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Dexmedetomidine withdrawal syndrome and opioid sensitivity
  1. Lana Ferguson and
  2. Stacey Hooper
  1. Palliative Care, Waikato District Health Board, Hamilton, New Zealand
  1. Correspondence to Dr Lana Ferguson, Palliative Care, Waikato District Health Board, Hamilton 3204, New Zealand; lana.ferguson2{at}


This case report describes the use of dexmedetomidine for refractory cancer pain management in a patient with significant pelvic disease due to metastatic urothelial cancer. Specifically, the management of increased opioid sensitivity secondary to dexmedetomidine is discussed. Further, the phenomenon of dexmedetomidine withdrawal syndrome and our management of this is addressed.

  • cancer
  • pain
  • drug administration

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Next of kin consent obtained.