Table 2: Major indications for opioid rotation in cancer patients

Indications

Frequency (%)

Difficult control pain

135 (53.6)

History of substance abuse

13 (5.2)

High dose (MEDD)

10 (4.0)

Clinical status

  • Erratic opioid use

 

16 (6.3)

Adverse effects

5 (2.0)

Practical considerations

  • Cost

 

26 (10.3)

MEDD: Oral morphine equivalent daily dose.