Need Morphine info, SHORE? - Pain Management Message Board

sandollar · 08-12-2007, 09:40 PM

Today I started the Morphine 60mg, and nothing, nada... Does it takes time or what? I'm not sure what to think. Jumping from Lortab 10's to Morphine, I actually thought it would at least take away some of the pain, but it didn't do anything at all. This is so frustrating!!!!!!
Stardust

sherry1 · 08-13-2007, 01:17 AM

Hi Stardust

My doctor put me on liquid Morphine 2 weeks ago.
4 5mg aday and it did nothing.

She said it shows that opiads dont work for me but wasnt really given an alternative.

Best wishes

Shoreline · 08-13-2007, 05:29 AM

Hey Stardust, What version of morphine are you talking ? If it's Avinza where 60 mgs is spread over 24 hours, that would be comperable to 10 mg every 4 hours which is an exteremely low dose. I've seen plenty of conversions that have morphine closer to the strength of hydrocododne mg to mg than any other opiate due to poor oral metabolism.

It takes time to find the right dose but it doesn't build up in your system and work better the 5th day than the 2nd. 60 mgs of MSContin every 8 hours would be much stronger than 60 mgs of avinza every 24 hours, so the version or release sytem makes a big difference.

For Sherry, who's quack determined she wasn't responsive to a whopping 5 mg dose is just nuts. I doubt an opiate naive person would be impressed with 5mgs of oral morphine, it's no stronger than a 5 mg Hydrocodone.

Docs start with the lowest dose posible and a 5 mg dose of oral morphine borders on a plecebo dose it'sso low, Doubling it with a 60 mg avinza isn't that much stronger. Every doc has their own opinion though, and it's tough to change a docs opinon, If prescribing 15 mgs of morphine a day makes a doc uncomfortable, I doubt they have many patients that use opiates at all. The old non responsive to opiates based on the tiniest dose possible, really isn't that convincing. If you claimed not to get any relief from 300-400 mgs of morphine a day, you might consider a diferent med, But 5 mgs 3 times a day? That's just nuts.
Good luck, Dave

jzimmerman · 08-13-2007, 07:09 AM

i actually went from lorcet, to duragesic, them to ms contin 30mg 2x a day. The first time i took it, i became extremely nausea, but nothing some phenergan wouldnt help. I dont know if that was because teh duragesic was still in my system also, or because it was my frist time to take morphine, besides having it in the hospital by IV.....no i can take the morphine, with no problem, but dont really notice any significant pain relief. Works better than the duragesic for sure, but still The lorcet works better, just wears off quicker. Dont know what the deal is, i for some reason have an extremely high tolerance to ALL medications, even though i have never really been on any meds before. Guess because i am a bigger guy. who knows.

sandollar · 08-13-2007, 10:49 AM

Yes, it is Avinza 60mg long acting, one every 24 hours. I have to wait 4 weeks before seeing him again, unless of course if it makes me sick, then he will see me right away.
He seems to favor tiny doses of Methadone (which made me sick) and he favors this 60mg of Avinza.
I was on the Fentynal Patch before (not with him) and it worked, but everytime I mention it he changes the subject. He also won't discuss Lortab either, I was only still on it because I had enough left that he wanted me to use up before putting me on something else. He also seems to worry about the DEA??? if he prescribes to many things to fast.
I had no pain with Meth, but I was terribly sick, my voice deepened and everytime Itried to talk I began to cry and I would ALWAYS Hyperventilate and I had never done that before, so he took me off the meth.
I could get more relief with 3 10mg Lortabs. But I don't have anymore.
The only thing I can think of is either he has to really increase the Avinza or put me on the patch. But I don't know how to ask him.
If I took 3- 10mg Lortabs and it was perfect, how much Avinza would I need???
I just want out of pain, not all drugged up, Right now the back, knee's and Sciatic nerve is so bad, I have a hard time trying to sit on the toilet to pee!

Stardust