A 58-year-old man with metastatic lung cancer has worsening pain despite regular oral Morphine at a stable dose. He has a prognosis of weeks. He is dr...

Question

A 58-year-old man with metastatic lung cancer has worsening pain despite regular oral Morphine at a stable dose. He has a prognosis of weeks. He is drowsier but distressed by uncontrolled pain. Renal function is normal. What is the most appropriate next step in analgesic management?

Accepted Answer

Increase the dose of oral Morphine and review response

Answer

Stop Morphine and switch immediately to strong benzodiazepines

Answer

Stop all opioids due to drowsiness

Answer

Rely on Paracetamol alone

Answer

Offer only non-pharmacological measures such as massage

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

A 58-year-old man with metastatic lung cancer has worsening pain despite regular oral Morphine at a stable dose. He has a prognosis of weeks. He is drowsier but distressed by uncontrolled pain. Renal function is normal. What is the most appropriate next step in analgesic management?