The use of opioids in late-stage COPD—Where are we now?

Thomas J. Altree, David C. Currow

Research output: Contribution to journalComment/debate

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Abstract

Key points

The use of regular, low-dose morphine to reduce symptomatic chronic breathlessness was identified in a systematic review and meta-analysis.

Since that meta-analysis, three adequately powered studies have not confirmed its findings in people with moderate to severe chronic breathlessness.

Two of those subsequent studies identified that people with COPD and severe breathlessness (housebound or breathless when dressing or undressing) may derive symptomatic benefits safely.

A short trial (1 week) of regular, low-dose, sustained-release morphine (10 mg/24 h) can be considered in such patients.
Original languageEnglish
Number of pages3
JournalRespirology
DOIs
Publication statusE-pub ahead of print - 7 Oct 2024

Keywords

  • chronic obstructive pulmonary disease
  • COPD
  • meta-analysis

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