A member 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

A doctor has provided 1 answer
Dr. Alan Wartenberg answered

Specializes in Addiction Medicine

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.

Answered Nov 30, 2012

5.5k views

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