Question

A 68-year-old man with metastatic lung cancer has severe pain despite regular Paracetamol. He is opioid-naïve. According to NICE guidance on palliative care, what is the most appropriate initial strong opioid?

Accepted Answer

Modified-release Morphine with immediate-release Morphine for breakthrough pain

Answer

Transdermal Fentanyl patch as first-line

Answer

Pethidine injections

Answer

Codeine only

Answer

No opioid due to risk of dependence

Practice question

A 68-year-old man with metastatic lung cancer has severe pain despite regular Paracetamol. He is opioid-naïve. According to NICE guidance on palliative care, what is the most appropriate initial strong opioid?