1st February 2025

A 75-year-old man with a background of lung cancer with metastases to the bone and liver is reviewed on the ward due to pain

A 75-year-old man with a background of lung cancer with metastases to the bone and liver is reviewed on the ward due to pain. He has pain in his shoulder and hips that is worse on movement. He has been taking paracetamol and codeine 60 mg 4 times a day. The pain remains uncontrolled. He lives alone and manages his ADLs and his renal function is normal. What is the appropriate dose of morphine to start him on?

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