鈥?Use 25-50% lower dose for opioid-naive patients 鈥?Reduce 25-50% for incomplete cross-tolerance 鈥?Always use equianalgesic table for verification 鈥?Consult pain specialist for complex cases
📚 Evidence & GuidelinesClass I Recommendation
★★★★★(2001)
Citation: Mercadante S. Opioid rotation for cancer pain: rationale and clinical aspects. Cancer. 1999;86(9):1856-1866.