Question

A 45-year-old man with a long history of generalised anxiety and chronic widespread pain presents requesting stronger analgesia. He is currently on Paracetamol and low-dose Amitriptyline. He asks for long-term strong opioids for his chronic primary pain. What is the most appropriate response in line with NICE guidance?

Accepted Answer

Explain that opioids are not recommended for long-term chronic primary pain and focus on non-pharmacological strategies

Answer

Prescribe modified-release Morphine for long-term use

Answer

Start strong opioids while arranging pain clinic review

Answer

Switch Amitriptyline to Tramadol as it is safer long term

Answer

Prescribe Diazepam to help with pain and anxiety

Practice question