East Sussex - Better Together
NHS

4.7.2 Opioid analgesics

Opioids can provide good analgesia when used for acute and palliative pain, but there is little evidence of benefit in chronic non-malignant pain.
NPSA RRR05 2008: Reducing dosing errors with opiates. All healthcare professionals involved in the prescribing, dispensing, or administration of opioid medications have a responsibility to check the intended dose is safe for the individual patient.
Opioid patches do not feature on the formulary but there is a group of patients in whom their use is justifiable and appropriate e.g. those with intolerable side effects to morphine, dysphagia, poor compliance or poor response to oral medication. Patches are not suitable for management of acute pain. Caution should be exercised in the elderly with regard to the slow onset and long duration of action with the patches. There can be increased absorption with febrile patients or with the use of electric blankets or heat pads.

When used opioid patches should be prescribed by brand

Additional NICE Guidance:

NICE CG140: Palliative care for adults - strong opioids for pain relief

NICE NG61: End of life care for infants, children and young people with life-limiting conditions: planning and management

NICE NG59: Low back pain and sciatica in over 16s: assessment and management

Other useful links and documents:

Controlled Drug except for oral solution 10mg in 5ml

Prescribe modified-release preparations by brand

Zomorph capsules can be opened and the contents sprinkled on soft food or dispersed in water

Pack
56 tablet
Pack
56 tablet
Pack
56 tablet
Pack
60 capsule (6 x 10 capsules)
Pack
60 capsule (6 x 10 capsules)
Pack
60 capsule (6 x 10 capsules)
Pack
60 capsule (6 x 10 capsules)
Pack
60 capsule (6 x 10 capsules)

Contains alchohol

Pack
100 ml
Pack
5 vial
Pack
5 ampoule

Prescribe modified-release preparations by brand

Pack
56 capsule
Pack
56 capsule
Pack
56 capsule
Pack
28 tablet (2 x 14 tablets)
Pack
56 tablet (4 x 14 tablets)
Pack
56 tablet (4 x 14 tablets)
Pack
56 tablet (4 x 14 tablets)
Pack
56 tablet (4 x 14 tablets)
Pack
120 ml
Pack
5 ampoule

Use with caution with patients with a history of epilepsy

Psychiatric reactions have been reported 

Pack
100 capsule
Pack
60 capsule
Pack
60 tablet
Pack
60 capsule
Pack
60 tablet
Pack
60 capsule
Pack
60 tablet
Pack
60 capsule
  • First Line Drugs
  • Second Line Drugs
  • Specialist Initiated Drugs
  • Specialist Only Drugs
  • Mixed Status