Question

A 64-year-old man with metastatic lung cancer has severe constant bone pain despite regular Paracetamol and Ibuprofen. He is opioid naïve, has normal renal function and wishes to remain at home. What is the most appropriate next step in analgesic management?

Accepted Answer

Start immediate-release oral Morphine and titrate the dose to achieve pain control, with additional doses for breakthrough pain

Answer

Start a transdermal Fentanyl patch at a low dose

Answer

Start long-acting modified-release Morphine only once daily

Answer

Prescribe Codeine phosphate as required instead of Morphine

Answer

Arrange hospital admission for intravenous Morphine infusion as first-line

Practice question

A 64-year-old man with metastatic lung cancer has severe constant bone pain despite regular Paracetamol and Ibuprofen. He is opioid naïve, has normal renal function and wishes to remain at home. What is the most appropriate next step in analgesic management?