Question

A 68-year-old woman with metastatic lung cancer has severe continuous pain controlled partly with regular Paracetamol and codeine. She is opioid-naive. What is the most appropriate next step in analgesia?

Accepted Answer

Start regular oral morphine with appropriate breakthrough doses

Answer

Start a fentanyl patch as first-line strong opioid

Answer

Use non-steroidal anti-inflammatory drugs only

Answer

Prescribe long-term benzodiazepines for pain

Answer

Start high-dose intravenous morphine in the community

Practice question

A 68-year-old woman with metastatic lung cancer has severe continuous pain controlled partly with regular Paracetamol and codeine. She is opioid-naive. What is the most appropriate next step in analgesia?