A 65-year-old woman with metastatic breast cancer has severe constant bone pain despite regular Paracetamol and Ibuprofen. She is opioid-naïve. Accord...

Question

A 65-year-old woman with metastatic breast cancer has severe constant bone pain despite regular Paracetamol and Ibuprofen. She is opioid-naïve. According to NICE palliative care guidance, which is the most appropriate next step for pain control?

Accepted Answer

Start regular oral sustained-release morphine with immediate-release morphine for breakthrough pain

Answer

Start a transdermal fentanyl patch

Answer

Start codeine phosphate 15 mg as required

Answer

Start intravenous morphine via syringe driver immediately

Answer

Prescribe diazepam to help her sleep through the pain

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

A 65-year-old woman with metastatic breast cancer has severe constant bone pain despite regular Paracetamol and Ibuprofen. She is opioid-naïve. According to NICE palliative care guidance, which is the most appropriate next step for pain control?