Question

A 72-year-old woman with advanced metastatic lung cancer has severe continuous pain despite regular Paracetamol and NSAIDs. She has no renal impairment or history of opioid use. What is the most appropriate next step in managing her pain in primary care?

Accepted Answer

Start immediate-release oral Morphine regularly with as-required doses for breakthrough pain

Answer

Start a fentanyl patch as first-line strong opioid

Answer

Prescribe Codeine and avoid strong opioids

Answer

Start high-dose corticosteroids alone

Answer

Refer only for complementary therapies without changing medication

Practice question

A 72-year-old woman with advanced metastatic lung cancer has severe continuous pain despite regular Paracetamol and NSAIDs. She has no renal impairment or history of opioid use. What is the most appropriate next step in managing her pain in primary care?