipman. Waiting until the pain Dry mouth, blurred comes back requires vision, urinary retention all are bothersome. larger amounts of drug to treat it." 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Daytime 60 , Smoffab LsSSy (J gi $2,SS3 Mcuthwcsh Rf &' r Qssmmi ago SAaMissv Wt StVyVPaw Ntmtstylt 6 "V- pkg. advanced, terminal disease are generally not afraid of death," relates Lipman. "They fear SSn IPM0 $ Ko EXTRA b. clinical national, oncology meetings, he I V v- adds. "People who have vision, not reading the practice, not the other three agents routinely, newspaper for a while way around." " but we're finding that, isn't serious," he says. That ditifk: "body of more often than not, they "For someone who's knowledge" has grown Pi 3-l- on symptom have been increasingly aired at he says. "We once used c'rr' a IB issues Hospice is a philosophical program of care that stresses professional and human obligations, to provide symptom control and quality of life. "It's fascinating that what we were seeing and saying 10 years ago was Choeso Cottage LucerneFrosli CtMtn Grab chemicals. Recently, ty Fresh Mushrooms Spaghetti Sauce - hospices. control am or pathophysiology of pain, in understanding pain transmission and in work with endorphins the body's own morphine-lik- e terminally ill people now receive is a direct result of advances learned TOT Elbow Macaroni 182 PCJ 6 from tremendous In the research pharmacology and Jan. 14, the high quality care fo$et AppOS J Thursday, lenninut. u frxiremely important. These people need as much control and normality in their lives as T possible." to According Lipman, agents in patients with terminal Now it's acceptable," with pain, loneliness and and antidepressants are disease. says Lipman. "It's lost of control. We can not primary drugs and "For acute care fascinating because address all three. their usefulness varies, patients with blurred science has followed ': "With symptom Anti-anxie- . eoldsn Delicious Safeway Premium Mshi Mchi Fillets the secret, not the produce more side effects was therapy in the terminally ill is frequently indicated," says Lipman. several "Narcotics, which work with advanced, and on .' pain irreversible disease is disadvantages," he centrally perception, are the false, he says. Narcotics stresses, "among them cornerstone of therapy rarely lead to treatment-induce- d the potential for drug for severe, chronic pain and dependence in interactions that has physical origin." the ill, dysphoria, the opposite of terminally Contrary to a still perhaps because their euphoria. 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