Patient with metastatic bowel cancer is taking Codeine 30 mg q4h without adequate analgesia. What is the most appropriate therapy?

stop Codeine, start MS Contain l0 mg bd and Paracetamol 1g qid

continue Codeine and add Paracetamol 1g qid

stop Codeine, start MS Contain 20 mg bd and Paracetamol 1g qid

stop Codeine, start MS Contain l0 mg bd and Panadeine ii qid

Patient with metastatic bowel cancer is taking Codeine 30 mg q4h witho

1.	Patient with metastatic bowel cancer is taking Codeine 30 mg q4h without adequate analgesia. What is the most appropriate therapy?
A.	continue Codeine and add Paracetamol 1g qid
B.	stop Codeine, start MS Contain l0 mg bd and Paracetamol 1g qid
C.	stop Codeine, start MS Contain 20 mg bd and Paracetamol 1g qid
D.	stop Codeine, start MS Contain l0 mg bd and Panadeine ii qid
E.	nerve block is now indicated
Answer» B. stop Codeine, start MS Contain l0 mg bd and Paracetamol 1g qid

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Patient with metastatic bowel cancer is taking Codeine 30 mg q4h without adequate analgesia. What is the most appropriate therapy?

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