In the choice of antidepressants, interactions with medication for chronic illnesses and potential palliative side-effects have been taken into consideration.
Currently, more than 200 practitioners are involved in this network, through which they work side-by-side with palliative care nurses.
As a palliative treatment with lower side effects regional chemotherapy seems to provide higher local drug concentrations, higher response rates, and less systemic toxicity compared to systemic application (Collins, 1984; Rougier et al, 1992; Venook, 1997).
The current treatment is performed as a palliative therapy and the adverse side effects can compromise the patients' quality of life.
Androgen deprivation therapy (ADT) is a palliative treatment with well-documented side effects and health risks.
Moreover, palliative care that treats the side effects of ART will improve adherence to ART [ 25- 27].
It is a challenge for any clinician to give balanced information about potential effects and side effects of palliative chemotherapy and when to stop the treatment (Mitchell and Currow, 2002).
Additional terminal patients with sudden cardiac death might not have been identified by our algorithm if they were prescribed oral domperidone or metoclopramide for side effects of palliative care.
By generating a more solid evidence base for the use of the levomepromazine, its indications, impact and side effects in palliative care, we could gain much needed empirical knowledge for the use of a drug that seems to be clinically effective and multi-factorial in application for end-of-life care.
This population will ensure that herbal remedy use to ameliorate the side-effects of palliative treatments such as chemotherapy and radiotherapy are included.
Early terminal sedation could be expected to hasten death as a side effect of providing palliative care for unusually recalcitrant pain.
