Anaesthesia and pain
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Using gabapentin or pregabalin during breastfeeding
11 February 2026Gabapentin or pregabalin can be used while breastfeeding with infant monitoring; gabapentin is preferred. Recommendations apply to full term, healthy infants.
Pain: treatment during pregnancy
3 April 2025A summary of pharmacological options commonly used to treat pain in primary care.
Switching between morphine and other opioids in palliative care
1 April 2025Switching between oral morphine and other oral opioids requires care and thoughtful application of a stepped process.
Using paracetamol during breastfeeding
11 October 2024Paracetamol is one of the analgesics of choice for treating mild to moderate pain during breastfeeding. Recommendations apply to full term and healthy infants.
Using NSAIDS during breastfeeding
3 April 2024Ibuprofen or diclofenac are the non-steroidal anti-inflammatory drugs (NSAID) of choice. Recommendations apply to full term and healthy infants.
Ziconotide: informing intrathecal risk assessment
19 February 2024Ziconotide products vary in their licensed status and other characteristics which affects their suitability for intrathecal administration
Use of nefopam for chronic pain
30 January 2024Nefopam is licensed for chronic pain relief. However, evidence to support use is limited and is not included in national guidelines.
Using strong opioid analgesics during breastfeeding
26 May 2023Morphine is the strong opioid analgesic of choice for treating pain in breastfeeding. Recommendations apply to full term and healthy infants only.