Hi Soofy, sorry to hear about your father.

Your father is also on palliative maintenance with Gefitinib 250 Mg. For pain relief, dyclopara is probably no more sufficient, discuss with doctor about Tramadol/Ultramed. You may have to later progress to Paracodeine.

If he finds difficult to swallow, ask doctors about using Fentanyl transdermal (Skin) patch or equivalent to help him with pain. Doctors may need to perform some evaluation before using it. If he has had weight loss, he also needs dietary intervention.

Take care of your father.

Father; 67 yrs; RIP: 2012/05/26

TX:SCC pT2N1M0G2;Glossectomy+SND+CCRT(59.3Gy+6xCis.)[2009]
TX:Nodal Mets; 3xDCF[2011/05/05]
TX: RND + PMMC Flap[2011/07/11]
DX:SCC PNI+ECE
TX:Re-RT 60Gy[2011/09/21]
TX:Gefitinib 250mg[2011/12/18]