Question

A 70-year-old woman with metastatic lung cancer has severe pain despite high-dose oral Morphine. She is drowsy and constipated. She wishes to remain at home. What is the most appropriate next step in analgesic management?

Accepted Answer

Switch to another strong opioid and titrate dose with specialist advice

Answer

Stop Morphine and use only Paracetamol and NSAIDs

Answer

Increase Morphine dose further regardless of side effects

Answer

Start long-term benzodiazepines for pain control

Answer

Offer radiotherapy as the sole intervention for pain

Practice question

A 70-year-old woman with metastatic lung cancer has severe pain despite high-dose oral Morphine. She is drowsy and constipated. She wishes to remain at home. What is the most appropriate next step in analgesic management?