Primary Care & Specialist Prescribing Guidelines
2.Most experts world-wide advocate a maximum dose of 90 mg oral morphine equivalents daily (MED) to decrease the risk of overdose and opioid-induced hyperalgesia. This does not mean doses should be escalated to this point in all patients. Many are well-controlled at lower doses. PHC recommends this 90 mg MED limit be used as a community standard. ................
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