Question

A 72 year old woman with metastatic breast cancer and severe pain is started on regular oral Morphine. She is opioid naive. Which of the following is the most appropriate initial regimen?

Accepted Answer

Regular immediate release oral Morphine with appropriate breakthrough doses and laxatives

Answer

High dose long acting Morphine without breakthrough doses

Answer

Intravenous Morphine boluses only when in severe pain

Answer

Transdermal Fentanyl as first line in opioid naive patient

Answer

No laxatives should be prescribed initially

Practice question

A 72 year old woman with metastatic breast cancer and severe pain is started on regular oral Morphine. She is opioid naive. Which of the following is the most appropriate initial regimen?