Opioid Naive:
Palexia SR 50mg bd
Patients stepping up from weak opioids.
Codeine <360, <400mg- day
Palexia 50mg bd
If > than 400mg
Palexia 100mg bd
Lower dose if renal or hepatic impairment
Titrate up an extra 50mg bd, can do this every 2 days.
Opioid Naive:
Palexia SR 50mg bd
Patients stepping up from weak opioids.
Codeine <360, <400mg- day
Palexia 50mg bd
If > than 400mg
Palexia 100mg bd
Lower dose if renal or hepatic impairment
Titrate up an extra 50mg bd, can do this every 2 days.