Palliative care 2017

Preferred opioids

chronic OPD ~ chronic pain

3-fold prescription:

1-Maintenance (long acting) (never on demand, but around the clock) 2-Breakthrough medication (short acting) = 1/12 - 1/6 of the daily dose

3-Laxatifs allways,

anti-emetics if needed

Daisy JA Janssen et al. Chronic Respiratory Disease 2015;12:85-92