Top
30
Doctor insights on: Morphine Allergy Dilaudid

Share
1

1
Is death outcome of morphine allergy?

Is  death outcome of morphine allergy?

Possible: It is unclear if true IgE morphine allergy exist. Narcotics are non specific irritants of mast cells and can cause these allergy cells to release their mediators and cause allergy symptoms. Having said that any medicine when used has the potential to cause untoward reactions and narcotics in particular are very dangerous medications that need to be carefully prescribed and monitored when used ...Read more

Dr. John Chiu
2,638 doctors shared insights

Allergies (Definition)

Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more


2

2
What is a strong painkiller I can take if I have a morphine allergy?

What is a strong painkiller I can take if I have a morphine allergy?

Narcotics: Unfortunately, narcotics act to decrease mast cell threshold such that an itchy rash occurs commonly. This does not usually correspond to a true antibody-mediated allergy. The good news is that morphine does this the most, so some people tolerate other narcotic pain medications such as Fentanyl even if morphine causes hives. An Allergist may be helpful in generating safe and effective options. ...Read more

3

3
What is the definition or description of: Kadian (morphine) allergy?

What is the definition or description of: Kadian (morphine) allergy?

Morphine Allergy: Kadian is an extended-release form of morphine. Serious allergic reactions are not common. Sxs of an anaphylactic rxn could include: hives; difficulty breathing &/or swelling of face, lips, tongue, or throat. ...Read more

4

4
What is the definition or description of: Duramorph (morphine) allergy?

What is the definition or description of: Duramorph (morphine) allergy?

Duramorph allergy: Duramorph (morphine) is an opiate analgesic. Allergic reactions can include difficulty breathing, hives and swelling of face, lips, throat, mouth or tongue. ...Read more

5

5
What is the definition or description of: Astramorph (morphine) allergy?

What is the definition or description of: Astramorph (morphine) allergy?

Not allergy: Since opiates such as morphine directly releases histamine from the body cells, a good % of the people may end up with itching and even hives from it. But this is a chemical and not a truly allergic reaction and is usually dose-dependent. Opiates can cause sedation, stomach upset, and constipation but these are not from being allergic. Thus most if not all reactions are not allergic in nature. ...Read more

6

6
True allergies to morphine, vicodin, nsaids (hives, flushing, rashes.) is dilaudid a safe choice?

True allergies to morphine, vicodin, nsaids (hives, flushing, rashes.) is dilaudid a safe choice?

Unlikely: If you have problem with Opiates (more likely intolerances than allergies), you are more likely to have problem with Dilaudid as well. However there may be exceptions , perhaps starting at a 1/4 of the dose then gradually work the dose up may be helpful if Dilaudid is a drug you really needed. ...Read more

7

7
Is dilaudid the same as morphine? Please advise!

Is dilaudid the same as morphine? Please advise!

No: Dilaudid (also known as hydromorphone) is an opioid pain medication that is a man-made cousin of morphine (which comes from the opium poppy plant). It is much more potent on a milligram per milligram basis. ...Read more

8

8
Morphine ER 15mg and dilaudid 4mg causing unbearable constipation. What works best for this type of ongoing constipation?

Morphine ER 15mg and dilaudid 4mg causing unbearable constipation. What works best for this type of ongoing constipation?

Lots of water : Best of all is drink plenty of fluids, especially water. That is, if you don't have an underlying medical condition that prevents you from drinking too much fluids (dialysis patients, CHF, SIADH) . Walk as it promotes GI motility . Eat a high fiber diet , fruits and vegetables. Take stool softeners and laxatives as needed . ...Read more

9

9
Is morphine or dilaudid stronger?

Potency?: It depends on the amount of each. Dilaudid is more potent on a milligram to milligram basis. ...Read more

10

10
If i'm allergic to dilaudid can I take morphine?

If i'm allergic to dilaudid can I take morphine?

Maybe: Dilaudid and morphine are narcotics, but are different substances. It depends on the reactions you have with morphine. If it is a minor reactions like itchiness, you might be fine taking dilaudid. If it is a major reactions like anaphylactic reaction, you should not take dilaudid. Please talk to your doctor for more guidance. ...Read more

11

11
I been on IV morphine and dilaudid for the past 3 days my last dose of morphine was 2mg at 6am. I'm feeling gas trapped in my shoulders is this normal?

I been on IV morphine and dilaudid for the past 3 days my last dose of morphine was 2mg at 6am. I'm feeling gas trapped in my shoulders is this normal?

Not part's 'normal': Your situation is exceptional. But at least you are in a setting that might be able to provide the level of care you need. Use your buzzer to obtain attention and ask all the questions you have - be respectful but firm. You tell them what's happening and request explanations. Remind them that you'll do better the more accurately you know what's happening. Ask for written info as you may be foggy. ...Read more

12

12
Is dilaudid the first drug of choice to use when someone is allergic to morphine?

Dilaudid: I would not say its the first choice - there are many other choices Dilaudid is just one of the options. ...Read more

14

14
Me and my friend are debating this but is morphine and dilaudid in the same drug class? Im ellerject to morphine so I would think they are different?

Yes, same group: Morphine, the prototype of opioid analgesics, is a full "pure" agonist of the mu receptor and so is dilaudid. ...Read more

15

15
On morphine and dilaudid for 2+ months. Could I have withdrawal symptoms if I wait longer than the 8 hrs to take next MS contin 15mg?

On morphine and dilaudid for 2+ months.  Could I have withdrawal symptoms if I wait longer than the 8 hrs to take next MS contin 15mg?

Yes: You could be experiencing end of dose breakthrough manifested as withdrawal-like symptoms. MS Contin (morphine) or its generics frequently does not have 8 hours duration of relief. Also, Dilaudid for breakthrough pain is extremely short acting. You need to discuss with your doctor. ...Read more

16

16
I have dcdd & migraines. I use dilaudid prn +vistaril but am getting little relief. I am allergic to morphine. Any suggestions for my pain doc?

I have dcdd & migraines. I use dilaudid prn +vistaril but am getting little relief. I am allergic to morphine. Any suggestions for my pain doc?

What sort of reactio: What sort of reaction to morphine have you had. Dilaudid is a close relative to morphine and if you had true allergy to morphine it is unlikely you could take dilaudid. If it was just itching, that is a normal side effect of morphine and can be controlled with oral antihistamines in many patiens. Other reactions such as rash and swelling you will have to take up with your doctor. ...Read more

17

17
Allergic to morphine face swells with rash and feeling of shaking inside was given dilaudid after surgery having the same symptoms could i be allergic?

Allergic to morphine face swells with rash and feeling of shaking inside was given dilaudid after surgery having the same symptoms could i be allergic?

Narcotic allergy: Narcotics are non-specific histamine releasers from mast cells. Histamine release can lead to itching, rash, hives or swelling. Some persons are more sensitive to these medications than others. Some narcotics are better tolerated than others as well.True allergy to these medicines is rare but you should still identify these medications as part of your 'allergies' is asked by a medical care person. ...Read more

18

18
I have hives on my upper arms. I was in the ER about 10 days ago and was given morphine, hydro morphine and dilaudid. Could hives now be from that?

I have hives on my upper arms. I was in the ER about 10 days ago and was given morphine, hydro morphine and dilaudid.  Could hives now be from that?

Hives / urticaria: It sounds like maybe you only received a single dose of those drugs, maybe for a migraine. If you only received those medications once ten days ago, it's NOT likely you would get hives so late from that. Drugs in the narcotic class can cause immediate hives when given, due to direct effects on mast cells, meaning you don't have to be allergic to them. Hives 10d later are likely from another cause. ...Read more

20

20
I havent passed a bowel movement in 5 days is this normal after being on Dilaudid, Zofran, (ondansetron) Percocet and Morphine?

I havent passed a bowel movement in 5 days is this normal after being on Dilaudid, Zofran, (ondansetron) Percocet and Morphine?

It is not normal: Constipation is the most frequent side effect associated with long-term opioid therapy. Dilaudid, Percocet and Morphine are opioids with bowel obstruction, severe constipation as a major side effect.
Magnesium is effective for constipation associated with opioid therapy. Talk to your prescribing physician for medication adjustment. ...Read more

21

21
Why would my primary care doc want to go straight from 60 mg/day of morphine ER to a fentanyl patch instead of dilaudid? P.S. I'm end-stage COPD

Why would my primary care doc want to go straight from 60 mg/day of morphine ER to a fentanyl patch instead of dilaudid? P.S. I'm end-stage COPD

Your: Primary doctor will be in best position to answer the question. My guess is he saw no advantage in switching to dilaudid and or he wanted a longer acting with ease of administration ...Read more

24

24
My friend has cirrhosis of the liver and is in a lot of pain. She has an allergy to morphine. What are her alternatives?

Hives?: Reactions to morphine vary, a number of individuals become itchy or break out in hives from narcotics. If there are no other alternatives, her doctor can give her antihistamines and steroids with it to dampen the reaction. ...Read more

25

25
What is the definition or description of: Morphine sulfate allergy?

What is the definition or description of: Morphine sulfate allergy?

Dear 33-year-old: I keep seeing these questions from you. The definition of a morphine allergy is that you're allergic to morphine. In allergic response is a specific cascade of events that occurs when you've been sensitized to a certain chemical or protein. You can apply this answer to every other question you've asked about the definition of a blank allergy ...Read more

26

26
Codeine allergy need to know. I had itching from morphine but ok so far with tylenol (acetaminophen) 3?

Codeine allergy need to know. I had itching from morphine but ok so far with tylenol (acetaminophen) 3?

Itching w/ narcotics: Itching is a frequent side effect of narcotic medications and is more likely at higher doses. It is not an allergic mechanism. Narcotics bind to the opioid receptor on mast cells causing them to release histamine, and the result is itching and possibly hives. ...Read more

27

27
Would an allergy test for a drug (morphine and derivatives) be something a pcp can do, or is this best left to an allergist?

Neither: The reaction to opiate (nausea, drowsiness, even itching etc) is not from allergy but from an intolerance which cannot be detected by any test . ...Read more

28

28
Which are the chances for my baby to develop my allergies? I'm allergic to several meds such as NSAIDs, morphine, aspirin, dust and some trees.

Which are the chances for my baby to develop my allergies? I'm allergic to several meds such as NSAIDs, morphine, aspirin, dust and some trees.

Genetic allergies: There is a hereditary component to allergies. If one parent has allergies, there is about a 50% chance that their child will also. That increases to about 75% in both parents have allergies. Other factors including environment and diet play a role also. ...Read more

30

30
Heard drug allergies r rare, yet i get hives & occas flushing from nsaids, morphine, antiobios, even benadryl! why is this? Seems unlikely yet happens

Heard drug allergies r rare, yet i get hives & occas flushing from nsaids, morphine, antiobios, even benadryl! why is this? Seems unlikely yet happens

Unlikely is not ever: Unlikely does not mean impossible. It is very possible to have drug allergies. There can be no rhyme or reason but if you are allergic to these things you cannot use them safely. ...Read more

Morphine (Definition)

Morphine is an opioid pain medication. An opioid is sometimes called a narcotic. Morphine is used to treat moderate to severe pain. Short-acting forumations are taken as needed for pain. Extended-release morphine is for use when around-the-clock ...Read more