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Initiating Morphine in Opioid Naive Patients

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Initiating Morphine in Opioid Naive Patients

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Questions and Answers

Which of the following is the recommended starting dose of immediate release morphine for opioid naive patients?

5 to 10 mg

15 to 20 mg

10 to 15 mg

2.5 to 5 mg (correct)

When should 'when required' doses of morphine be prescribed?

For breakthrough, episodic, or incident pain (correct)

Only for breakthrough pain

Only for incident pain

Only for episodic pain

How should the total 24 hour dose of immediate release morphine be calculated when converting to a long-acting preparation?

Divide the breakthrough and regular dosing by 2 (correct)

Multiply the breakthrough and regular dosing by 2

Add the breakthrough and regular dosing

Subtract the breakthrough and regular dosing

What should be done if a patient can no longer swallow but still requires pain relief?

Give the total 24 hour oral dose by continuous subcutaneous infusion Signup and view all the answers

When should the dose of morphine be reduced?

When another mode of pain relief is used Signup and view all the answers

Which of the following is the recommended starting dose for oxycodone immediate release capsules or liquid in opioid naive patients?

1⁄10th to 1⁄12th of the regular 24 hour dose Signup and view all the answers

How should the 'when required' doses of oxycodone be prescribed for breakthrough, episodic, or incident pain?

1⁄10th to 1⁄12th of the regular 24 hour dose Signup and view all the answers

How should the total daily dose of oxycodone be calculated when converting to a long-acting preparation?

Divide the total daily dose of oxycodone required from 'breakthrough' and regular dosing by 2 Signup and view all the answers

What should be done if a patient can no longer swallow the long-acting preparation of oxycodone?

Give ½ the total 24 hour oral dose by continuous subcutaneous infusion Signup and view all the answers

What is the recommended starting dose for methadone in opioid naive patients?

1 mg to 2.5 mg bd Signup and view all the answers