Treatment of Failed Back Surgery Syndrome in a Forty-Three-Year-Old Man With High-Dose Oxycodone/Naloxone

Introduction: failed back surgery syndrome (fbss) is an increasing cause of chronic pain in most countries. this poses high costs to both patients and national health organizations. case presentation: in this report, multimodal pain management based on daily high-dose oxycodone/naloxone (oxn 180/90 mg) led to reduced patient's pain score and improved quality of life. conclusions: oxycodone/naloxone can be a good alternative for the management of fbss when other interventional or pharmacologic strategies have failed. in this case report, higher doses than those recommended as a maximum daily ceiling (80/40 mg) were safely used in one selected patient with noncancer severe pain.