PAINWeek Journal Premier Issue | Page 26

PHARMACOTHERAPY by e e KATHRYN A. WALK R PHARMD, BCPS, CPE/MARY LYNN MCPH RSON PHARMD, BCPS, FASPE, CPE abstract:  Although the oral route is preferred for delivering medications, alternate routes are often required to manage pain in a palliative care setting. Frequently it is not feasible to use the oral route because of a patient’s disease progression, physical limitations, or mental status changes. This article will focus on using the topical or transdermal route effectively. Careful consideration of patient- and medication-related factors is required before deciding that a topical or transdermal product is appropriate for a patient. “Not every drug is suitable for topical or transdermal administration—no matter how creative we get…” 20 | PWJ | www.painweek.org Q3  | 2013