• Cancer pain
    • Consider the cause
      • Fix fractures
      • Palliative CXT/RXT
      • Surgery for bowel obstruction
      • Spinal stabilisation
      • ABx for infections
      • Nerve blocks ?
      • Epidurals ?
      • Neuromodulation ?
    • Pharmacotherapy
      • Consider routes of administration
        • S/L
        • Oral
        • S/C
        • Intrathecal
        • Buccal
        • Nasal
      • Most can be managed with optimal opiate prescribing
      • The WHO ladder still holds true
        • Paracetamol
        • NSAIDS
    • Adjuvants
      • Amitriptylline
      • Venlafaxine
      • Gabapentin
      • Ketamine
      • Cannabinoids
      • Steroids
    • Opiates
      • Most patients are on sustained release preparations
      • Immediate release opiates are prescribed for breakthrough (eg oramorph, oxynorm)
    • CEACCP
      Link:ceaccp.oxfordjournals.org/content/5/6/203.full.pdf
    • CEACCP
      Link:ceaccp.oxfordjournals.org/content/early/2014/02/19/bjaceaccp.mkt070.full.pdf