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Opioids in oncology

friend:

-used with scientific knowledge

-offered with communicative skills

-titrated according the scientific evidence

*

COPD & IPF up to 30 mg omeq/dag

* in cancer: as much as needed to relief the pain

NRS <4/10

enemie:

-if knowledge & prescription experience is lacking

(academic centres have the duty to teach!)

- if communication fails to correct the misconceptions

in patients, families, caregivers, volunteers,..