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SUBCUTANEOUS MORPHINE: BREAKTHROUGH PAIN, INCIDENT PAIN AND ADJUSTMENT OF DOSE

Breakthrough pain is treated with extra doses of SC morphine. This may be done by increasing the syringe driver rate, using the 'boost' button available on some syringe drivers which allows the delivery of a small extra dose, on demand, or by giving a separate SC or IM injection

Incident pain-Incident pain is pain which occurs only in certain circumstances, such as with particular movements or on standing. Incident pain is treated in the same way as breakthrough pain. If the incident pain can be predicted, the additional treatment can be given prophylactically, 20 or 30 minutes earlier, to lessen or prevent the pain.

Adjustment of dose-If breakthrough pain occurs regularly or frequently, the next 24 hour dose is adjusted accordingly.

• The correct dose of morphine is that which controls the pain whilst causing tolerable side effects, titrated for each individual patient.

*45\55\2*

Pain Relief/Muscle Relaxers