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Raffaele Giusti: Buprenorphine is Not a First-Line Mandate in Cancer Pain
Aug 27, 2025, 19:21

Raffaele Giusti: Buprenorphine is Not a First-Line Mandate in Cancer Pain

Raffaele Giusti, European Expert at European Medicines Agency, shared JAMA Oncology’s post on X:

“Buprenorphine is not a first-line mandate in cancer pain. No comparative superiority over full µ-agonists; oncology guidance and WHO/EML keep morphine central. Policy should follow evidence – run pragmatic head-to-head trials now.”

Quoting JAMA Oncology’s post about a recent paper by Amy A. Case et al.:

“Viewpoint: As palliative care clinicians, we urge the adoption of buprenorphine as a first-line opioid for cancer pain due to its effectiveness and safety profile.”

Title: Buprenorphine for Cancer Pain—The Safest Opioid, and Patients With Cancer Cannot Get It

Authors: Amy A. Case, Mellar P. Davis, Marcin Chwistek, Ali J. Zarrabi

Read the full article.

Raffaele Giusti

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