Morphine in acute mi

Common Questions and Answers about Morphine in acute mi

avinza

Subutex, Suboxone This is an excerpt from Wikepedia's article on buprenorphine. http://en.wikipedia.org/wiki/Buprenorphine#Inpatient_rehabilitation_and_detoxification Buprenorphine is a semi-synthetic opioid that is used to treat opioid addiction in higher dosages (>2 mg), to control moderate acute pain in non-opioid-tolerant individuals in lower dosages (~200 µg), and to control moderate chronic pain in dosages ranging from 20–70 µg/hour.
I started to get chest pains and throat discomfort along with bad shortness of breath. I honestly got depressed because I thought I was in line for another MI incident. After stopping the BP medication (Ramapril), all the symptoms cleared up after 24 hours. I have just read the leaflet that came with the meds, and it says in very rare cases can cause stroke or heart attack. At the same time, KK gives excellent advice here regarding a perfusion scan.
This can mislead physicians into believing that a heart attack is no longer in evolution, thus foregoing what can be lifesaving therapies such as thrombolytic medications to break up coronary blood clots, or emergency cardiac catheterization and angioplasty. To reiterate, morphine has no role in the treatment of acute ischemic syndromes such as chest pain(angina), or suspected MI.
Background - 33Y old male, 5'10, 205 lbs. Cholest - 230, 140ldl, 65 hdl. Non smoker. Grandfather died in early 50's of MI. Previous to my trip I was having shooting pains in my arms and jaw and back, outside of my chest, cramps in my legs etc for 2 weeks. Came home late one night with major pain in the center of my chest (8 on a 10 scale). Took over an hour to go away, should have gone to the ER then. Next morning still had some center chest pain so called my doc - said go to the ER.
Department of Psychiatry, Harper-Grace Hospitals, Detroit, MI, USA. Studies have found naltrexone useful in the treatment of diseases other than opiate addiction in which endogenous opioids presumably play a role, such as alcoholism and eating disorders. Some of these studies involve high doses (100-200 mg bid).
thank you for your reassurance i had heart surgery five years ago and woke up in the middle of the procedure and could feel everything they were doing as a result i had an acute mi on the table and it really traumatized me i was diagnosed with ptsd from that so you see why i am so scared to go into another surgery, again thank you for your support and god bless you hope you are well!
Once they were able in the ICU to medicate your pain properly with the morphine, did you sleep for a long while and were you especially quiet in bed for a day or two? That is the major cause of stroke. The other factor might have been elevated blood pressure from the seizure/spasms and the severe pain. So, yes, I believe they could well be linked. Do you have a new doctor/neurologist now? Quix (I'm so glad to hear from you!
MY PERSONAL DIARY OF OXYCONTIN WITHDRAWAL. May I briefly fill in a little background.I am David aged 55 and employed as a postman/driver/sorter, well up until 38 months ago I had never been into hospital,well boy was that about to change.
hopefully fingers crossed i hope it works out good. idk if you live in MI but ive been stiff this whole winter walking around like my bones are froze....
While I understand your concern for a potential of addiction, when medications are used and monitored by a health care provider or a health care professional, which I'm sure you inow since you must be one, we don't even think about the effects of a potentially addicting medication when medical condotion warrants it. I'm sure in your practice, you gave morphine to a drug addict experiencing an onset of acute MI.
IV use of heroin, dilaudid, oxycontin, morphine, etc. 2 years in the methadone clinic, 4 or 5 months on suboxone. weened down to 1 1/2 mgs of suboxone daily then relapsed, quit taking my suboxone and shot oxycontin, heroin, and dilaudid for a week straight. went cold turkey, im on my 5th day of withdrawal. seems the worst is behind me. the 1st and 2nd days were the worst, dilirium tremens, shakes, cramps, hot/cold sweats, fatigue, etc.. im still not sleeping well.
33 If you have pain in the shoulder that radiates all the way down to the fingertips then it is possible that you have damaged or in some way irritated a nerve in the shoulder. The pain is being felt in the sensory territory of the nerve which extends all the way down to the fingers. I would suggest that you consult a neurologist ,ideally one who can perform an EMG examination as this would identify the exact nerve involved.
There are two times after surgery when felt acute pain in the front of my body. One time was right after surgery, when they used my breathing tube to suction out mucus from my lungs before they removed the tube. That makes you cough, and it hurts for a second. The other time was when they removed my chest tube. That wasn't so much pain as it was uncomfortable pressure located in my upper stomach. They gave me morphine before that, so it wasn't that bad.
33 If you have pain in the shoulder that radiates all the way down to the fingertips then it is possible that you have damaged or in some way irritated a nerve in the shoulder. The pain is being felt in the sensory territory of the nerve which extends all the way down to the fingers. I would suggest that you consult a neurologist ,ideally one who can perform an EMG examination as this would identify the exact nerve involved.
33 If you have pain in the shoulder that radiates all the way down to the fingertips then it is possible that you have damaged or in some way irritated a nerve in the shoulder. The pain is being felt in the sensory territory of the nerve which extends all the way down to the fingers. I would suggest that you consult a neurologist ,ideally one who can perform an EMG examination as this would identify the exact nerve involved.
33 If you have pain in the shoulder that radiates all the way down to the fingertips then it is possible that you have damaged or in some way irritated a nerve in the shoulder. The pain is being felt in the sensory territory of the nerve which extends all the way down to the fingers. I would suggest that you consult a neurologist ,ideally one who can perform an EMG examination as this would identify the exact nerve involved.
33 If you have pain in the shoulder that radiates all the way down to the fingertips then it is possible that you have damaged or in some way irritated a nerve in the shoulder. The pain is being felt in the sensory territory of the nerve which extends all the way down to the fingers. I would suggest that you consult a neurologist ,ideally one who can perform an EMG examination as this would identify the exact nerve involved.
33 If you have pain in the shoulder that radiates all the way down to the fingertips then it is possible that you have damaged or in some way irritated a nerve in the shoulder. The pain is being felt in the sensory territory of the nerve which extends all the way down to the fingers. I would suggest that you consult a neurologist ,ideally one who can perform an EMG examination as this would identify the exact nerve involved.
I quess it supposedly is normal due to the morphine and the meds they give you in surgery. Sometimes your body just reacts and can't take it all in. What is scary about it - is you are so drugged you come in and out of it and there is all this excitement going on around you and you don't understand it. Like 9 or more people all dressed in dark blue outfits (i think they were all from respitory department) were suddenly hovering all around me.
Now 5 years later, same very severe chest pain every day, after very large Drug eluding stent placed 9 mo after 2004 MI in osteum of LAD. Done at Cleveland Clinic Weston FL. The Cleveland Clinic interventionist just ignored me for no reason. Said it must be esophageal ulcers!... Later went to top Cleveland Clinic Gastero, who did extensive studies, said everything in esophageal area perfect and sent me back to Cardiologist who again blew me off for no reason...
This happened with my migraine and headaches for the three weeks endless amounts of nurofen panadol panadol forte codeine and they even resorted to morphine with nothing subsiding the pain in the end I refused to take them because they weren't helping and at 14 I felt like I was living of things that were not doing anything and in the end harm me. It was interesting that once I went of the pain medication that my headache went away.
,who live in the town I do(my pain specialist is 200 mi. from here) wouldn't believe me when she saw me in the ER ROOM, THAT IT WAS WITHDRAWL.She wanted to do gallbladder tests and everything else.I don't know, but I think she did not want to talk about it. Anyone know why she would be this way? I need lots of suppoert to stay on the right dose, so this does't happen again. THANKS FOR LISTENING!
But she was in a nursing home, withthe nurses administering Percoset, then Morphine and Ativan in her last couple days. I don't know if Hospice is anti-med- it wouldn't make sense if they were, since in the last stretch it should be about being relieving symptoms, not suffering through them. I just realized this post is from August. If youcheck back and read this- how's it going? I hope the issues with Hospice and meds got resolved. Best of luck to you with everything.
I have 2 brothers who both have autoimmune diseases plus a cousin who just passed from one. In addition, my cousin who passed, her mother passed from Lupus in her forties. I have also been thru tx for HCV and am okay now for about yr and half.
If I would ever have to stop taking them, I imagine it would be difficult after reading about post acute withdrawal in combination with my mulitple diagnosed depressive disorders. I have also read about many people having a problem getting off psych meds or even meds for BPH too. Who knows what the answer is. Opiates can be an evil drug for those with an addictive nature, but I also believe that I may not be here today if it were not for the way opiates have worked for me.
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