Question

A 68-year-old woman with metastatic lung cancer has persistent severe pain despite regular oral Morphine modified-release twice daily and breakthrough doses, plus Paracetamol. What is the most appropriate next step according to the WHO analgesic ladder?

Accepted Answer

Increase the dose of Morphine and review

Answer

Switch to codeine

Answer

Stop opioids and use NSAIDs alone

Answer

Refer for surgery only

Answer

Add benzodiazepines instead of altering analgesia

Practice question

A 68-year-old woman with metastatic lung cancer has persistent severe pain despite regular oral Morphine modified-release twice daily and breakthrough doses, plus Paracetamol. What is the most appropriate next step according to the WHO analgesic ladder?