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EasyPalliative CareCancer Pain Managementmrcgp aktukmlapane

A 68-year-old man with advanced prostate cancer has developed painful bony metastases. His pain is well controlled on regular paracetamol and ibuprofen, but he is now experiencing breakthrough pain. What is the most appropriate 'first rung' opioid to add for mild-to-moderate pain, according to the WHO pain ladder?

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