Patients with mild to moderate pain should take:
- a non-opioid analgesic, such as paracetamol, or a non steroid anti-inflammatory drug (NSAD)
- adjuvant drugs, if there is indication
Group 2
Patients with moderate to severe pain (or group 1 patients who have not achieved sufficient analgesia) should take:
- an opioid commonly used in moderate pain (usually codein or tramadole)
- a non-opioid analgesic, such as paracetamol, or a non steroid anti-inflammatory drug (NSAD)
- adjuvant drugs, if there is indication
Group 3
Patients with severe pain (or group 2 patients who have not achieved sufficient analgesia) should take:
- an opioid commonly used in severe pain, such as morphin, methadone, phentanyl
a non-opioid analgesic, in some cases.
Adjuvant drugs
- antidepressants
- antiepileptics
- local anaesthetics
- clonidine
- NMDA antagonists
- corticosteroids