A male asked:
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patient with severe copd, 290mg of sustained released morphine daily plus 5mg oxycodone for breakthrough 3 times daily. patient has been on morphine for 35 plus years would fentanyl patch be a better option?

1 doctor answer
Dr. Matt Wachsman
35 years experience Internal Medicine
Going up on narcotic: is generally not a good idea. That is already getting to be a large dose. People with lung disease need as much breathing as possible and narcoticcs lowers the drive to breath (bad).
Answered on Aug 24, 2017
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1 comment
Dr. William Simon
31 years experience Integrative Medicine
Increasing or changing narcotic doses in COPD can greatly increase risks. Usually better to titrate dosage down to help reset pain receptors
Oct 9, 2015

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