Level 21
Level 23
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Regular paracetamol
first step analgesic
PRN NSAIDs
first step analgesic
Regular NSAIDs
second step analgesic
Weak oral opioid
second step analgesic
PRN morphine
second step analgesic
Regular oral morphine
third step analgesic
Epidural/LA block
alternative third step analgesic
PRN morphine
third step analgesic
NSAIDs
pain due to bony metastases/soft tissue infiltration
NSAIDs
liver capsule pain
TCAs or anticonvulsants
neuropathic pain
Regular stimulant laxative + faecal softener
prescribe if regular opioid
PRN antiemetic
prescribe if regular opioid
