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