Take multiple factors into account when choosing the best opioid for pain therapy in paediatric palliative care

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Many children receiving palliative care require opioid treatment for pain. The choice of opioid should be based on scientific evidence, pain pathophysiology, and available administration modes, with doses calculated on the basis of weight up to a maximum starting dose. Morphine remains the gold standard starting opioid in paediatric palliative care; however, other opioids may also be used as long-term therapy and/or to treat breakthrough pain

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