Doctor insights on:
Nucynta Morphine Equivalent
If allergic to oxycodone, hydrocodone, morphine, codeine, & butrans & nucynta (tapentadol) do not work for pain, what alternatives are there? Demerol? Dillaudid?
Depends: On many factors, including whether morphine is given by injection or by mouth, or whether in a long-acting or immediate-release short-acting form. In general, by mouth they are equipotent - 5 mg hydrocodone is equivalent to 5 mg morphine. If given by injection, it is about 1.7 mg morphine (about 3 times more potent) to 5 mg. Also depends onhow well liver and kidneys are working in some cases. ...Read more
Intractable pain, scs implanted, high morphine equivalent for survival. Severe constipation. Switched to relistor (methylnaltrexone). Worked 3 times, now 7 days can't go. Was on 12 osmoprep, 2 miralax & 3 colace. What now?
Constipation: You need to seek out the md who manages your scs. It needs to be adjusted. Also morphine may need to be changed to a different drug. Your body may not have the same response to fentanyl or oxycontin. You have to drink at least 8 glasses of water a day and eat foods high in fiber. In addition to the colace and MiraLAX (polyethylene glycol) the medicines are not substitutes for diet they are in addition. ...Read more
When switching from 50mcg (every 72 hours) fentanyl patch to morphine sulfate er. - what dosage is equivalent? Roughly. Thank you :)
One of the known side effect of narcotics, including morphine, is bladder dysfunction or urinary retention.
The mechanism of urinary retention is still not completely understood. It's more common with morphine given by epidural route, but can happen with intravenous or oral morphine as well.
Please discuss medication change with your doctor if you continues to experience urinary retention. ...Read more
My friend thought it would be funny to take morphine. I don't what's going on with me I feel so strange. Please help?
I actually have saringomyelia and so far my doctors are only able to give me drugs, taking morphine 160 mg p/day but not helping as much as use to. What should I expect from here on??? I haven't talked to anyone that has had it as long as I. I've had it
Syringomyelia: Many times pain from your condition is caused by damaged nerves. Narcotic medications are not very effective for that kind of pain, especially if you've been on them for a while. Other medicines like gabapentin or nortriptyline may be helpful in decreasing pain. They can make you tired initially, but usually that feeling goes away. ...Read more
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
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
No: Any medication that is out of date should not be used. First of all we don't know whether it will work or not and secondly its affect on body might be unpredictable, might get more adverse affects etc. ...Read more
Not for humans: Active euthanasia is illegal in most jurisdictions. However, morphine may be administered for terminal sedation or to provide comfort to someone in respiratory distress during the dying process. This is considered ethical even though it may make death come somewhat sooner. ...Read more
Detoxification: Is a therapeutic steps to help you withdraw from using the drug as quickly ; safely as possible. Withdrawal side effects of morphine can range from relatively minor to severe. Methadone is the drug of chose to reduce the craving for morphine. You need to put a lot of effort, but you are not alone. Rec.: see a therapist, joint a support group, get treatment, seek treatment for other comorbidities. ...Read more
Subjective: Narcotics like morphine are helpful for many types of pain - it does not necessarily mean they are the best choices for all subtypes of pain. Thus its difficult say what is exactly is the most powerful pain killer since everyone's response to different pain medications varies as does their exact mix of pain subtypes (i.e. Musculoskeletal pain vs nerve pain). ...Read more
Possibly: The fact that you asked the question is a big clue. However this does not mean you are addicted to morphine. Addiction requires you to involve improper behavior patterns to obtain or maintain your morphine medications, i.e., steal, or involve in illegal activities. You should seek advice from a pain specialist or drug detox center for more info. ...Read more