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Pain Management board

  1. Meth question for shoreline
    ... take 24/7 you will become dependent on. Whether it's morphine , methadone, OxyContion or Durageisic. To me withdrawal ... someone is going through withdrawal, whether it's morphine , meth, usually what they are presently experienceing ... last nearly as long. The full prescribing info on Morphine says withdrawal symptoms from morphine could last ... you will become dependent. So whether it's meth or morphine or Oxy it really won't matter. Is met worse if it ... bring up your concerns and if you want to try Oxy or a morphine prep first, by all means you should be allowed to ... one of those. The transition ffrom Oxy to meth or morphine to meth is easy, It's the reverse that gets hairy ... . Moving from meth to morphine , oxy or fentanyl is tough because meth is such a unique ... to switch away from. It's binds to receptors that morphine and Oxy don't touch. The steps down are rather large...

  2. Methadone: to do or not ?
    ... Hey Ken, Why not give one of the long acting morphine preps a try before you go to meth if you are this ... concerned. If morphine doesn't work, you know there is a med out there much ... cheaper and 5-10 times stronger than morphine . Personally I think Kadian has the best release ... system, but I have also taken the generic version or Morphine SR 3 times a day and did fine with the Endo Generic ... . MellenKrodt now makes a generic version of LA morphine and I have already heard bad stories about it's quality ... there are at least a dozen manufactures of generic LA morphine . Oramorph also uses a different release than MSContin ... . So you have plenty of choices of LA morphine . If you haven't tried morphine it would make sense ... bucks worth of meth takes about 1400 bucks worth of LA morphine to replace. Of course you wouldn't need that large ... have you discontinued. Have you had to DC OxyC or Morphine or Fentanyl, can you compare your experience with ... discontinued 200-300 mgs of Oxy or 400-600 mgs of morphine cold turkey or on a terible conversion and know that ... 10 mgs of meth was harder than 600 mgs of morphine ? It's kind of like trying to tell someone how much ... It does seem like to ease your own mind, give LA morphine a shot. It comes in strengths from 15mgs up to 200 ... sizes in between.Some last 8 hours some last 12-24. Morphine is certainly more sedating than oxy but all the literature ... the drowsiness went away, My head was very clear on morphine . Sound fair Ken, Give LA morphine a shot? If it...

  3. Life after Diverticulitus
    ... to look at. It is a implantable pump usually with morphine but can be fentanyl as well. - Ken...

  4. question for shoreline?
    ... info. The only difference between meth withdrawal and morphine withdrawal when going cold turkey is how long the...
    ... info. The only difference between meth withdrawal and morphine withdrawal when going cold turkey is how long the...

  5. Advice Needed on Clonazepam
    ... opiates can cause restless leg syndrome particularly morphine and methadone and it's the most effective treatement...

  6. Farmboy, Re: Methadone withdrawal
    ... properties of meth is levor phanol. Meth has properties morphine , Oxy and Fentanyl don't have. So what you experience ... charts you see will tell you meth is roughly equal to morphine in strength, However that only takes into account ... suggest it's between 5 and 10 times stronger than morphine once you factor in the buildup from the long half ... I were to taper off meth as they increased the IT morphine at the same rate your going it would take a year and...
    ... withdrawal going through the transition from meth to IT morphine even though IT meds are 300 times stronger than oral ... to last months. I've DC 120 mgs in cold switches to morphine , to Duragesic and back to morphine and still went ... articles estimate that meth is 5-10 times stronger than morphine and Oxy is stronger than morph. See what I mean about ... experience withdrawal? When I switch from meth to morphine I have always used the same conversion and 600mgs...
    ... the worst experience ever, folks withdrawing from morphine will think morphine is the worst or Valium and Klonopin ... time I was extremely depressed that it took that much morphine and I was still miserable. That's what made me decide ... able to stay at the same dose the entire time I took morphine , a little over a year. MY PM clinic now uses a ... was patented in 72, and MSContion came out in 84. Morphine been around for 300 years so there is no convincing...
    ... day and they added a second pack, but I switched to morphine before I started using the second pack and the next ... little boost from such high levels when I switched to morphine and didn't need the extra. It's an alcohol based topical...

  7. davearnp re:avinza
    ... prescribe it and is it any different than any other la morphine ?...
    ... Avinza is a drug I use, however of the long acting Morphine compounds, I typically prefer Kadian. It's been...
    ... To convert from another brand of oral time released Morphine , the total dose is 1:1. If your taking 180mg q/day...

  8. Any Ideas??
    ... Kadian as MS Contin, as they are both a time released Morphine . The difference is Kadian has a better delivery system...

  9. Need Advise!!!!!!!!!!!!!please
    ... longer acting med like KAdian or Avinza "both are 12-24 morphine preps, there is no question about them lasting 12 ... easier to switch to Kadian or Avinza "longer acting morphine " that will last 12 hours without a doubt. Some folks...

  10. BT meds
    ... are used too. Say your taking OxyContin, MSIR " morphine Instant release," comes in generic 15 and 30 mg tablets ... Capsules. But 100 30mg generic tabs costs about 30 bucks. Morphine isn't quite as strong as oxy but a 15mg MSIR should...

  11. Hey Shore, can I trouble you with another question?
    ... would come up with 60 mgs of oxycodone = 90mgs of morphine . So he's pretty darn close, I don't think they make ... little off so it's all in how you talk to him. But morphine may have been the best drug pain wise for you so you ... may require a higher dose of morphine . Try not to live and die by a chart although he is...
    ... conversion Purdue recomends is .5 when coming from morphine which is much less generous than your doc did. It ... the synthetic opiates rather than the opioids like morphine and codeine as far as stomache and GI symptoms. Take...

  12. Oxy tolerance question
    ... doesn't mean you would rapidly accomadate to a LA morphine product or meth or even Duragesic. There are other ... effects that some of the other opiates have. Although morphine is initially more sedating you do become acommadated ... to have tables that told docs what a lethal dose of morphine or Oxy was when found in the blood stream. But they...
    ... what I did. I was tried on Duragesic, Avinza (24 hr morphine ), Methadone and the morphine pain pump (gonna try...

  13. Whats more effective
    ... Can any of you tell me which seems more effective Morphine or Dilatad (sp) My Dr. gave me morphine but it doesnt...
    ... when given orally. It is considerably stronger than morphine mg to mg, But that's why dialuuadid comes in smaller ... impressive when taken oraly, but works great PCA, Oral morphine , is also the least effective way to take morphine ... Are you talking about a BT med , what strength morphine have you tried? the 15 and 30 mgs pills aren't limited ... have the tolerance to handle that large of a dose of morphine . If you don't, you need to work slowly up in strength...
    ... like crazy. I really dont know what to take. And the morphine only 15 mg knocks me on my Booty, but doesnt relieve...
    ... work better then on your pain. I have tried shots of morphine in the ER and morphine will not touch my HA pain but...
    ... but oxy tends to be less sedating. But if you took morphine more freqwqqqqqqqquently you woul become used to the ... about sedation but it's rarely a reason to discontinue morphine because it does get better after a week of continued ... to guide him is to acurately describe the symptoms morphine cause and the pain you experience. Pain diary's are ... has a longer half life and actually last longer than morphine and diluadid and it's more stimulating. Itching is ... pain or as PRN medication. The conversion from Oxy to morphine is 1:1.5 meanng 15mgs of Oxycodone s 50% stronger ... than morphine plus it'snot as sedating. He has lots of choices...
    ... mean anything. Nor should it. Now... as far as Morphine -vs- Dilaudid. When given at equal doses, Dilaudid ... Inital studies of Dilaudid say it's 8-10x stronger than Morphine , but newer studies are saying it may be as much as ... medicine. What I mean is this. If I give you 10mg of IV Morphine , I'm going to need to give 30mg of MSIR for that to ... Methadone. If, in the end you decide to go with oral Morphine , please let me encourage you to have your practitioner...
    ... of back pain so i decided to be brave and use the morphine . Will first of all it did nothing for the pain. I ... to go in to the Dr. I was told I was intollerent to morphine . The Doc on call gave me Dilauded. It worked stopped ... (which i am convinced were actually caused by the morphine ) I seemed to tollerate it ok. Although nothing helped...

  14. Slipped Disk C5-6
    ... This is after trying many other pain meds and even a morphine pain pump (I am eventually going to try the pain pump ... also been tried on the Duragesic patch, Avinza (24 hr morphine ), Methadone, etc. With the exception of the Methadone...

  15. 3 pain meds???
    ... the doseage changes or the amount of meth and and morphine added. The purpose of combining opiates is to hit ... happy to convert it all into one basic drug "like morphine " that may make his dosage easier to understand. I ... highly functional people in the 1500 -2000 mgs of morphine per day range. I know a Vet that takes 160mgs of methadone...
    ... which is exceptionally hard to deal with. But the morphine , 40 mgs of methadone and Norco or lortab for BT pain ... breaks through your base dose of long acting meds. Morphine is initially more sedating than oxy so he may have ... you a general idea, meth is 5-10 times stronger than morphine when you factor in the very long half life, 30+ hours ... doseage of meth is about 1/5 of mine and I use more BT morphine than he uses long acting. I crushed my spine and...

  16. Thanks from StarfieldJane
    ... less dangerous than snorting the nice clean crushed morphine or putting it in a drink. If aplessauce makes you ... recomend plain or cinnimon or a specific brand to crush morphine into?...
    ... congestive heart failure they won't prescribe much morphine . So, I don't know but I'm going to give it a try....
    ... opiates, injections, ablations, etc. Even had the morphine pain pump implanted but that had to come out. I will ... just wondering though if perhaps even the 30mgs of morphine is enough for you? If you have to rely on breakthru ... with the others that you need to give the increased morphine time and then hopefully you will find great pain relief ... from it. Unfortunately for me oral morphine did not control my pain, even when the dr. put me ... on Avinza (24 hr) morphine . But alot of people seem to like it for pain control...

  17. MSContin advice needed
    ... you dropped the Lortab now your going to take extra morphine and run out of that early. You know they won't fill ... the time release meds is because instead of 15mgs of morphine being released over 8-12 hours what you did was dump ... 30 mgs of morphine into your system imedietely. You quadroupled your ... 4 hours. You will run out and the withdrawal from morphine will be worse than having to do without the Vikes...
    ... Drug-Drug APAP/dichloralphenazone/isometheptene and morphine MONITOR: Central nervous system- and/or respiratory ... Drug-Drug APAP/dichloralphenazone/isometheptene and morphine MONITOR: Central nervous system- and/or respiratory ... Moderate Interaction -- Drug-Drug sertraline and morphine MONITOR: Central nervous system- and/or respiratory ... Moderate Interaction -- Drug-Drug sertraline and morphine MONITOR: Central nervous system- and/or respiratory ... recommended. Moderate Interaction -- Drug-Drug morphine and nortriptyline MONITOR: Central nervous system...
    ... Moderate Interaction -- Drug-Drug morphine and zonisamide MONITOR: Central nervous system ... activities. Moderate Interaction -- Drug-Drug morphine and tramadol GENERALLY AVOID: Tramadol may reinitiate ... depression. Moderate Interaction -- Drug-Drug morphine and nortriptyline MONITOR: Central nervous system ... activities. Moderate Interaction -- Drug-Drug morphine and zonisamide MONITOR: Central nervous system ... activities. Moderate Interaction -- Drug-Drug morphine and tramadol GENERALLY AVOID: Tramadol may reinitiate...

  18. Shore - what can I expect ?
    ... relief from Oxy, I did much better on long acting morphine , Less side effects, better relief, and no problem ... well for pain , it just has more side effects than morphine , for me. My group of docs won't even prescribe ... was nice enough to fund that database. Although morphine is a little more sedating most folks do become accomadated ... that works best, But if you haven't tried any of the morphine products I wouldn't fight it. You ceratinly have a...

  19. Oxycontin dosage strength question
    ... Kadian where twice a day works fine. Kadian is LA morphine 12-24 hours. MSContin or the generic versions of LA ... morphine are usually dosed 3 times a day and that would prevent ... describe the problem if the problem is duration. Morphine is a little more sedatng but you do get used to it ... It's not like your stepping up in drug strength. Morphine is just the gold standard to which others are compared ... . Oxy is actually about 50% stronger mg:mg than Morphine so don't let the mental thing about morphine bother...
    ... patient. Someone that hasn't taken more than 100 mgs of morphine or 75 mgs of Oxy per day. This is the chart Jansen ... cross tolerance. Meaning if your tolerant to a dose of morphine , you would be tolerant to the equal dose of any narcotic ... s supposed to be equivelent in strength, mg:mg to morphine . 10 mgs of oral morphine just wouldn't be an effective ... strong. Most folks have taken Hydro or Oxy or even Morphine or Dilaudid for psost surgical pain. But Fentanyl ... just an entirely diffferent class of opiates than morphine or the other synthetics like Hydro,Oxy ,and Hydromorphone...

  20. Oxycontin vs MScontin
    ... That's great your doing so well on a lesser dose of Morphine . That's why I hate to pass along the equienalgesic ... effective and much cheaper. The newer long acting morphine products are lasting longer. Kadian is a true 12-24 ... seee too many folks giving up on The longer acting morphine prepes because docs are not comfortably properly titrating ... methadone is an opton, and costs about 1/20 of what LA morphine costs and is generally more effective on Neuropathic ... trials that have NMDA blocking agents combined with morphine and Fentanyl.Like Morphidex. There is a Sufentanyl ... physical dependnece and is 1000X more potent than morphine . THe intrathecal pump may be an option down the road ... There really is a lot going on more than just morphine which is 300 years old an Oxy which is 50. Try ... potential for dependence and are much stronger than morphine . And many non opiate methods that can enhance or help ... only other option is meth. If you respond well to Morphine there is no reason they can't keep up with any tolerance ... There are folks that take several thousand mgs of morphine per day very safely with minimal side effects. ...

  21. Question: Oxycodone for anxiety/depression
    ... have made her day better or perhaps some valium or morphine , why feel anything with the drugs we have available ... offers no cure. Give any depressed person a shot of morphine or alcohol and they will feel better , right up untill...
    ... originally developed as a "non-addictive" alternative to morphine for the treatment of respiratory diseases such as...

  22. Shoreline I ask PM Friday
    ... Shoreline I went to get my morphine pump refilled on Friday and I ask PM doctor if the ... morphine or marcaine could be causing the problem with the ... about these problems who understand the working of the morphine pump. Thanks again geifer...

  23. hydromorphone and percocet...Difference???
    ... oral oxycodone converts roughly into 15 mg's of oral morphine . However the conversion rate can vary from person ... but in general oxy is about 50% stronger than oral morphine . Hydromorphone, on the other hand, is the active ... secondary active ingredients. Hydromorphone, like morphine , and unlike oxycodone, is available both orally and ... dromorphone is approximatly six times more potent than oral morphine , and approx. 4-6 times stronger than oxycodone. However...

  24. Pain Management and Addison's Disease
    ... pain management for the last two years. I take 30mg Morphine SR 3 times daily and Morphine 30mg IR 4 times daily ... is that the medical information that comes with the Morphine indicates that it should not be used by individuals...

  25. Time released morphine pills
    ... Oxycodone is OxyContin. There are several Time released morphine preps on the market. The first was MSContin. It releases ... version 3 times a day. Kadian was the first 24 hour morphine to come out about 3 years ago. It's a smooth steady ... understands that a 100 mg Kadian only contains 100mgs of morphine . Spread that over 24 hours and it's something like ... MSIR every 4 hours , which isn't a large dose of oral morphine . Even though Kadian is newer, has a better release ... version of a 24 hour morphne product. A newer 24 hour morphine hit the market last year called Avinza. I really ... comparison between the two. Avinza has an initial burst of morphine that Kadian doesn't but if the goal is to maintain ... it. Oxycodone tends to be more stimulating than morphine and a little stronger mg to mg so don't think you ... stepped up to the big guns because now you are taking morphine . Morphine is just the gold standard to which other ... will give you an idea of how other meds compare to morphine . [url]http://www.globalrph.com/narcotic.htm[/url ... the get go. OxyCodone is actually styronger than morphine , the average conversion is 1:1.5 meaning 20mgs of ... Oxy is equal to 30mgs of morphine. Morphine is more sedating so don't be shocked if you sleep ... alot the first few days. It's very common with morphine and not a reason to discontinue morphine if the only...
    ... L13, What did you read about Avinza being dangerous. Morphine is morphine. Whether it's Kadian, Avinza, MSContin ... to internal organs, Tylenol does more damage than morphine . Yes you will become dependent on morphine after you ... There is nothing positive about addiction and if using morphine improves the quality of life and you can't function ... really need them. Can someone not live without taking morphine around the clock and continue to function or do the ... his patient as long as your physically dependent on morphine . If it's the only thing a patient thinks will work ... people can't really complain about being dependent on morphine . Morphine will work, But If you go directly from ... lortab so he refers you to PM who prescribes long actng morphine because the patient has told the doc they have no ... feeling better everyone over the age of 40 would be on Morphine to feel better and mask the aches and pains of growing ... methods to manage pain have not worked. Long acting morphine isn't something you keep around for a bad day and ... first 2 surgeries ion 93 and 96 and Duragesic and morphine was only used on cancer patients when my pain began ... script. Please cut and paste what you read about morphine being a very dangeropus drug. Honsetly that sounds...
    ... different opiates or use adjunct meds properly. But morphine is not a dangerous drug in the hands of a true chronic ... their docs instructions. If you put that same morphine into the hands of recreational drug user, then yes ... , they can kill themselves by mixing morphine with other CNS depressants and alcohol. I would...
    ... what they're about. As far as the gent with the SR Morphine , I was on it for a short while, didn't really do very...

  26. Methadone Question For Shoreline
    ... of methadone in the country.They also produce bulk morphine , bulk Hydrocodone, and bulk Oxycodone. How each manufacture...
    ... Mellencrodt also recently came out with a version of LA morphine and were happy to anounce their product release and...
    ... the high of other opiates but whether you use meth, morphine OxyC0ontin, hydrocodone on a daily basis you do become ... manage true chronic life changing pain. Diacetel morphine "heroin " is still used as a pain med in the UK and ... dependence than 200 mgs of Oxycontin or 300 mgs of morphine , 300 mgs of Hydrocodone or a 100UGH Fentanyl patch ... opiates. If you need meth than use it, If you need morphine than use it. If you find a cure and that relieves...

  27. "Hi" from an old friend:)
    ... to OxyC??? There are no other choices. Long acting morphine , methadone, Duragegesic, combining opiates, adding...
    ... various other meds for a year: duragesic, avinza, morphine , methadone. Then this year I went back on the oxy...

  28. Shoreline.... oh shoreline....
    ... metabolism, I did read something to that effect about morphine . I have gained 40 pounds since my last surgery. I...

  29. got the "official word" today...
    ... increase your dose. Compliance is compliance whether it's morphine or Zanaflex. Good luck, Dave...

  30. Mepergan fortis??
    ... Dave 300mgs of oral demi is equaL 30 mgs of oral morphine or 20 mgs of oxycodone....
    ... girl, If your allergic to the opium derrivatives like Morphine and Codeine but do OK on Demi, you should also do...

  31. ms contin
    ... titrating and trying to find an effective dose of morphine and still find that it doesn't help with nerve pain ... neuropathic, your more likely to respond better to meth. Morphine is also very sedating so you have to accomadate to ... about meth by prescribing it to you. If you go the morphine route expect initial sedation, people sweat on morphine ... to meth. But you may sleep quite a bit intially on morphine , You also have to let that pass and get used to that...

  32. Help - surgery!
    ... something that will take care of the pain...maybe IV morphine . Lots of things he can use to control the post op...
    ... laminectomy January 26th. Before surgery, I was taking 60mg morphine sulfate two or three times a day and 15mg morphine ... was taking and they just beefed up the amount in the morphine drip. Im pretty sure you'll be on a morphine drip ... lidocaine gets it from the outside. It's nice to be off morphine which didnt kill the pain anyway. Good luck on the...

  33. I have a morphine pump
    ... [FONT=Palatino Linotype]Hi, geifer. I have the morphine pump and do not have any problems with it interfering ... should not interfer with your ability to swallow as the morphine does not travel UP the spine. Have you asked the doctor...
    ... Hi Carol, Do you just have morphine in your pump? I should have said that I also have ... marcane mixed with the morphine . Do you know if the effects of morphine goes thru ... the whole body or not? I know morphine can depress your breathing and can relax your body...
    ... Hi Geifer, Before reducing the morphine and reducing your relief, I would suggest removing ... balance the amount of marcaine with ability to function. Morphine does reduce smooth muscle contractions like your bowels ... that's what causes constipation. But with IT meds morphine doesn't run through your entire system systemicly...

  34. Shore - ??? on switching to Methadone
    ... suggest meth is actually 5-10 times stronger than morphine and if Oxy is only 50% stronger than morph 20 mgs...
    ... months later switched to Kadioan and then generic LA morphine . Then switched back again. Every time I have switched ... unpleaseant I didn't want to simply increase my dose of morphine in hopes of ending the withdrawal. I would have experienced...
    ... will properly taper me down as they increase the IT morphine . I know it needs to be done ,my NP knows it needs...
    ... meth. Nobody would ever know I take 150 mgs plus the morphine . When yourin pain opiates act very diferently then...
    ... went almost 2 years on the same dose, switched to morphine for about a year and then switched right back to my...
    ... wholesaler, meaning they produce bulk meth , bulk morphine , and other bulk active ingredients for sale to other...
    ... researchers think meth is 5-10 times stronger than Morphine . When I swithced from 120mgs of meth I got better ... relief at 600 mgs of morphine which was 5x the dose. Oxy is even stronger than ... morphine so I don't think I would agree that meth is 8-10 times...

  35. Disability for Chronic Pain
    ... Anyone out there with an implanted morphine pump that has rec'd SSD/SSI? I've been told that due...
    ... the Germans in WW II because of the short supply of Morphine . It was first used (and still is) in the US as a...

  36. Contacting Oprah
    ... old script form even for things like Oxycodone and Morphine , etc. 1 of those 4 is California, I used to have to...

  37. bone infection
    ... Always ask what your being givin, I asumed it was more morphine as they had given me morph in the ER, during the hart...

  38. Pump Trial went great and so more stuff for Ken
    ... This time they were doing a single bolus injection of morphine . My last trial was inpatient with a cath placed into ... I took my regular meds as instructed and as the IT morphine wore off it was like that same 100 pound bag started...

  39. PM Appt. - Update as promised
    ... three-day hospital stay where they could increase the morphine at an accelerated pace while in a controlled environment ... also give him and me an indication of whether the morphine will again present the big problem I had with urinary ... retention. I did ask if something else besides morphine could be put in the pump and he said yes, but we're ... don't wholeheartedly agree with that, though. If the morphine should again cause problems, I can't understand why...
    ... Can I make the assumption that you're speaking of a morphine pump? If so, can you provide a little more details ... that I might require a spinal stimulator and/or a morphine pump if the fusion does not alleviate my pain. But ... , my neurosurgeon really talked the morphine pump down, stating that the technology is not where...
    ... difference which I'm so thankful for. Carol, do you have morphine in your pump? If so, did you ever have a problem with ... urinary retention from the morphine ? Just curious cause it seemed to be a real problem ... I guess I should have mentioned mine was about the morphine pump. I had the implant done last year around June ... retention was a hugh problem for me, but it came from the morphine and not the pump. It was proved to me that it was ... the morphine , when they turned the pump off and put me back on ... oral meds. The pump was still in me, but the morphine was not, so that's how I knew it was the morphine ... of info using the search mode here and looking up morphine or pain pump around June, July, August of last year...
    ... dosing of Oxy rather than BID. His statement about morphine and not wanting to use heavy duty drugs doesn't really ... any drug is going to crerate a bigger problem than Morphine , they simply use less of the stronger med in the pump ... delivered daily. Say you go to dilaudid instead of morphine , Dilaudid is about 7 times stronger than morphine ... dilaudid, I don't know why a doc would care if you have morphine , dilaudid, fentanyl, sufentanyl or carfentanyl in ... to deliver as much fenatnyl or dilauadid as it does morphine . He just may not be familiar with titrating the other...

  40. Oxycontin,Pharmacy's,Crime...
    ... closing time and all they wanted was Oxycontin, no Morphine or other Narc's or Benzo's not even money!! Is it ... because it gives a high similiar to morphine but not so sedating, more of a stimulating high? ... oxycodone a more stimulating drug then sedating like morphine . This is getting really bad I read stuff all the time...

  41. shore
    ... tolerance. Meaning if your tolerant to say 100mgs of morphine because you took it for a year, you would also be ... get away from that med. Switch to an equal amount of Morphine and see if the same phenomena occurs with morphine ... Now switching from a synthetic opiate to a drug like morphine your not just changing opiates but your changing the...
    ... hydrocodone, hydromorphone, oxycodone, codeine, or morphine ). Because of their rapid clearance, these drugs must ... hydromorphone, 30 to 60 mg of codeine, or 15 to 30 mg of morphine . The common strategy in treating chronic pain ... Oxycodone is available in an eight- to 12-hr formulation, morphine in both eight- to 12- and 24-hr formulations, and ... individual patient's current physical condition. Morphine . Of the sustained-release opioids, morphine is considered ... significant, however. In comparison to other opioids, morphine generally causes more nausea and pruritus. It also ... transport across the blood-brain barrier. In addition, morphine has several active metabolites whose levels can vary ... meperidine, was specifically designed to substitute for morphine in operative anesthesia. It is lipophilic and therefore ... that its potency is hundreds of times greater than morphine 's. Microgram amounts, administered by a transdermal ... pills. Like fentanyl, however, it is more potent than morphine and is associated with fewer adverse effects. A sustained ... that it has analgesic effects similar to those of morphine but that it has fewer side effects. None of hydromorphone...

  42. dyhydrocodiene??
    ... thank you for your comment to me on the methadone vs morphine thread. I'd like to ask you where you get your drug...

  43. From Oxycontin to MS Contin
    ... twice a day to the generic form of MS Contin, called Morphine SR. This is purely to comply with my insurance to...
    ... insurance going "strictly generic" and am now on the morphine sulfate. It can be done with no problems if converted...
    ... Hi Pblue, The most common conversion from Oxy to morphine is 1:1.5 meaning oxy 1.5 times stronger. Docs tend ... to make adjustments would be 130mgs of generic LA morphine 3 times a day, You may need to add 30-60 mgs to each ... conversion to prevent any withdrawal would 160mgs of morphine 3 times day. If that doesn't manage your pain, they ... make a 200mg generic morphine tablet. 200X3 should certainly do it. You would most ... likely feel much more sedated on morphine initially so give it time at the beginning and at ... sedation does wear off, My head was very clear on morphine . Go figure. . Morphine just causes more sedation where ... won't get relief unless you are given X amount of morphine . Some conversions are 1:1 and some 1:1.5, So you will...
    ... who replied. I finally called the manufacturer of Morphine SR (Purdue Pharma) and they faxed me a very helpful ... sheet on Oxycontin and Morphine SR conversion. Your answers were "right on" and as...
    ... Thanks very much for your reply re:Oxycontin to Morphine SR. I finally got a similar answer by contacting the...
    ... Hi PB and Criztene, The resaon why OxyC and morphine act diferently is that they act on different receptors ... Oxy is a pro drug in the Keto opioid class where Morphine is an Opium alkaloy more similar to Heroin and codeine ... untill 1979 you actually had to have opium to make morphine untill they discovered how to synthesize it. Oxycodone...
    ... Hi PB and Criztene, The resaon why OxyC and morphine act diferently is that they act on different receptors ... Oxy is a pro drug in the Keto opioid class where Morphine is an Opium alkaloy more similar to Heroin and codeine ... untill 1979 you actually had to have opium to make morphine untill they discovered how to synthesize it. Oxycodone...

  44. Hi Shore, old Friend. Questions, Please??
    ... impasse for over a year now. It happened after I had the morphine pump removed due to extreme pain and hematomas, etc...

  45. Shoreline - Hyperalgesia
    ... pills. Like fentanyl, however, it is more potent than morphine and is associated with fewer adverse effects. A sustained...

  46. Shoreline - Additional Pain med questions
    ... accommadate to those side effects. After 4 years on meth, morphine , and trying duragesic and oxyC, Trust me, there is...

  47. Methadone and Testosterone(E.D.)
    ... orginization that believes in your theory that LA morphine screams abuse me, or that meth negates other opiate ... to talk to me and tell me to abuse it, I've used morphine as a BT med or a base for at least 3 years, Perhaps...

  48. need advice
    ... s not comfy with OxyContin why not one of the LA n morphine products. You likely already have some degree of ... won't deviate from BID dosing of OxyContin, the LA morphine products are designed for 3 times a day or the longer...

  49. Shore.... so what you're telling me
    ... drug screen which is only designed to detect heroin, morphine or codeine analogs. I would bet my PM for the rest ... the test. The drug test we have now only detect Morphine , Heroin and codeine. That's why you tested negative...

  50. morphine vs. methadone
    ... Big difference. Methadone is an opiate antagonist, morphine is not. Thats why if you take Methadone and then take ... loratab or oxy ir or whatever you will not get "buzzed" Morphine is a drug that says abuse me for many people even ... with the best of intentions. Morphine is not for chronic pain to be taken every day. However ... wait until you detox from Methadone. Compared to Morphine detox which is a walk in the park Methadone is several...
    ... opiate with the same opiate receptor binding ability as Morphine . An antagonist means that the drug blocks opiate receptors ... no how. The problem with switching from Meth to morphine is that meth binds to the NMDA receptor which other ... from meth any longer, The transition from meth to morphine can be bumpy unless he slowly decreases the meth as ... he adds in the morphine . When I switched from meth to kadian I did experience ... Differential meaning, meth acts differently than morphine but not in an antagonist way. My head was clearer ... on morphine but everyone responds differently. You can look ... between an antagonist and a pure agonist. The idea that morphine is not for chronic pain and only short acting meds ... switching away from meth, But all the other crap, like morphine screaming abuse me, believe it or not, there are people ... effectively while taking meth. When I switched to LA morphine , once titrated, I never needed an increase or abused ... theory, I stuck my ear to the side of a bottle of morphine , but I couldn't hear any screaming?? ......... ... to an order by Hitler to develop an alternative to morphine , which was in short supply at the end of World War ... analgesic properties were not expected. Despite the morphine shortage, methadone was not used as an analgesic until...
    ... can't be sleeping all day. So my dr wants to try morphine 15 mgs 3 times a day. So far It's been helping and ... "buzz" the methadone gave me more of one then the morphine . I'd rather just not be in pain. oh yeah, and i...
    ... 120 mgs spread over 24 hours is a minimal dose of morphine . 120mgs of Kadian or Avinza is roughly the same as ... taking 20 mgs of morphine every 4 hours, no stronger than taking 15mgs of roxicodone...

  51. Weight gain with pain meds??
    ... a feeling he's gonna address me going back on the morphine pump again. All I want right now is an increase in...
    ... but now I can't stand him. He also wants to do a morphine pump. I considered it for a long time, but finally...
    ... respect for my doctor. From day one, he's pushed the morphine pain pump on me. I know why, too. That's where the...

  52. avinza
    ... Knee Pain, One of the first things I ever read about morphine was it it tends to cause more drowsiness upon initiation ... same from meth to kadain and back again. Oxy and Morphine don't feel the same but I got better relief on morphine ... anything but would gladly switch back to any long acting morphine . I preferred Kadian just becasuse it didn't have a ... preservative is a little unsettling and the reason this one morphine product actually has a ceiling on the dose where no...

  53. Shoreline... Can you advise me here... plezzzzzzz
    ... found in Presumptive UA/immunoassays As long as morphine is found, which is why he's doing the test, There ... to detect use of the opiates - heroin, codeine and morphine but not other opiates such as hydromorphone, hydrocodone ... confirmation technique for quantification of opiates - morphine and codeine ( Note - oxycodone is not currently included ... responses from these assays expressed as ng/ml of morphine equivalents were substantially lower than GC/MS determinati...
    ... difficult to accurately test for and you understand Morphine is much simpler to confirm and thus easier for him ... cover his ars by doing a simple UA designed to detect Morphine . Laboratory Methods Laboratory detection of morphine ... Washington, DC 20306-6000. Opiate testing for morphine and codeine is performed routinely in forensic urine ... , Abuscreen radioimmunoassay (ABUS), Coat-A-Count morphine in urine (CAC), and EMIT d.a.u. opiate assay (EMIT...

  54. I need Some Help
    ... back and I did manage to quit cold turkey off the Morphine which was quite a struggle. I have gone to a Neuro...

  55. Question on pain meds
    ... I have taken meth for years, my head is clearer on morphine , Go figure. We all respond a little different. You ... to try 15mg MSIR or the longer acting versions of morphine . However most people find morphine more sedating at...
    ... Shoreline - What is MSIR ( Morphine Sulphate ??????) What about Actiq lollipops (never...
    ... big step to go from percocet to Aqtiq. MSIR is morphine sulfate instant release. Actiq is fast acting but ... only lasts 30-60 minutes. The liquid version of Morphine and OxyCodone do provide faster relief than standard ... to increase the OxyC or find a dose of long acting morphine or methadone that may work before you need to jump ... comparable to about 1000mgs "one thousand mgs" of morphine in a single pop but only lasts for an hour. Hold off...

  56. help with breakthru meds??
    ... /url] a 75ugh patch is equal to 225-314 mgs of morphine per day, Break that into a BID dose of 125 mgs of ... total daily or 125mgs BID and 20-30% of 125 mgs of morphine or the duragesic strength would be roughly 30mgs of ... MSIR, instant release morphine . About 6 times the strength of one 5 mg Vic. All you ... strength of a 75 ugh patch. I convert everythng to morphine as morphine is the gold standard to which all other...

  57. hey shoreline
    ... space and causing another leak he's going to put the morphine in the epidural space. IT only took 16 months to convince ... pain. I'm sure even the idea of an Intratthecal morphine pump is still out of the question. I swear, some of...
    ... 9th to do a single bolus injection to see if some morphine in the epidural space will work better than the present...
    ... really understand how strong meth is so I will use Morphine "the gold standard to which other opiates are compared ... I was taking 120 mgs of meth , when I switched to morphine "Kadian" I swithced to 600mgs per day. I know people ... that take 3-10 times the dose of morphine I took, so just because I may take twice what someone ... trials like Morphidex that are combining DEX to give morphine NMDA blocking ability. Some docs have their patients...

  58. Severe neck pain do not know what to do!
    ... break the cycle. Yes you can use a short course of morphine or Duragesic and discontinue it in 2-3 weeks without ... Medtronic's, The company that makes the intrathecal morphine pump will gladly pass along the names of docs certified...

  59. Another one for shoreline
    ... the press with OxyContin, the long acting forms of Morphine , even the generics would cover the day better than...

  60. Scared to start duragesic patch
    ... with Fentanyl? Although it's so much more potent than morphine it's measured in Micrograms it doesn't make it any ... package insert says it's a strong MU agonist just like morphine when you switch to morphine you loose all the Kappa...
    ... no charge. Fentanyl is no more addicting than morphine or Oxycodone, But when switching, because it hits...
    ... ages where only cancer patients would have recieved morphine for pain to where pain management is available for ... prior 200 years. In 1979 they learned how to produce morphine and other opiates without the actual Thybaine extract ... from poppies. It's all synthesized now. Prior to that morphine was produced from popies the same way it had been...
    ... I have been on Transtec Patch now for 3yrs ( Morphine patch, lasts 72hrs) Basically very similar to Durogesic ... where else to go! ALso if Doc puts you on tablet morphine to help you reduce them - you need a BIG dose. He ... didnt touch the pain...............when you've been on morphine - you get used to it and need more) However......

  61. Question for Shoreline or anyone else that can help
    ... pain management needs to be on Duragesic patches or morphine . The doc should prescribe appropriately for the condition ... you may have to except that, just because you know morphine would give you more relief, doesn't mean a doc should...
    ... their patients needing something more than 600mgs of morphine per day. There is a huge difference between Intractable ... can sue the doc that wouldn't give them a shot of morphine for their pain in the ER.. That's not how it works ... asked, evaluated and treated. It's not a guarantee for morphine for all. With any doc who wants to play PM doc ... doesn't mean that everyone that has DDD should take morphine or that doc is going to prescribe a narcotic pain...

  62. Bump In My Leg
    ... misconception, Basically you ride it out,, they give you morphine for the pain, and nitro and aspirin to dialate the...

  63. Methadone & Headaches
    ... about discontinuing it.People that abuse Oxycontin and Morphine go through withdrawal, people that abuse meth and ... it, I have switched back and forth between meth and morphine and Duragesic. There is some unpleasantness when switching...

  64. another Methadone question
    ... dose of meth, Very similar to mine. I actually prefer morphine LA or Kadian but I also prefer 60 bucks over spending ... meth to Kadian and was surprised by the amount of morphine needed once exposed to methadone. I got about the...

  65. What to expect for my 1st visit to PMD
    ... Roxi to do this wouldn't be much less than generic la Morphine , and would be much more expensive than using Methadone...

  66. AVENSA morphine timed release pain pill
    ... perriod where the Avinza will release all 100 mgs of morphine over a 24 hour perriod. Morphine is morphine all your ... Constipation is something to be aware of especially with morphine so take something like Senekot S or Pericolace to ... cause the bowel contractions morphine inhibits. Good luck, Shore...
    ... equates to 5mg every 4 hours and only half of oral morphine croses the blood brain barrier. 30 mgs every 24 hours ... same serum level as taking 100mgs of instant release morphine every 4 hours. I don't think docs even understand ... when each 30mg Avinza capsule only contains 30mgs of morphine sulphate. Obviously the other posters were extremely ... sensetive if not alergic to the morphine or one of the other agents in the pill. Avinza uses ... likely to make you sick than the miniscule amount of morphine in a 30mg capsule. i use 2 30mg MSIR at a time for ... BT pain. That's 60 mgs of oral morphine released in 4 hours. I see the same thing happening ... think a 100mgs capsule that only contains 100mgs of morphine some how sustains 100mgs in your system for 12-24...
    ... equates to 5mg every 4 hours and only half of oral morphine croses the blood brain barrier. 30 mgs every 24 hours ... same serum level as taking 100mgs of instant release morphine every 4 hours. I don't think docs even understand ... when each 30mg Avinza capsule only contains 30mgs of morphine sulphate. Obviously the other posters were extremely ... sensetive if not alergic to the morphine or one of the other agents in the pill. Avinza uses ... likely to make you sick than the miniscule amount of morphine in a 30mg capsule. i use 2 30mg MSIR at a time for ... BT pain. That's 60 mgs of oral morphine released in 4 hours. I see the same thing happening ... think a 100mgs capsule that only contains 100mgs of morphine some how sustains 100mgs in your system for 12-24...

  67. Methadone with Oxycontin
    ... been effective anyway, since whenver I've been given Morphine IV in the hospital for a stone, it didn't have nearly...

  68. need pill id
    ... switch to something even stronger like OxyContin, Morphine , methadone, or other pure class 11 opiates. Class...

  69. body jerking
    ... fails Klonopin "clonazepam" helps. It also ccurs with morphine from the M6g metabolite and with methadone. I don...
    ... Hey Linda, I know why morphine causes it,The M6g metabolite, but I'm not sure why...

  70. something to take the sickness away
    ... mother and now me. I have taken one with oxycontin, morphine , methadone, fentanyl, etc. and I no longer have to...

  71. Shore, could I trouble you for some info?
    ... conversion.40mgs of Oxy is supposed to be equal to 60mgs of morphine . TID usually works for most folks but you can't hammer ... because some chart says 40mgs is equal to 60 mgs of Morphine doesn't mean the patient will respond the same way ... the right ballpark and you have been given enough morphine toprevent withdrawal. However, If everyone reponded ... to morphine as well as they responded to OxyContin, then all docs ... spot light and insist all their patients convert to morphine . IF all patients responded to each med in the same ... out with a simple crossover to an equal amount of morphine . However because not everyone reponds the same to ... to handle the oxy abuse problem. Some people fnd morphine more effective, some find Duregesic works better and ... are not recieving the same level of anelgesia from morphine . All you can really do is talk to your doc about ... pain, Oxy brought my pain down to the X level but morphine isn't getting me below a Y or whatever terms truly ... neccesarry if the doc understands not everyone responds to morphine the same. You know that meds can drop your pain ... while taking OxyC and you can only get Y done with the Morphine . The itching will likely deminish in time or can ... withdrawal and hopefully your doc wll titrate the morphine to a level that provides equal or better relief. ...
    ... or NDC # but the name is easiest. You just type in Morphine and hit querry and it will show you every manufactuer...

  72. Need advise about Morphine Pumps
    ... to the hosp. as an outpt. and have an injection of morphine into the spine. If that works to relieve the pain ... trial last 2-4 weeks while they adjust the amt. of morphine to reach a level that brings relief. Another method ... drip system. That will go on for 2-4 days while the morphine is adjusted. At first, I got miraculous relief. ... I think it is because my body is more used to the morphine . I would rate my daily pain at no higher than a 4 ... can be programmed. That is, I can get one dose of morphine during certain hours, and a different dose during ... allow the patient to give himself small boosts of morphine if needed. As for withdrawals, that should not be ... a problem. The doctor will figure out how much morphine he needs to replace the oxycontin doseage. He will ... pump that you can give yourself a little boost of morphine if needed. It is a positive experience, easy recovery...
    ... exception to the rule. If you type in "pump" or " morphine pump" in the search line you should be able to see ... initially at a very low dose and as he went up on the morphine he decreased the oxy so I had no problems with withdrawal...
    ... tried any of the 3 distinctly different version of LA morphine , MSContin and the generic equivelents, Kadian a 12 ... -24 hour higher tech version of long acting morphine , Kadian can be dosed once a day but most people get ... forming at the end of the cathater blocking the flow of morphine when the docs try to save money by using a compounding...
    ... [Hello, my husband got the morphine pump implanted in Feb of last year. To this day,...
    ... stronger than oral meds. Meaning if you took 300mgs of morphine per day , 1mg of IT morphine a day should suffice ... delivered IT as long as they are preservative free. Morphine , Dilaudid, Fentanyl, Sufentanyl,Afentanyl, Baclofin...
    ... I have fentanyl since it turned out when morphine was first put in I was alergic to it. In 2 years...

  73. Need to find the right long acting pain med
    ... withdrawal. It would be much easier to step down from a LA morphine product to oxycodone to hydrocodone but I really don...

  74. Oxycontin 20mg
    ... of the larger groups of LA pain meds which are the morphine products, You actually have more selection and several ... different release systems with LA morphine . MSContin is similar to the release system of OxyContin ... Oxy doesn't work well for you one of the long acting morphine products, Duragesic patches or methadone are all viable...

  75. discogram=no elavil?
    ... docs tell me you can cold switch from methadone to morphine without a problem and know that's not true. These...