On page 42 of the Symptom Management Guidance booklet it says:
Oral morphine sulphate modified release 5 to 10mg twice daily (with concurrent prescription of a laxative).
Titrate by 5 to 10mg b.d. every 7 days until side-effects or a dose of 30mg b.d. is reached.
It should say: the top dose is 30mg per day, not twice daily.
Please cascade this to all people who are in possession of the printed copies of the guideline booklet (including pharmacy) as the governance for the use of the guidelines rests with provider organisations. Apologies for inconvenience caused.
Please note that this guide is also now available as an app:
The app “Palliative Care Symptom Guide by Smashed Crab Studio Ltd” is now available for apple: https://appsto.re/gb/mbkRfb.i
A new version six of this guide is now available, it covers some of the commonest symptoms in cancer and advanced progressive disease. For the first time this version includes a chapter on the specific needs of people with Dementia. The guide has been support by Health Education England and produced by the regional Palliative and End of Life Care Groups of Yorkshire and Humber. They reflect a consensus of opinion from specialists working in the field of palliative medicine in hospitals, hospices and in the community. Please find the guidance here.
join our mailing list
As the 3 Cancer Alliances in Yorkshire & Humber are now well established, with their own communication channels & social media, the Clinical Network has decided to close the Y&H Cancer twitter account. Twitter accounts to now follow are @HCV_STP @WYHpartnership @SYBhealthcare.