A 68-year-old man with advanced metastatic lung cancer has severe constant chest pain despite regular oral Paracetamol. He is opioid-naïve. Renal func...

Question

A 68-year-old man with advanced metastatic lung cancer has severe constant chest pain despite regular oral Paracetamol. He is opioid-naïve. Renal function is normal. What is the most appropriate next step in analgesia?

Accepted Answer

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

Answer

Start high-dose IV Morphine as needed only

Answer

Use only non-opioid adjuvants such as Amitriptyline

Answer

Give a single stat dose of Pethidine

Answer

Avoid opioids due to addiction risk

uk-plab-1 MCQ (SBA): Cancer pain management

A 68-year-old man with advanced metastatic lung cancer has severe constant chest pain despite regular oral Paracetamol. He is opioid-naïve. Renal function is normal. What is the most appropriate next step in analgesia?