Question

A 68-year-old man with metastatic lung cancer has constant moderate pain despite regular Paracetamol. He is otherwise stable and remains at home. What is the most appropriate next step in analgesic management?

Accepted Answer

Start regular oral Morphine with appropriate breakthrough doses

Answer

Use only intermittent PRN opioids without regular dosing

Answer

Switch Paracetamol to NSAIDs alone

Answer

Offer nerve block as first-line

Answer

Advise non-pharmacological measures only

Practice question

A 68-year-old man with metastatic lung cancer has constant moderate pain despite regular Paracetamol. He is otherwise stable and remains at home. What is the most appropriate next step in analgesic management?