MORPHINE, NEED ADVICE,APREHENSIVE

Discussion in 'Fibromyalgia Main Forum' started by granmama, Jan 5, 2003.

  1. granmama

    granmama New Member

    Anyone taken morphine for their pain? I know it is hard to get a doc to prescribe it, but my doc is obliging. Kinda scared to take it, would really like others input.

    I will be on Kadian, 60mg.

    thanks,
    granmama
  2. pearls

    pearls New Member

    My pain doctor told me morphine will work very well, as will methadone. They are also both inexpensive. The only drawback, he said, was that doctors in the emergency room might think a user of either of these drugs was an addict. Since my insurance right now is good, he put me on oxycontin.

    I'm told the medical literature supports using narcotics for chronic pain. It seems that people who use these drugs for pain rarely become addicts. Addicts become addicts. Control is pain used to be considered not necessary because it was thought that people didin't die from pain and doctors worried about addiction. Many still do, but pain management specialists now try to do what they can for pain, because unmanaged pain can lead to depression and suicide.

    I'm not well versed on this next part, but my impression is that unmanaged pain also can lead to more actual physical problems. This certainly was the case with me. I kept going downhill - and really looking like it, too - until my pain came under control.

    My philosophy was that I'd take the drugs I needed to get well. I certainly did not want to become an addict, but in the unlikely event that it did happen, I'd cross that bridge later. I told my husband that if I abused my drugs by taking them to get high instead of controlling pain, he had my permission to enroll me into a treatment center. <G>
  3. Shirl

    Shirl New Member

    I don't take meds, but this sounded like a serious one. I checked; Medscape.com and this was the most understanding article that I could find on it. But if you want all the details, I suggest you go read the site.

    This site does not sell anything, it is just information on drugs, interactions, precautions, pharmacology, etc. Some of the material is extreamly techinical.

    I choose the patients information for you, but you are welcome to go check out the rest for yourself if you can understand it all.

    Hope this helps, and by all means be careful with anything in this family of drugs. It is dangerous to some degree. If you have young children in your home, be very sure you keep it out of their reach.

    Shalom, Shirl





    ------------------------------------------------------------

    KADIAN ORAL

    Patient Handout


    MORPHINE SUSTAINED ACTION CAPSULE - ORAL

    The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

    Common Brand Name(s):
    Kadian


    Uses
    This medication is used to relieve moderate to severe pain.



    How to Take this Medication
    To prevent upset stomach, take with food or milk. Swallow capsules whole. Do not chew or crush them. If you have difficulty swallowing the capsules, they may be opened and their entire contents sprinkled on a small amount of applesauce. Swallow this mixture whole. Do not chew the mixture, as serious side effects could result. Pain medications work best in preventing pain before it occurs. Once the pain becomes intense, the medication is not as effective in relieving it. Use this medication exactly as directed by your doctor. Do not increase your dose, use it more frequently or use it for a longer period of time than prescribed because this drug can be habit-forming. Also, if used for an extended period, do not suddenly stop using this drug without your doctor's approval. Over time, this drug may not work as well. Consult your doctor if this medication is not relieving the pain sufficiently.



    Side Effects
    May cause constipation, lightheadedness, dizziness, drowsiness, stomach upset, nausea, and flushing the first few days as your body adjusts to the medication. If these symptoms persist or become bothersome, inform your doctor. Notify your doctor if you develop: irregular heartbeats, anxiety, tremors, seizures. In the unlikely event you have an allergic reaction to this drug, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.



    Precautions
    Tell your doctor your medical history, especially of: kidney or liver disease, breathing problems, alcohol and/or substance abuse, colitis or other intestinal/stomach problems, severe diarrhea, head injury, heart problems, drug allergies. Use caution when engaging in activities requiring alertness such as driving. Limit alcohol intake because it may add to the dizziness/drowsiness effects of this medication. Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug. This medication should be used during pregnancy only when clearly needed. Discuss the risks and benefits with your doctor. This medication is excreted into breast milk. Though to date, no problems have been noted in nursing infants, consult your doctor before breast-feeding.



    Interactions
    Tell your doctor of all drugs you are taking both prescription and nonprescription, especially of: alcohol- containing medicines, tranquilizers, antidepressants, anti-seizure medications, naltrexone, zidovudine, MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), cimetidine, buprenorphine. Do not start or stop any medicine without doctor or pharmacist approval.



    Overdose
    If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, deep sleep, and loss of consciousness.

    Notes
    To prevent constipation increase your intake of fiber, drink plenty of water and exercise. Stool softeners may be helpful. Do not allow anyone else to take your medication: it is against the law.

    Missed Dose
    If you miss a dose, take as soon as remembered; do not take if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

    Storage
    Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom.



  4. deer4angels

    deer4angels New Member

    Ironically my oldest boy (13) was doing a school paper on drug addiction the day I came home with opoid based patch. It gave my family some quality family time to discuss my multiple medications and the new medication was just another tool for my "medical toolbox". Just like the exercise bike that sticks out in the way. I also take celebrix, vicodin, flexerile,prilosec,aspirin, neurontin, sometimes prednisone and liquid lidocaine. I was weaned slowly off my estrogen to give my body a chance to adjust and I expect the same results with the opiod patch. I still have break through pain which is when I increase other pain meds. My pain is intense enough that I don't get buzzed or high. The biggest pysical side effects has been the increased constipation and trying to get the adhesive off my skin. Its more motivation for me to increase my water and eat more oatmeal LOL.

    [This Message was Edited on 01/06/2003]
  5. Mikie

    Mikie Moderator

    In the beginning, when my pain was so great, the pain specialist gave me Morphine. I tried the Kadian time release Morphine and it was too strong and kept me down for about 30 hours. I changed to the short-acting stuff and it works great. I seldom ever take it anymore, but when I need it, it still works great. Morphine is an opiod and one doesn't rapidly build a tolerance to it. I never got high on it; my understanding is that people with chronic pain do not and rarely get addicted.

    I believe that narcotics should be looked at as a temporary situation until other treatments, like physical therapy, magnesium and malic acid, and Gauifenesin kick in. Using Klonopin for sleep will help your pain too. The ZMA sold here is wonderful for sleep and muscle repair. It is safe to use with narcotics and benzodiazapans. In fact, it seems to enhance their performance.

    Love, Mikie
  6. granmama

    granmama New Member

    What mg. of Kadian were you taking that zapped you for 30 hours?
    I've been prescribed 60mg and I know that it comes in lesser mgs.
    I'm taking my first pill tonight as I am in alot of pain, having rib,back,hip pain today. Kinda scary though because I'll be here alone, hubby doesn't get off shift till tomorrow evening. My daughter lives 3 doors down so I'll have her come and let the dog out and check to make sure I'm still breathing!

    I also contacted the pharmacist and she researched any adverse reactions and she mentioned the Zoloft that it might enhance the sedation effect of Kadian. But since I have been on it a few years now, it might not. She said she could not find anything on anti-seizure med (Klonopin). I might skip the klonopin tonight with taking this new drug, I'm not sure yet. Heck, if this stuff doesn't work, or is too strong...I'm going back to primary and start all over again.


    thanks for all replies,
    granmama

    [This Message was Edited on 01/06/2003]
  7. Nana2Andromeda

    Nana2Andromeda New Member

    The new medication I am on is call AVINZA and it is a extended release morphine pain pill.
    I take 90 mg when I need it, but I only have to take one a day.
    I did read up on my medication befor I started taking it. The FDA just approved this one 2 years ago.

    Take Care....
    Donna
  8. jojojem

    jojojem New Member

    I was just put on thirty milgrams of morphine for my pain.I
    am supposedto take it twice a day.But I'm on my third day
    and this is just my opion,I'have been on oxcontin for 2 years also with neurotin,zanaflex and 1mg zanix.Well so far I m'going to back on oxycontin plus the other medicine I have ementioned.My original teeth are coming out left and
    right,the nerves are bing exposed some how.It is excruating
    pain.I already have false on the top but i don't think i will make it with a plate on the bottom.
    I wish you the best on it\\\\]]]]]]]]]]]]]]]]]]]]].
    e-mail if you want more info e-mail me at dkluver @
  9. Mikie

    Mikie Moderator

    My Kadian was 20 mgs. and the dose was one capsule per day. My MSIR (fast acting Morphine) is 15 mgs. and I can take a pill every 8 hours. Most people with chronic pain do not become psychologically addicted to opiods (less than 1 percent). I never built a tolerance to the medication. This low dose continues to work for me to this day and I have never had to have it increased. I believe in starting out slowly. No need to overmedicate.

    Love, Mikie
  10. granmama

    granmama New Member

    The past 24 hours have been really hard. This morphine, Kadian 60mg, is too much for me. I have depended on phenagran to get me through the day. I also have been in bed all day.
    I feel like I'm throwing money away on these co-pays, having to get different scripts for different dosages, just to find the right one, assuming that would happen.
    I'm really confused. I'm not going to take it tonight. I know I said my goal was 1 week, but I don't think I can handle one week.

    Mikie, I like the idea of a fast working med. That is what I had expected, like getting an injection at the hospital to stop the pain, not to wait hours for relief.
    I didn't sleep last night and I could feel the morphine having a stronger effect as time went on.

    granmama hugs,
    granmama




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