Dr Nancy Hutton: Harriet Lane Compassionate Care Team, Johns Hopkins Joan Marston : International Children’s Palliative Care Network
! Published on the WHO website 2012 ! Identify a Research agenda ! Linked E-Learning module on www.icpcn.org.uk
1 st step – non-opioids: Ibuprofen and Paracetemol 2 nd step – opioid eg morphine No universally suitable medication available at present for children under 10 years for a middle step.
Tramadol – not licensed in many countries for under 12 years Codeine – danger of metabolic variation, poor or no pain relief, and toxicity
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