Practice question

Answer the question and get instant feedback.

MediumPalliative CareOpioid rotationca-mccqe1ca-ccfp

A 68-year-old man with metastatic lung cancer has severe pain despite taking oral morphine 120 mg/day in divided doses. You consider rotating to oral hydromorphone. Using common Canadian equianalgesic ratios (approximately 5:1 morphine:hydromorphone for oral formulations), what is an approximate total daily oral hydromorphone dose before accounting for incomplete cross-tolerance?

Practice more on iatroX

Educational content. Not a substitute for clinical judgement or local policy.