SECOND LINE STRONG OPIOIDS
Alternative strong opioids may be used to try to improve compliance or the side effect profile for patients. Their use must be individually tailored and the following TABLES USED AS GUIDANCE ONLY, together with information in the following text.
Specialist palliative care advice is usually needed when changing from one strong opioid to another. Usually convert to a slightly lower equivalent dose and provide appropriate p.r.n. breakthrough analgesia for titration.
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