Discussions that mention morphine

Pain Management board


The nurse has no clue apparently and appears to not be very well versed in medications and addiction or pain managemetn vs addiction as a whole. A LA is no different in the likelyhood of becoming "addicted" to than a SA (short acting medication.

In all honestly the only difference between the two is the amount of time each medication lasts. For example 10mg of Morphine is NO different than 10 mg of MSC, they both contain the exact same amounts of morphine just one is an instant dosage, the other is over time in smaller amounts, they add up to the same amount (though I think 15mg is the smallest, but just trying to illustrate a point)

The reason for LA choice compared to SA is for one, less medications to take and the other is the amount of the medication stays in your bloodstream or body over a longer period of time giving for the most part somewhat better relief.. It also keeps up the levels within your system.

The key to sucessfull pain reduction is to stop the pain BEFORE it starts, not when it starts and it's been proven that if you wait until your pain level is an 8 instead of a 4 you will in fact get less relief from the exact same medications.

I'll be honest, I've had better pain management with short acting than long acting in some cases, especially after surgery. Thank God for PAM or PCM machines!

Before going on LA meds I was on SA meds for many many years it's just that over time they became less effective and I needed dosing in closer intervals which put me in danger of too high of levels of APAP. I didn't start out on a LA med and I doubt most have after being on a short acting for some period of time and only after it lost it's effectiveness.

The best you can do is try to bear with the program and know it's going to get better. It may not get better with this doctor but it will get better, I promise. I think part of it is that your body is not used to LA medications, you need to build over time, which is why you are getting so sick. You are overly worried, and have a right to do so, but we've all walked in your shoes at one point in our lives so you aren't alone.

I know the short 15 day supply doesn't seem like much right now but consider it a blessing. I am sure he put you on such a small amount to see if you can tolerate it instead of having you waste money on something that may not work for you.

So you see, it's that trial and error thing that keeps coming back. I think most doctors, even the new one you spoke of, would follow some similiar regimine as they all prescribe generally the same medication. In your case however it's not only about your medications but your treatment as a person and that I can say has been terrible!
Your emotional needs and understanding right now is just as important as your physical pain needs, I'm just so sorry that both of them are not being met.

Barb