Inclusion Criteria:
- Male or female outpatients aged from 18 to 70 years with cancer chronic pain who
received in the last 4 weeks at least 40 mg of oral morphine or equianalgesic dose of
other opioids. If using adjuvant analgesics, these must be in stable doses in the
last 4 weeks.
Exclusion Criteria:
- Life expectancy bellow 4 months;
- Karnofsky score < 60;
- Hypersensitivity to opioids or patches;
- Acute pain;
- Non cancer pain;
- Increased intracranial pressure;
- Conditions that prevent the patient to understand the study directions and/or give
his consent;
- Neuromuscular disorders with increased risk of respiratory depression;
- Impossibility to receive rescue oral morphine; active infections;
- Fever;
- Pregnancy and nursing;
- Uncontrolled diabetes mellitus or arterial hypertension;
- Need of anticoagulation;
- Need to operate machines or vehicles;
- Important skin disorders;
- History of severe allergic reactions;
- BMI ≥ 35;
- Safety exams outrange;
- Participation in another clinical trial within the last 2 months;
- Investigator´s opinion.