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<p>A prospective study was carried out in a convenience sample of consecutive patients admitted to an acute palliative care unit and a home care unit for a period of 1 year. The initial ratio between tapentadol nucynta online other opioids, expressed as oral morphine equivalents was Pain intensity and distress score were recorded until opioid doses were stable. In all, 37 patients were examined; 24 and 13 patients were switched from and to tapentadol, respectively. The most frequent sequences were tapentadol—morphine 18 patients in one direction, and morphine—tapentadol 8 patients in the other direction. Globally, the initial ratio did not change after switching took place.</p>

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