This section gives an overview of the commonly used drugs (excluding opioids) to manage symptoms in patients with terminal illnesses. The information includes basic dosage information as well as indications for use and potential side effects. Please note that non-opioid drugs commonly used in palliative care in Singapore are shown here but the list is NOT exhaustive and neither are the side effects nor indications. Doses are for adults only. Please check with pharmacy colleagues for dose adjustments (if any) in renal or liver impairment. Unless otherwise indicated, use water for injection for dilution in continuous subcutaneous infusions.
*For information on opioids, please search and refer to the drugs with their given context.
Trazodone
Route, Dosage and Frequency
ROUTE
|
DOSAGE AND FREQUENCY
|
| PO |
50-75mg at bedtime (max dose 300mg/day) |
Other Information
Indications
Anxiety, Insomnia, Depression (not 1st line).
Side-Effects
Somnolence, Lethargy, Dizziness (postural hypotension).
Remarks
α2 adrenergic & 5HT2A/C antagonist; serotonin re-uptake inhibitor. Low doses in elderly (e.g. 25mg) Useful in patients with concomitant anxiety and insomnia.
Reference
- Watson M. Oxford Handbook of Palliative Care. Oxford, NY: Oxford University Press; 2009.