Question 1

can u take 45mg morphine & 30mg of methadone as a break through med?

Accepted Answer

Not safe: Methadone is not for break through pain.  Methadone overdose causes more deaths than any other narcotic.  45 mg of morphine is an awful of narcotic.  This does not sound safe at all

Question 2

are morphine tabs more addictive than methadone?

Accepted Answer

Not necessarily.: The peak effect of immediate release morphine and sustained release morphine are different, so, for the addictive personality, the euphoric potential is different.  When compared to methadone, only the sustained release formulation of morphine would theoretically be less addictive.  The chronic use of either medication can lead to tolerance and dependence, both more common than addiction.

Question 3

i was just switched from 30mg morphine er to 10mg methadone. i took the morphine this morning. when do i start the methadone?

Accepted Answer

Pain Control: Depends on what your doctor is trying yo do. If you and your doctor are trying to find medication that better control pain with less of the Narcotic effects or trying to get you off the morphine. 
I would wait till the next day to start the Methadone. Once you start the methadone, it means you do not take the Morphine anymore. Your Doctor will work with you to reach the appropriate dose.

Question 4

are morphine tabs (msir) more addictive than methadone?

Accepted Answer

MS and methadone: I disagree. Both are potent narcotics that can activate the disease of addiction in susceptible patients. The physical withdrawal from Methadone is more prolonged than the withdrawal from morphone but they both can activate addiction. Methadone is used in substitution therapy for other opiate addictions because it gets across the blood-brain barrier more slowly and causes less euphoria & sedation.

Question 5

80 year old taking 30 mg extended release morphine and 10 mg percocet daily could methadone  be prescribed to take the place of both drugs?

Accepted Answer

Opioids: You may want to see a pain management specialist or ask the provider prescribing the medications to assist you with that question.

Question 6

can a urine drug screen tell the difference between morphine and methadone?

Accepted Answer

Yes: Methadone requires a specific test; morphine shows up on the general opioid test and Methadone does not.

Question 7

how effective is methadone in managing neuropathic pain?  it has less side effects than morphine & more effective. thx

Accepted Answer

It's effective: For a brief time then, many patients report loss of efficacy. So where do we go from there? There's actually no solid research to confirm which is universally accepted as showing methadone as unique or superior in pain management for neuropathy when comparing to less potent opioids. Have you truly been tried on every possible medication or cocktail of meds for the neuropathy? Tried BOTOX?

Question 8

medical detox off methadone, morphine, lorazepam 2 get on suboxone how do they keep you comfortable if benzos can't be used?

Accepted Answer

Other meds: Other meds are used for symptomatic relief.  Clonidine for restlessness, Bentyl (dicyclomine) for stomach cramps, Flexeril for muscle cramps, etc.  And you don't have to be in severe withdrawal to transition to suboxone.  You should be in moderate withdrawal.

Question 9

i am on a pain contract with my doctor. i am on methadone and vicodine. will he be able to tell if i have taken morphine? when he tests my urine will he be able to tell that i have taken some morphine?

Accepted Answer

The : The physician-patient relationship is based on a few important principles, the most important of which is probably trust.  Pain management doctors often have the unenviable position of treating their patients with very potent, and therefore very habit forming, medications.  Opioid pain relievers like methadone, morphine, and hydrocodone (found in vicodin) are examples of such medications.

Because they are so potent, they are frequently misused or abused, stolen, traded or sold.  Problems arise because these medications cause sleepiness and stun the part of the brain that keeps us breathing when we are asleep.  These medications also interact with many other prescription drugs, and with recreational drugs including alcohol.  More accidental deaths are caused by these sorts of drugs than by recreational drugs.

Doctors who prescribe these drugs are monitored very closely by agencies including the dea and their state medical boards.  Although they are often not responsible for unwanted outcomes from the use of opioid medications, they are often held professionally and legally accountable for them.

Pain management doctors routinely ask their patients to sign a contract agreeing to take only the medications prescribed by that doctor and only according to the doctor's instructions.  This is done for at least three reasons: 1) to protect the patient's life; 2) to not ruin the system for other patients (such as could happen if the doctor's dea license was suspended); and, 3) to protect the doctor from lawsuits and professional sanctions.

Doctors frequently test their patients to make sure that the contract is being followed.  These days, the test can be very, very accurate and very, very broad.

Question 10

im on 115mg methadone daily,injected 100mg morphine iv, can histamines flood head stay there and cause heart failure?

Accepted Answer

Talk to your doctor : Methadone is a drug that demands respect. It's metabolism can be unpredictable and tricky especially when combined with other medication. Please discuss this with your methadone doctor. The majority of deaths associated with methadone involves its use in combination with other drugs. Please be careful and don't take medication unless discussed with your doctor.

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Doctor answers about:

Methadone and morphine

A member asked:

Can u take 45mg morphine & 30mg of methadone as a break through med?

A member asked:

Are morphine tabs more addictive than methadone?

A member asked:

I was just switched from 30mg morphine er to 10mg methadone. i took the morphine this morning. when do i start the methadone?

A member asked:

Are morphine tabs (msir) more addictive than methadone?

A member asked:

80 year old taking 30 mg extended release morphine and 10 mg percocet daily could methadone be prescribed to take the place of both drugs?

A member asked:

Can a urine drug screen tell the difference between morphine and methadone?

A member asked:

How effective is methadone in managing neuropathic pain? it has less side effects than morphine & more effective. thx

A member asked:

Medical detox off methadone, morphine, lorazepam 2 get on suboxone how do they keep you comfortable if benzos can't be used?

A member asked:

I am on a pain contract with my doctor. i am on methadone and vicodine. will he be able to tell if i have taken morphine? when he tests my urine will he be able to tell that i have taken some morphine?

A member asked:

Im on 115mg methadone daily,injected 100mg morphine iv, can histamines flood head stay there and cause heart failure?

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