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Pain: step 3, major opioids 

Pain: step 3, major opioids
Pain: step 3, major opioids

Richard D.W. Hain

and Satbir Singh Jassal

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date: 23 June 2021

Drugs at step 3 are considered major opioids (or sometimes ‘strong opioids’ or ‘opioids for severe pain’). The choice of drugs available on this step is greater than on any of the others. This chapter examines the general guiding principles behind selecting the appropriate opioid for a situation, covering how to choose dosage and route. Both morphine and alternative non-morphine opioids are considered.

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