Morphine dosing guidelines
Common Questions and Answers about Morphine dosing guidelines
avinza
I have just started takeing care of my mother in law who is in stage 4 breast cancer and her dr gave her Morphine SO4 IR 15mg one tablet every 3 hours and Morphine SO4 ER 30ENDO one tablet every 12 hours and I am confused on how to give them to her, she says I can give them to her at the same time and I am worried about it causing an overdose and I am having a hard time reaching her dr for instruction on how to give it to her, do i give her one first and then wait a few hours to give the other
That depends on your doctors comfort levels in prescribing , a patients ability to tolerate side effects, other medical conditions, effectiveness of using opiates, but typically- most physicians will not prescribe over 90 to 100 MME mg dosing per day-(Morphine equivalent dosing per day)- and typically only for patients who have been on opiates for some time. MME dosing combines both long acting and immediate release types of opiates to reach 90-100mg MME daily.
Oral 24-hour Morphine (mg/day) Fentanyl Patch (mcg/hr)
225 to 314 mg/day 75 mcg/hr
However, this is just a calculation based on the limited medical information I was presented. Since I do not have your liver and kidney status, it will be difficult for me to recommend the exact dosing regimen. Please consult your provider using this as a guideline.
2. If you are on Opana ER 30mg, why are you still taking Dilaudid?
You use it to convert your fentanyl dosage to an equivalent morphine dose, and then find the equivalent morphine dose to oxymorphone,
Generally when converting between opiates, doctors will reduce the new medication strength by a certain percentage to account for incomplete cross tolerance, which is a boost in analgesia you get from rotating from one kind of opiate to another.
You can find equal analgesic tables, and apps for calculating equivalent dosing online.
) for dosing guidelines, but be sure to check with a licensed physician. Also check ilads (dot) com for Dr Burrascano's treatment guidelines. There may be useful information there. Also did you try searching something like "lyme disease iv rocephin dose"? Checking with an MD is important before proceeding with any such treatment. No one here is medically trained to my knowledge.
I am now on methadone for chronic lumbar pain. I was on 30mg of controlled release morphine 3X a day.
The methadone didn't do too much to thwart off the morphine withdrawal. I still had 10 days of cold sweats, nauseous (gag control on high alert!) restlessness, cramps etc. The VA is so freaked out when it comes to prescribing methadone. They only had me take 7.
Hi there. We don't allow dosing guidelines of medication to be given here. You should check with your doctor for guidance.
Hi~I'm not sure...but is he talking about morphine while post op in the hospital? Or at home? Usually,MS isn't given to go home with after surgery when there are so many other drugs for pain...MS is pretty strong stuff.You should ask him to clear this up and maybe you could take 5mg hydros for post op pain only as needed.
No safety or efficacy data are available in patients with renal impairment who received VIREAD using these dosing guidelines, so the potential benefit of VIREAD therapy should be assessed against the potential risk of renal toxicity.
VIREAD should be avoided with concurrent or recent use of a nephrotoxic agent.
s not unusual for people to have to fork out money to pay privately for FT3 and FT4 in U.K, due to the guidelines of the NHS, which often leave patients ill for very long times because labs can't test FT levels if TSH is normal, even if the doctor orders it. Many of our members end up going completely private in order to get the treatment they need.
PLZ; I AM CURRENTLY TAKING 3- 100 MG MS CONTIN {MORPHINE SULPHATE EXTENDED RELEASE}. I HAVE BEEN ON THIS DOSAGE FOR ABOUT 15 YEARS. AS OF LATE, I AM NOT GETTING THE RELEIF I ONCE DID. CAN ANYONE SUGGEST AN ALTERNATE MEDICATION THAT IS GENERIC TO SWITCH TO. I HAVE SEVERAL ORTHOPEDIC PROBLEMS...THANK YOU !
In my country, Sweden, the recently updated guidelines for geno 3 are that treatment can be shortened to 16 weeks for geno 3s if they are on weight based dosing. However, it is stated in the guidelines that this means 10% lower SVR rate.
Although methadone and fentanyl are also heavily protein bound and as such require reduced dosing in patients with cirrhosis, the metabolism of these agents does not yield toxic metabolites, and hence they, along with hydromorphone, may be better tolerated37,38 (Table 2)."
".....Hydromorphone and fentanyl appear to be the least affected by renal dysfunction, and fentanyl has less hemodynamic disturbance (due to lack of histamine release associated with other opioids).
BEcca we would love to help but it is ageist the guidelines to give out any dosing instructions best to call a doctor google sub they have a 1-800 # for info good luck and God bless......
In general, the guidelines are double for illness over 100, and 100mg IV (or IM) bolus for surgery, crisis etc.
You should for exercise add salt (AI is a salt wasting disease - the degree that you waste can depend but sweating will make you lose fluids). So keeping hydrated is very important for you - more important than most.
After 25 years of taking it, it’s not working very well. I don’t want fentanyl. I don’t want morphine because it makes the people who take it for a long time crazy. QUESTION- is there a medication SIMILAR to oxycodone BUT DIFFERENT ENOUGH to fool my brain into thinking it’s taking a brand new drug?
The pain is like a shark swimming under my feet, just waiting for my dose to wear off. And THEN it takes a full 2 hours to get the pain back under control.
Btw, FU, CDC GUIDELINES!
My doc told me it was fine to take Tylenol sinus, stay within dosing guidelines. Also a humidifier and if you don't want to use Vicks on your body (i did no issue) put it in a wax warmer next to you. Feel better!
I have heard of this but had hoped that pain patients would be grandfathered in. Also the CDC guidelines were just that guidelines, not law. This is a nightmare for all pain patients and will force them out on to the streets for help.
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