Breakthrough pain in patients receiving opioid therapy for chronic cancer pain.Renal impairment / pain team / palliative care.Renal impairment / intolerable side-effects from other opioids.Specific indications: Fentanyl injection (TLS Blue) Parenteral only and in secondary care only.Immediate release - use capsules or oral solution.May be considered if full dose simple analgesia has proven ineffective.Zomorph ® Morphine modified release capsules (TLS Green)Īlternatives: Diamorphine (TLS Blue) Dihydrocodeine (TLS Blue) Tramadol (TLS Blue) When switching between brands, patients should be counselled that they may experience changes in symptom control and it is recommended the patient contacts the prescriber if this happens. As an alternative for patients not able to tolerate oral morphine sulfate solution, or if this is not suitable due to safety concerns.Morphine (Parenteral or oral) Morphine sulfate (oral solution) (TLS Green) Morphine sulfate (parenteral) (TLS Green) Sevredol ® tablets (TLS Blue) Actimorph ® orodispersible tablets (TLS Blue) Click here for the MHRA advice for codeine for cough and cold restricted use in children.Ensure they are familiar with the following characteristics of that medicine and formulation: usual starting dose, frequency of administration, standard dosing increments, symptoms of overdose, common side effects.for oral morphine or oxycodone in adult patients, not normally more than 50% higher than the previous dose). Ensure where a dose increase is intended, that the calculated dose is safe for the patient (e.g.This may be done for example through discussion with the patient or their representative (although not in the case of treatment for addiction), the prescriber or through medication records Confirm any recent opioid dose, formulation, frequency of administration and any other analgesic medicines prescribed for the patient.When opioid medicines are prescribed, dispensed or administered, in anything other than acute emergencies, the healthcare practitioner concerned, or their clinical supervisor, should: In general, the use of concomitant opioids should be avoided. Treatment should revert to oral as soon as clinically appropriateīNSSG Paracetamol Dosing Guidelines In Adult Patients 2023
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |