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Portland, OR
A 61-year-old female asked:

How is it best to transition from tramadol to ms contin (morphine) ? is it necessary to wean down on tramadol before starting ms contin (morphine) ? i fear pain escalation

1 doctor answer3 doctors weighed in
Dr. Alan Wartenberg
A Verified Doctoranswered
Addiction Medicine 50 years experience
Ask your doctor: Generally, a trial of short-acting opiate drugs is appropriate, together with non-opiate drug treatment and non-pharmacological treatment. If your doctor is not expert in helping you taper the tramadol (which should be done first, since they may interact with poor results), and in starting long-acting morphine, you should get consultation from a pain physician who is expert. A taper can be rapid.
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Last updated Nov 30, 2012

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