PALLIATIVE CARE SYMPTOM CONTROL GUIDELINES

of morphine which can lead to opioid toxicity. Good Practice when titrating to a strong opioid would be to prescribe small initial doses of morphine as required to account for this possibility. Tramadol is an alternative weak opioid (Step 2). Tramadol 50mg is approximately equivalent to 5mg of oral morphine. See Table 39 for further details. ................
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