Question

A 68-year-old man with advanced lung cancer has severe continuous pain not controlled by regular Paracetamol and Ibuprofen. He is opioid naïve. According to NICE and palliative care guidance, what is the most appropriate next step?

Accepted Answer

Start regular oral modified-release Morphine with immediate-release Morphine for breakthrough pain

Answer

Start Fentanyl transdermal patch

Answer

Start Codeine phosphate only

Answer

Use Tramadol as sole strong analgesic

Answer

Avoid opioids and increase NSAID dose

Practice question

A 68-year-old man with advanced lung cancer has severe continuous pain not controlled by regular Paracetamol and Ibuprofen. He is opioid naïve. According to NICE and palliative care guidance, what is the most appropriate next step?