A 56yo pt whose pain was relieved by oral Morphine, now presents with progressively
worsening pain relieved by increasing the dose of oral morphine. However, the pt complains
that the increased morphine makes him drowsy and his is unable to carry out his daily activities.
What is the next step in his management?
a. Oral oxycodone
b. Oral tramadol
c. PCA
d. IV Fentanyl
e. Diamorphine
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answer: A
we prefer oral route for as long as it's feasible!
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