A 58-year-old male asked:
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trying to get off opiate pain killers. i have decreased the amount of morphine sulfate that i have been taking. dosages down from 150mgms, to 60mgms in a 7 days. how can i minimize the withdrawell symptoms?

2 doctor answers
Dr. Mary Engrav
30 years experience Emergency Medicine
First : First of all, it sounds like you are doing a good job of gradually tapering down the narcotic medication. As you know, continuous use of opioids leads to physical dependence, and then withdrawal symptoms begin during reduction or cessation of opioids. Symptoms of withdrawal can include diarrhea, runny nose, feeling sweaty, salivating, shivering, nausea, vomiting, feeling like the hairs on your skin are standing up (gooseflesh), and having pain and craving for narcotics. The symptoms can last 7 to 14 days for the average patient. It is important to stay hydrated, patients in acute withdrawal may even need IV fluids. Medications that help nausea and vomiting such as Phenergan (promethazine) or zofran may be useful. Clonidine can help suppress withdrawal symptoms. There are counselors and groups that specialize in treating patients who are trying to reduce or stop taking narcotics. I would recommend that your physician be made aware that you are trying to reduce your narcotic use and that you have a medical evaluation. They may be able to recommend non-narcotic alternatives as well.
Answered on Oct 3, 2016
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Dr. Merrie Anne Hamburg Eylers
27 years experience Anesthesiology
Get help: Do not try to wean yourself from narcotics. See a pain management doctor. There are medications that can help with the withdrawal symptoms and weaning needs to be a slower process.
Answered on May 17, 2014
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Proper pain control: Tylenol and meloxican non narcotic and been shown to give equal pain relief to oxycodone with no addiction potential and can be taken on suboxone
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Withdrawal: It is unlikely that you would experience true physical withdrawal symptoms from waiting somewhat over 8 hours between MS Contin (morphine) doses.
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Variable: This could be variable and depends on duration of therapy and dosages used, along other variables. In general should not take more than a cumple f wee ... Read More
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