January 18th 2021

It is generally accepted that the management of symptoms in palliative care must involve appropriate polypharmacy. We are comfortable with using more than one medicine to help with one symptom provided the mechanisms of action are different and complementary – for example morphine plus gabapentin for pain with neuropathic characteristics. At the same time, we…

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March 30th 2020

Presentations at national conferences and courses can have a lasting influence on symptom management. Following a talk at one of the ‘Oxford’ courses(1), an increasing number of prescribers are now using ranitidine to reduce the secretions which make inoperable bowel obstruction such a challenging condition. Treatment in the past would often involve insertion of a nasogastric tube…

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