A 60-year-old man with chronic kidney disease stage 4 (eGFR 25 ml/min/1.73m$^2$) requires analgesia for moderate osteoarthritis pain unresponsive to p...

Question

A 60-year-old man with chronic kidney disease stage 4 (eGFR 25 ml/min/1.73m$^2$) requires analgesia for moderate osteoarthritis pain unresponsive to paracetamol. Which opioid analgesic should generally be avoided or used with extreme caution in this patient according to the BNF?

Accepted Answer

Morphine

Answer

Codeine

Answer

Tramadol

Answer

Oxycodone

Answer

Fentanyl (patch)

mrcgp akt MCQ (SBA): Analgesia in CKD

A 60-year-old man with chronic kidney disease stage 4 (eGFR 25 ml/min/1.73m$^2$) requires analgesia for moderate osteoarthritis pain unresponsive to paracetamol. Which opioid analgesic should generally be avoided or used with extreme caution in this patient according to the BNF?