Question

A 68 year old man with metastatic lung cancer has severe continuous pain inadequately controlled with regular Paracetamol and occasional weak opioids. According to NICE guidance on palliative strong opioids, which is the most appropriate next step?

Accepted Answer

Start immediate release Morphine in small regular doses with rescue doses

Answer

Start high dose modified release Morphine without titration

Answer

Start transdermal Fentanyl without prior oral opioid

Answer

Use only non opioid adjuvants

Answer

Avoid opioids because of dependence risk

Practice question

A 68 year old man with metastatic lung cancer has severe continuous pain inadequately controlled with regular Paracetamol and occasional weak opioids. According to NICE guidance on palliative strong opioids, which is the most appropriate next step?