Treatment Protocol

Paracetamol 1 g every 6 hours OR Ibuprofen 400 mg every 8 hours.

Add Weak Opioid: Codeine 30-60 mg every 4 hours OR Tramadol 50-100 mg every 6 hours.

Strong Opioid: Morphine (liquid/tablet) starting at 2.5-5 mg every 4 hours. Titrate dose by 30-50% if pain not controlled.

Amitriptyline 12.5-25 mg nocte (max 75 mg).

Diazepam 5-20 mg nocte.