Palliative care 2016

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