Morphine dosing pediatric
Common Questions and Answers about Morphine dosing pediatric
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
My husband was diagnosed with a condition called neurogenic cough. It has been described as a chronic cough where the nerve that provides sensation to the voicebox and is responsible for triggering the cough reflex has been injured, usually by a virus. When this happens, the nerve's level of sensitivity before it triggers the cough reflex becomes markedly reduced; in other words, it becomes hyper-sensitive.
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.
Aspirin, alcohol (in cough compounds and pediatric elixers), morphine, codeine, dextromethorphan (“DM” in cough compounds), nonsteroidal anti-inflammatory agents, procaine, opiates (codeine, Demerol, morphine), thiamine, high molecular weight polymers (dextran).
Medicines, topical: Topical antibiotics containing polymyxin B.
Medicines sometimes used with general anesthesia: D-tubocurarine, scopolamine, decamethonium, resperpine.
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.
Morphine must be okay for the liver because that's what they used when I was in the ICU following my liver transplant.
Be VERY careful with morphine. I was on it for 7 days and went wacky with hallucinations of all kinds.
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 !
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).
seriously, if you want the energy/high, get some Oxy and do it right! ; )
taper, taper, taper. take only what you need to feel well. not for 'energy'. have a PowerBar or something.
so take a tiny amount of sub, like 1mg and see how you feel in an hour. if you need a little more, have a little more, see how you feel. when you reach the point you feel well, that's going to be your dose to taper down from. IMHO people WAY over do it on the Subs.
The next dose of tylenol should be at least 4-6 hours apart (per OTC tylenol dosing instructions) with no more than 4g consumed in 24 hours. 3g of tylenol is too much to ingest at once. No one can tell you whether or not you will cause your liver harm as it is not a guarantee that that will happen. However, consistantly taking more than the max dose of tylenol greatly increases your risk of liver damage or liver failure. You are way too young to be dabbling with exceeding the tylenol dose.
I saw this quote today in an article about a doctor speaking at a pediatric infectious disease conference. The article is at
http://www.familypracticenews.com/news/child-adolescent-medicine/single-article/lyme-disease-avoiding-inappropriate-serologic-testing/841bf9c30e90399a2d239e525b2993d5.html?
an example is the conversion of codeine to morphine, which is more efficient in some people than in others. There is also wide variation in the degree of nausea produced by different medications in different people. I do not know of any evidence that hydromorphone is better tolerated overall than oxycodone.
That is a common taper schedule. sIf you read the subutex/suboxone FAQs at the bottom right of this page you will see that technique being outlined. Is this the way your doctor recommends?
Forgive me for adding this second part to the question but --- Could the fact that I didn't experience classic hyperthyroid symptoms after severe over-dosing by my GP on Armour, indicate Peripheral Thyroid Hormone Resistance (myopathy being lack of thyroid hormone in my tissues)?
My neurologist (not the Dr. who is dosing my thyroid) is looking into all possibilities, including referring me to muscle specialist or a thyroid one, etc...
TORADOLORAL (ketorolac tromethamine), a nonsteroidal anti-inflammatory drug (NSAID), is indicated for the short-term (up to 5 days in adults), management of moderately severe acute pain that requires analgesia at the opioid level and only as continuation treatment following IV or IM dosing of ketorolac tromethamine, if necessary. The total combined duration of use of TORADOLORAL and ketorolac tromethamine should not exceed 5 days.
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