Morphine dosage end of life

Common Questions and Answers about Morphine dosage end of life

avinza

I used to be a hospice nurse so I can tell you from experience that hospice does not intentionally starve or dehydrate you to end your life sooner. When you get to the end stages of life your body doesn't need food and giving it food will actually speed up death. Do some research on it and you'll see what I'm talking about. And morphine is a wonderful drug for people at the end of life.
im not sure what mg but i expect him to start me on 15 of morphine. will the morphine help me? should i talk to him about another option such as percocet? im scared that the low beginning dosage will affect my quality and comfort even more.
Yes I would think you are correct in that his w/ds aren't bad because he is on Morphine. When he is completely of all opiates is when you will see how bad the w/ds will be. He may be fine though, I used oxys for a year and my w/ds werent that bad at all, but lots of others have had it much worse and it is different for everyone. You will never be able to predict what it will be like.
If he has been clean for 10 days he is probably near the end of the detox and just needs to stay strong now. The next phase is the mental one and he will need you to help encourage him. Is he still using any other opiates? It is really wonderful if he did not use in 10 days --- I can't imagine what he!! he went through during that 10 days but he needs to be congratulated. I would find him an NA or AA meeting and get him to it - even if you have to drive him. What an accomplishment.
He put me on MASSIVE dosages of Neurontin and increased the dose just about every month over the year he treated me until I was taking something like 2K mg. day and continued the same dosage of Percocet my surgeon had me on, and refered me to a phyciatrist, I never felt he took me or my pain seriously, every visit when he would write my scripts for the pain meds, he made it a point to say to me "You can't stay on these forever, you've just got to get over the pain and get on with it!
About a year later I talked to my doctor about a higher mg of percs because I was taking so many at a time causing me to run out at the end of the month. My doctor prescribed me 90 15mg morphine sulf ER for a month then I went up to 90 30mg morphine sulf ER. I also was getting 60 5/325 percocets for breakthru pain. I left that doctor to completely get off of the pain killers. I recently went back because I need them due to more pain.
I'm pretty sure there a couple of people with morphine pumps on here. DJ has a pump but off the top of my head, I 'm not sure what kind.
I do feel trapped and wish that I could just be free, of pain meds and of pain, but life is just not that simple
I have been on 100mg of Topamax since the end of April. I immediately experienced the loss of appetite. I seaked the advice of a naturopath to use it to my advantage because I had about 80 pounds to lose. I see him every Friday and since then, I have lost 43 pounds...:-) It has not been difficult. It seems like he weight is coming off on its own now. I don't crave anything. I'm hoping to reach my goal by January.
I really do need that now! I feel a bit of a failure at about all parts of life right now and I just don't understand how everything so suddenly changed like this. Course, not that I am not accoustomed to change - with MS you are constantly dealing with some very unpleasant changes but you learn how to 'work with them" so to speak.
the quality of my life *****. percs do'nt work for me. any suggestions? i talked to her about it she wants me to see a pain specialist. ive been to the emergency room twice since she put me on percs for pain. the emergency room gives me dilaudid via IV. then they tell me to see my dr about my pain meds. and it starts all over again. i had spinal and face surgery 2month ago from falling off a 4 story bldg. does sound like its normal or am i the one with a problem?
This disease is simply not that immediate of a threat to want to kill it at the expense of my thyroid, my joints, my state of mind, my quality of life, my eyes, my skin, my hair, and the list goes on. Not for the <I>SMALL</i> chance it has of progressing before newer treatments come out. Not when there is strong evidence it can be held in check until better treatments come out.
At the end of the fourth day, you should be waking up from the Valium and experiencing the beginnings of the opiate WD malaise. Upon rising (empty stomach), take the L-Tyrosine. Try 2000 mgs, and scale up or down, depending on how you feel. You can take up to 4,000 mgs. Take the L-Tyrosine with B6 to help absorption. Wait about one hour before eating breakfast. The L-Tyrosine will give you a surge of physical and mental energy that will help counteract the malaise.
To the people who are new, there are some very caring, loving people who got me through my first week of WD, to those that helped me thank you, I never would have made it through the first week without you, you know who you are. There is life after drugs, it just most of us believe the lie of the pills for way to long.
All I can say is WOW!!!! No....I can say more. YOU ROCK!!!! and BIG (((HUGS))) HAVE A HAPPY REST OF YOUR LIFE....YOU DESERVE IT!!!!
Just so that u know, Morphine is metabolised by the liver, and a patient with liver failure will develop toxic levels of Morphine, as it cannot be excreted by the failing liver, very quickly. Perhaps a new form of euthenasia?
With the exception of hallucinations, which may occur more rarely after oxycodone than after morphine, the side effects of these drugs are closely related. The abuse potential of oxycodone is equivalent to that of morphine. The usual indications for oxycodone are severe acute postoperative or posttraumatic pain and cancer pain. When oxycodone is administered, the same precautions should be taken as with morphine or other agonist opioids.
I can def feel the effect of no morphine but I'd rather have a headache and feel out of sorts than take it. I work p/t eve. My question is how long can I expect it to take to get the morphine out of my body? How long will this take? Thank you for your forum, it gives me hope. I want off the medicine leash!!!
THEN AGAIN I AM THINKING LOGICALLY HE WAS ALREADY DYING, AND AS MUCH AS I DONT WANT THIS, I DIDNT WANT TO SEE HIM STRUGGLE ANY LONGER, BUT EITHER WAY I DIDNT KNOW IF HE WAS DYING NATURALLY BUT I TRUELY BELIEVE THAT GOD SAW WHAT WAS GOING ON AND EVEN THOUGH HE WAS READY TO TAKE HIM, THE MORPHINE JUST ACCELLERATED THE EASING OUT OF THIS LIFE FOR HIM ACCORDING TO THE DOCTORS.
I am considering switching from morphine to oxycontin due to the sedation from the morphine. Did they do an MRI of your entire spine (cervical, thoracic, lumbar)? If not, I would get the other regions scanned as there could be something in another spine region that a different region of your spine is compensating for. I started out having a lot thoracic spinal pain; however, the majority of the damage was in my lumbar spine.
I know for sure the Lord spared my life for a reason, although I know too I've grieved Him during times I've wanted my life to end. Suicide is the ultimate form of selfishness, since you leave all the hurting people behind while you sail on into eternity. But folks who choose to die aren't thinking clearly, anyway, are they ? My real desire is to get strong & healthy again, so I can try to help others to see the great destiny that God has for us all.
I need to get off the morphine shot, i have one a day of 30mgs morphine and then keep the pain down for the rest of the day with morphine tabs or codeine. Oh and if i was just taking the shot i would be okay but its all the other pain **** that i have to take as well. I am getting to old for this i really am. I am 46 years old and i feel that i will in some way or another die of my addiction. I have never ever been in a chat room like this, in fact i was looking for the rapid detox information.
I am really glad that I found this forum...I am currently in as state of shock over what just took place at my own pain management doctors office. I have herniated lumbar discs which have also caused nerve damage, degenerative disc disease and buldging cervical discs. I have been on morphine for about 4 years, extended release and instant release. Last month the doctor gave ALL patients a urine test and when I got there today he said "we have a problem"...
MDs are starting to use methadone on top of morphine for the synergistic effect (i.e. in this case 1+1=3). When a patient develops a tolerance for morphine compounds such that a larger dose might cause respiratory arrest, you can add methadone to the mix. It doesn't have to be a maintenance type thing.
You have to keep telling yourself that the pain will go away in a few weeks and life will get better. Focus on the rest of your life instead of how you feel right now.(not easy but it does help). I don't know if you have children but if you do focus on how much they will benefit once you are your self again. Children can see so much that we don't think they do. That is how I am getting through this.
sent me to pain clinic. They upped my dosage and it was life a new life. No pain, and of course the unbelievable euphoria. Move forward 3 years and now up to methodone then morphine and finally the fent patch. Got off patch and have been on Oxy's 40mg time released 3x day. I started abusing them crushing 2 at time in the morning and then crushing my last one in the evening before bed. I have sustained this for 3 years. 1 year ago, had to start going to new pain clinic due to insurance.
How does the longer half life of a once a day methadone dose differ from several daily doses of a shorter acting opioid or the sustained release of fentanyl patches. I am not suggesting there is no correltion between methadone and weight gain i just think there are other possible causes for this, least of which is the stability and disposable income that is common when people enter maintenance programs.
It's like they think I will just snap out of it n that will be the end of that. Feeling frustrated.
I am struggling and will be for the rest of my life as a result of opiate use and the permanent receptor and brain chemistry changes.
I had to stop taking the morphine due to insurance issues and having to pay for my prescriptions out of pocket and was allowed to stay on my Oxycodone dosage. I found actually that since the Oxy is instant release I could hold out on taking it until I found that hot showers, heating pads, etc.
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