A 68-year-old man with metastatic lung cancer has severe bone pain despite regular oral Morphine modified-release and immediate-release Morphine for b...

Question

A 68-year-old man with metastatic lung cancer has severe bone pain despite regular oral Morphine modified-release and immediate-release Morphine for breakthrough. He has 3–4 breakthrough doses daily. What is the most appropriate next step in analgesic management?

Accepted Answer

Increase the regular Morphine dose based on breakthrough requirements

Answer

Continue the same regimen without changes

Answer

Stop Morphine and switch to Paracetamol only

Answer

Add long-term NSAIDs only

Answer

Start a benzodiazepine for pain control

uk-plab-1 MCQ (SBA): Cancer pain – opioid titration

A 68-year-old man with metastatic lung cancer has severe bone pain despite regular oral Morphine modified-release and immediate-release Morphine for breakthrough. He has 3–4 breakthrough doses daily. What is the most appropriate next step in analgesic management?