10th January 2024

A 72-year-old man with prostate cancer suffers with bone pain from metastatic disease

A 72-year-old man with prostate cancer suffers with bone pain from metastatic disease. His pain level is usually 2/10, which he is content with, taking 15mg morphine MR twice daily. He takes 5mg immediate-release morphine as required. His pain has been worse over the last few weeks and is now at a constant 7/10. Taking his breakthrough analgesia three times daily brings this down to 4/10. He has come to the clinic to try to improve his pain control.

How would you change his treatment?

Select the SINGLE most appropriate option from the list below. Select ONE option only.