Doctor insights on:
Morphine Better Oxycontin
Avinza (morphine): Avinza (morphine) is long acting and once day. Hence it is better as you do not have peaks and troughs. Oxycontin is touted as being designed as q 12 hrs but it usually ends up as a q 8hrs or even a q 6 hrs. It is highly addictive for this reason. This is due to an immediate 30% release portion in each tablet so you get a boost every time you take it - not good for a long acting medication. ...Read moreSee 1 more doctor answer
Oxyneo/oxycontin for around-the-clock, ms*ir morphine for breakthrough - is this a safe combination?
I am currently taking oxynorm capsules in hospital and they are suggesting I go onto slow release oxycontin but I don't know if it will suit me as I struggle with morphine?
It may be OK.: Oxycodone is available in a long acting form called oxycontin. In that form the oxycodone is released over a period of time- between 8 and 12 hours- for most patients i see it is 8 hours. Oxycodone is also available in immediate release form which generally lasts for 4 hours. So an immediate release 15 mgm tablet every 4 hours would generally be equal to Oxycontin 30 mgm every 8 hours. ...Read more
OxyContin: Oc (extended release oxycodone) is stonger by a factor of almost twice-that is 15 mg of oc is about equal to 30 mg of MS contin (extended release morphine sulphate). But there is a lot of variability between individuals. Oc seems to be more energizing for some patients and as a result there is more "liking" which is independent of the pain relief. That may explain why there seems to be more abuse. ...Read moreSee 1 more doctor answer
No: It's the other way around - oxycodone is 3 to 5 times more potent than morphine, but in equipotent doses, they have the equivalent effect. "strength" is not a characteristic that means better or worse, it's the size of the pill or the shot. When drugs are given in equivalent doses, they work about the same, although there are individual differences in side effects and other characteristics. ...Read more
I have chiari type i, surgery soon. Percoset 10mgx4/day wasn't enough. Insurance denied oxycontin. Now trying morphine ER 15mgx2day, but not enough. ?
Underdosed: If 40 mg of Percocet was not enough then a starting dose of MS contin (morphine) of 30 mg per day is way to low. A proper conversion (equal analgesic dose) would be 60 mg of MS contin (morphine). Even that may be low, but your doctor could then titrate your dose up. ...Read moreSee 1 more doctor answer
Expired morphine: In general expired medications still do work. In the real world (everything else but the usa) especially africa expired medications are used. As long as they are not expired by more than 12 mo. In the usa the fda and the lawyers will be after us if an expired med was given and you had a problem. ...Read more
Morphine dosage: That depends. If you have been on opiates - lortab, percocet, ect. I may be perfectly safe as long as it's given in divided doses - say three times a day where it totals 80mg. For someone who never takes opiates, to take 80 mg of morphine all at once could kill them by supressing respiration. This effect is amplified by alcohol, benzos and medicines like soma (carisoprodol). ...Read more
Continuous infusion: A morphine drip is a continuous morphine intravenous infusion. Pain medications such as morphine can be administered as an infusion to help with constant pain. In some cases, a patient controlled administraion infusion (PCA) system is used whereby you can safely administer yourself an extra dose when needed for severe pain. ...Read more
Morphine is a: controlled substance because it is highly addictive. All controlled addictive substances are dangerous for your health and must be used with caution under a doctor's supervision. ...Read more
Morphine: Narcotic analgesics are the most efficacious agents available for relief of pain. Morphine is "strong" or "major" narcotic analgesic which is indicated for moderate to severe pain. Because of concerns about tolerance, physical dependence and addiction, many health professionals are still reluctant to prescribe opioids for chronic pain. Rec.: talk to your pcp for more information. ...Read more