Question

A 70-year-old man on maximum-dose paracetamol for chronic osteoarthritis pain needs step-up therapy. According to the WHO pain ladder, which medication class is next?

Accepted Answer

Weak opioid (e.g. codeine)

Answer

NSAID (e.g. ibuprofen)

Answer

Strong opioid (e.g. morphine)

Answer

Topical capsaicin

Answer

Gabapentin

Practice question

A 70-year-old man on maximum-dose paracetamol for chronic osteoarthritis pain needs step-up therapy. According to the WHO pain ladder, which medication class is next?