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  • Morphine sulphate makes me hungry

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    Old 05-02-2018, 05:20 PM   #1
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    Morphine sulphate makes me hungry

    Ive been on ms for 5 years and before the accident i was healthy (this is the reason i take ms) i maintained my healthy eating for 2 years while on morphine but i find it a struggle i crave sweets,i have the feeling of hunger constantly yet i dont pass any stools for upto 4 days somtimes a week,morphine solphate to is like having redbull on a constant drip it keeps me wide awake i sleep less than 4 hrs aday sure this cant be good and yet my doctor has no concern

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    Old 05-04-2018, 05:30 AM   #2
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    Re: Morphine sulphate makes me hungry

    Sorry you are struggling. I would continue to try to communicate with your doctor about your concerns. Have you specifically asked to be switched to something else? There are several other options. Morphine is often poorly tolerated, although sedation is more common than stimulation (but not unheard of - some get opposite reactions).

    If your doctor does not listen and appropriately respond to your concerns, you should consider looking for a new one. The important things are to not sign any opioid contract or accept any scripts from a new doctor until you cut ties with you current doctor (as to not be labeled as doctor shopping), and to not cut ties with your current doctor until you find a new doctor (as this can be a time consuming process).

    You want to wait until you have had a good initial consult with a new pain doc and they have agreed to take over prescribing for you at the next appointment; once you have that appointment made, you can cut ties with your old doc (ideally in person, otherwise certified mail isn't a bad idea). Doctors rarely prescribe on the first visit as they want to get the results of a UA (to confirm what you are taking).

    Often pain docs have a long wait for initial consults (if they are even accepting new patients), and often the first doctor tried isn't a good fit. You want a doctor who is said to use "medical management" of pain (which is medications), not only "interventional management" (which is interventions, ie. injections). Sometimes their website discusses what methods they use, so if you are wanting a doctor to continue prescribing, you'd want to avoid doctors who say they don't offer opioids (which is unfortunately becoming more common).

    I'd also encourage you to seek out a gastroenterologist (stomach issue specialist) for your opioid-induced constipation. This is very common. Most of us on daily opioids need to take one or more medications daily for OIC. There are even prescription options available. If you regularly have this issue, then it is important to be taking something daily, before you have a bigger problem.

    Often the first thing tried is Miralax, which is available otc (its a powder you mix with any liquid). Doses are widely variable, so it is often recommended to start with 1/4 to 1/2 of a capfull instead of a full capfull, then increasing after a few days if there are no results. Some folks need only a small dose, while others take multiple capfulls. My gastro doc told me with opioid-induced constipation I should avoid fiber supplements and stimulant laxatives. I also take Senna (otc) and Linzess (rx) in addition to the Miralax, but I have other gastro issues too. The OIC slows down my system so much that I have an overgrowth of bacteria in my small intestine (its called small intestinal bacterial overgrowth), which causes other symptoms. Best wishes.
    constant headache since 2006

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