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WHO pain ladder
ESMO
ASCO
NCCN
Any other
Yes, manage myself
Refer to pain specialist
Tramadol
Codeine
Buprenorphine transdermal patches
Morphine oral
Fentanyl transdermal patches
Tramadol/Codeine to Oral Morphine (Stabilization) & then to Buprenorphine/Fentanyl transdermal patches
Tramadol/Codeine to IV Morphine (Stabilization) & then to Buprenorphine/Fentanyl transdermal patches
Traadol/Codeine to Buprenorphine transdermal patches
Tramadol/Codeine to Fentanyl transdermal patches
Tramadol/Codeine to Morphine continuation
Any other approach