Table 18

Summary of current cancer-related symptom management guidelines in relation to common symptoms seen in MPM

SymptomManagementReference literature
BreathlessnessPleural fluid controlSee ‘Pleural fluid management’ section
Sustained release morphine234 235
Breathing control and use of fans236–239
PainOpioids240 241
Amitriptyline, duloxetine, gabapentin or pregabalin for neuropathic pain242 243
Radiotherapy for refractory localised painSee ‘Radiotherapy’ section
FatigueAerobic exercise244
AnorexiaMegestrol acetate245