Chronic Opioid Tapering — FRCA Final MCQ

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ModeratePain MedicineChronic Opioid TaperingFRCA Final

Opioid tapering for chronic non-cancer pain (oxycodone 80 mg BD × 3 years). Recommended strategy?

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Correct answer: C — Reduce 10% of current dose every 1-2 weeks

FPM/NICE: gradual taper ~10% of current dose q1-4 weeks. Abrupt cessation risks severe withdrawal at this dose. Patient-led with pain team support. Optimise multimodal non-opioid analgesia concurrently. May take months.

Reference: FPM – 2023 – Opioid tapering; NICE – 2023 – NG193