Question

A 55-year-old with chronic back pain is on codeine and paracetamol but still has severe pain. According to the WHO pain ladder, what is the next step in analgesia?

Accepted Answer

Tramadol or low-dose morphine (step 3 strong opioid)

Answer

Increase paracetamol beyond max dose

Answer

NSAID addition only

Answer

Benzodiazepine addition

Answer

Immediate fentanyl patches

Practice question

A 55-year-old with chronic back pain is on codeine and paracetamol but still has severe pain. According to the WHO pain ladder, what is the next step in analgesia?