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The list includes oral paracetamol and codeine, as well as intravenous morphine – with the note “assuming renal function is OK” – but GP leaders said this should only happen with proper monitoring.

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Dr Andrew Green, who leads on GP clinical issues for the British Medical Association, said that administering morphine in frail older people “should only be done with full facilities for continuous observation and respiratory support should it be required.

Please only use the emergency services when it is obvious that you or another person has a life-threatening illness or injury that needs immediate assistance.” NHS England and the Department of Health had no additional comment.

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