Palliative care 2017

Strong opioids: break down is the other way around as the up-titration

Never stop high doses of strong opioids if used for at least 3 weeks, nut down titration (patch (25µg/h ~ 100 mg M po/d !!!)

=> Withdrawal symptoms !! -diarrea, abdominal colics -arythmia

-swetting, tachypnoe, delirium -”as if I started to die”

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