Palliative care

500micrograms/ml injection

Moderate to severe pain in palliative care patients with severe renal impairment or intolerance to other opioids.

Use on specialist advice only.

Palliative care

Neuropathic pain

Palliative care

Constipation

Palliative care

Pain.

Only for use in patients who are unable to take or tolerate oral medicine (including soluble tablets and liquids) OR where use of the low-dose buprenorphine patches may prevent administration problems for frail, elderly patients in the community.

Palliative care

Pain: Anti-inflammatory

Palliative care

To treat neuropathic pain, nausea and agitation.

Palliative care

To treat neuropathic pain, agitation, nausea and hot flushes.

Palliative care

Constipation

Opiod-induced constipation

Palliative care

Nausea and vomiting

Nausea and vomiting in the last days of life

Opioid-induced nausea and vomiting

Palliative care

Bowel obstruction - reduction of tumour oedema associated with bowel obstruction

Breathlessness

Corticosteroids in palliative care - Anorexia, Adjuvant analgesic, Nausea and vomiting associated with chemotherapy, Obstructive syndromes, Raised intracranial pressure, Spinal cord compression

Nausea and vomiting - raised Intracranial Pressure

Palliative care emergencies - SVC obstruction AND Metastatic spinal cord compression

Treatment of site reactions when a trial with alternative diluent has failed.

Palliative care

Seizures

Palliative care

Constipation

Opioid-induced constipation

Palliative care

Nausea and vomiting

Palliative care

Neuropathic pain

Palliative care

(powder for reconstitution) - 40mg vial

Patients for whom parenteral administration of PPI is indicated for symptom control but for whom iv access is not possible.

May not be available from community pharmacies - check supply.

Palliative care

Pain

Palliative care

Buccal tablets 100mcg, 200mcg, 400mcg, 600mcg, 800mcg

Pain.

For other preparations, see section 04.07.02. Buccal tablets are for use in palliative care only.

Pain

For other preparations, see section 04.07.02. Sublingual tablets are for use in palliative care only.

Palliative care

Neuropathic pain

Palliative care

Bowel obstruction - colic associated with bowel obstruction AND GI secretions associated with bowel obstruction

Respiratory tract secretions in the last days of life

Palliative care

For treatment of nausea. 

Only to be used as an alternative to subcutaneous ondansetron when a syringe driver would otherwise need to be set up and there are no other medicines required via a syringe driver. 

Palliative care

Care in the last weeks or days of life - Nausea and vomiting in the last days of life AND Agitation/terminal restlessness in the last days of life

Nausea and vomiting

Opioid-induced nausea and vomiting

Palliative care

Immediate release capsules 1.3mg, 2.6mg
Modified release capsules 2mg, 4mg, 8mg, 16mg, 24mg
Solution for injection for infusion 2mg/ml, 10mg/ml

Opioid rotation in patients with intolerable side effects or inadequate response to other opioids.

Palliative care

Bowel obstruction - colic associated with bowel obstruction AND GI secretions associated with bowel obstruction

Respiratory tract secretions in the last days of life

Palliative care

Respiratory tract secretions in the last days of life

Palltiave care

Pain: Anti-inflammatory

Palliative care

Oral solution 50mg/5ml

Pain.

Palliative care

Constipation

Palliative care

Concentrate for solution for infusion 500mg/5ml

Management for prolonged seizures or status epilepticus in palliative and end of life care.

Palliative care

Care in the last weeks or days of life - Nausea and vomiting in the last days of life AND Agitation/terminal restlessness in the last days of life

Nausea and vomiting

Opioid-induced nausea and vomiting

Palliative care

5% medicated plasters

Complex neuropathic pain.

Palliative care

Injection

 Tablets

Breathlessness

Breathlessness in the last days of life

Palliative care

Tablets 5mg,
Injection 10mg/1mL, liquid 1mg/ml

Pain or cough.

As opioid replacement therapy in patients normally treated using oral methadone for treatment of addiction.

Palliative care

Nausea and vomiting

Opioid-induced nausea and vomiting

Palliative care

Breathlessness

Care in the last weeks or days of life - Breathlessness in the last days of life AND Agitation/terminal restlessness in the last days of life

Palliative care emergencies - Seizures AND Anixolytic following major blood loss

Palliative care 

Breathlessness

Pain in the last weeks or days of life

Breathlessness in the last days of life

Pain

Palliative care

Orodispersible tablets (Actimorph) 1mg, 2.5mg, 5mg, 10mg, 20mg, 30mg

Palliative care

Please note, some medicines may precipitate with this diluent, always check compatibility.

Palliative care

Opioid induced constipation.

Palliative care

Opioid-induced constipation

Palliative care

Pain: Anti-inflammatory

Palliative care

30mg tablets

Palliative care

Bowel obstruction - GI secretions associated with bowel obstruction. 

Palliative care

Tablets, orodispersible tablets, powder for solution for injection

Nausea and vomiting, appetite stimulant.

Palliative care

Bowel obstruction - nausea and vomiting associated with bowel obstruction

Palliative care

Breathlessness in the last days of life (on the advice of a specialist)

Palliative care

Breathlessness

Palliative care

40mg powder for solution for injection

Pain.

Palliative care

Injection 200mg / ml

Third line for patients who fail to respond to combined use of midazolam and anti psychotic (usually levomepromazine) for refractory agitation at the end of life.

Use on specialist advice only.

Palliative care

Neuropathic pain

Palliative care

Nausea and vomiting in the last days of life

Palliative care

Breathlessness

Palliative care

Constipation

Opioid-induced constipation

Palliative care

Breathlessness

Palliative care

For use topically to reduce bleeding of wounds and to be used in a syringe driver to reduce bleeding e.g. upper GI lesions. 

Only to be used on recommendation of specialist palliative care.

Palliative care