What is the first-line treatment for mild to moderate cancer pain?

• A. Morphine
• B. Acetaminophen or Ibuprofen
• C. Oxycodone
• D. Gabapentin

Answer: (B)

For mild to moderate cancer pain, the first-line treatment usually involves the use of non-opioid analgesics such as acetaminophen or ibuprofen. These medications are effective for managing pain that is not severe and can help alleviate discomfort without the side effects associated with stronger opioids.

Acetaminophen is a commonly used analgesic that provides relief from pain and reduces fever, while ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that also helps reduce inflammation, which can be an underlying factor in certain types of cancer pain. These medications are often preferred for initial management because they are generally well-tolerated, easily accessible, and can be used in combination with other therapies if the pain escalates.

In contrast, morphine and oxycodone are opioid medications typically reserved for more intense pain or when patients do not adequately respond to non-opioid treatments. Gabapentin, while useful for neuropathic pain or as an adjuvant in certain cases, is not considered a first-line treatment for mild to moderate cancer pain.