morphine for breakthrough pain

Hi Merritt and welcome to the pain management community! Morphine ER is a 12 hour medication, meaning it releases the medication slowly into your system over a 12 hour period. Do you take 120 mg per day split up as two 60 mg doses? If you take one 60 mg dose every 12 hours, you are getting on average 60 mg/12 hour = 5 mg of morphine per hour. If you taking 120 mg over a 12 hour period, you are getting on average 120 mg/12 hour = 10 mg of morphine per hour.

As for my question, before yesterday I had been taking lortab and percocet for pain, yesterday I was prescribed an extended release morphine and lortab for breakthrough pain. I took the first tablet this morning and I like I am slow, mentally. Is this normal and will it last while I am on this medication? It is not to the point to where I cannot perform my job or drive, etc., but I feel like I just woke up.

Have you ever tried Oxycodone HCL (immediate release) 15mg, or 30mg tablets for breakthrough pain? I am on Morphine Sulfate and use the Oxycodone for breakthrough and it works well... until your body adapts to the oxycodone and you require an increase in the dose... that's my only hurdle with it.... good luck....

This keeps you w/the same medication but gives you that extra boost for times in need. If you only take it for breakthrough pain and have exhausted other alternatives your tolerance will still build, but not as quickly as if you are taking it to get the high feeling.

I take oxycodone and tylenol 3 w/ codeine for pain but you people with chronic pain like me need to be careful with addiction. So methadone is not a cure for RSD/CRPS, fibromyalgia period.

She has been on 100mg MS x3 and Oxycodone 5mg x 8 for breakthrough pain. She has recently had a neurostimulator implanted which seems to have been quite successful and now wants to begin reducing the opiates and get rid of their side effects. She is 80 years old and has high blood pressure. What protocol would be good to reduce the drugs? Is there a standard model to follow? I know it will probably not be possible to eliminate them completely because the neurostimulator is not perfect.

Another option in addition to increasing the Kadian dose, is for your physician to add back in part of your norco dose to be taken for breakthrough pain. Even after you have achieved sufficient analgesia from the Kadian, there may still be times that you get what is called "breakthrough pain". This pain is sometimes brought on by an increase in activity or it can occur "out of the blue". Many of us chronic pain sufferers deal with this type of pain frequently.

Hello again Busygrl, Yes for most ppl the meth and morphine both help with sleep for two reasons. One it eases your pain allowing you to rest better. And two they have a sedative effect. You have to be v-e-r-y careful when taking a muscle relaxant with Methadone, Morphine or any other major opiate. Indeed I would not take them together. I know there are ppl that do. My physician says if I take one of the "Big Digs" I cannot take my muscle relaxant with it.

hi folks have a some questions about changing pain meds. My mother who has cronic back and shoulder pain is being taken off of fentanyl 100mcg patch and 7.5/500mg and being put on morphine 60mg 2x daily and then morphine sulfate 15mg every 4 hours for breakthough pain. What I'm wondering is there going to be withdrawl or is the morphine going to have enough of the same stuff in it. If not what kind of withdrawl systems will there be to watch for.

t work and I found it to be fine as a pain reliever, as long as I had some meds for the breakthrough pain. If anyone asked what I was taking whom I didn't feel comfortable sharing with (nosey and unsupportive family members), I told them I took morphine. Although doctors don't always do what we consider to be reasonable. Someone here posted a really great post about what meds are in the same family and perhaps you can find one in the methadone family.

Dilauidid is usually used as he short acting medication for breakthrough pain, while long acting, ER-extended relief, or 12 hour release pills are typically either of the Morphine or Oxycodine class. So it sounds like yoiu are on a form of MS Contin, or ER Morphine Sulphate 60mg Qam and prescribed Dilaudid/Hydromorphone-the short acting breakthrough pain med, every 4 hours throughout the day.

You could ask your doc to raise your ER meds for smoother pain control or to be able to change your patches to q48 instead of.

Oxycodone med for breakthrough pain. Your 7.5 is not enough perhaps to handle the level of pain you are having. You might want to check into hooking up with a pain management group to prescribe the type and level of pain meds that you now need. As Bohan said to another poster just recently, MANAGING pain is one of our main goals as cancer patients. If your doctor does not give you the meds you need, find one who will.

s response. I am on 30 mg of morphine sulfate ER twice a day with up to 35 mg of percocet a day for breakthrough pain (about to switch to Opana ER tomorrow...maybe). I have taken the max of 35 mg of percocet in one day before along with 60 mg of morphine sulfate ER.

anyone here I have been on Oxycontin 20mgs 2 times daily plus neurontin 900mgs 3 times daily, for chronic pain due to 3 failure operations on my neck spine, herniated discs you name it I have it including the knees and legs but recently placed on durgestics tran c 75mg patch also oralmorph for breakthrough pain reading this ladyies story and your comments it seems you all have been a great help to her. Could you advise me has my doctor done the right thing for me.

Thanks for the response. No I currently take nothing for breakthrough pain as they had given me a short acting Morphine but it didn't seem to work, and I stopped taking it. Like I said I've asked them for something else, trying to stress I don't necessarily want something stronger, just something I don't have a high tolerance to. They keep telling me I need to stay on this because it's what their program requires.

Erika, Percocet is a good medication for short term pain -- recovery from surgery, broken bone, anything that lasts for 3-6 months. The fentanyl patch is meant for people who have chronic pain and are tolerant to opioids. When the percocet stops working and you need multiple dose escalations, your doctor may suggest changing to a long-active / extended release opioid analgesic, like Duragesic.

I have been coming down from the meds my pain management doctor has been giving me for the last 15 years over the last 6-8 months. I come down 25mcg in one month by folding the patch a little more each change (some doctors say yes, others say no, but I'm an epileptic and my meds interact. By having the control I can avoid having a seizure while continuing to steadily coming down.) I then wait a month for my pain levels to adjust then come down another 25mcg and so on.

I am having the same problem with my doctor. I was first on 120 5/235 percocets. I had to take 2 at a time ( my doctor always knew this ). I needed something for the night time, but she just put me on some muscle relaxers, flexeril, that helped me sleep..... a little, not much. Finally I had had enough. I went to her asking for one more dose of the percocet for night time. She instead put me on MS contin 15 mg 3x a day. I hated it. She also gave me 60 percocet 5/325 for breakthrough pain.

I am on both morphine and percocet-the morphine for my regular med and the percocets for breakthrough pain. But it is ALL breakthrough pain to me! Pain is abnormal and therefore it is breaking through into my life-a life that was once normal in which I could pursue activities wholeheartedly rather than cringing with pain with each step I take, with each move I make. Give your body a chance to adjust to the medication and see what happens. It may end up being a god send for pain relief.

40 mg of oxycodone per day for breakthrough pain is 1.5 times stronger than morphine; hence, 40 mg of oxycodone = 40*1.5 mg of morphine per day (i.e., 60 mg) for breakthrough pain. I also take 60 mg of morphine sulfate ER total per day split in 30 mg doses every 12 hours. If you add the morphine equivalent dose of oxycodone (i.e., 60 mg) with the 60 mg of morphine sulfate ER you get 120 mg per day. Now, converting that to Opana ER.

Often breakthrough pain medicine will be added to your pain regiment for just those days![My breakthrough pain medicine was Roxycodone 30mg, which is quite effective at bringing my pain back down to a 3-4 level, which I can live with. That is, I have minor aches that let me know how not to move so I don't hurt myself worse. A little pain is a good thing, while hardcore pain is hellish, as I'm sure you are aware.

ve been on avinza for over 2 years and xodol for breakthrough pain for the same amount of time. The emergency room doctor gave me 20 demerol pills for breakthrough pain. My pm doc apporved the demerol and made room to see me monday(this). I hope he changes my breakthrough pain meds to the demerol as it seems to be working much better than the xodol. I would be so lost without my pain doc. He takes care of his patients regardless what the insurance co tries to dictate.

Meds affect everyone differently and it takes time for your body to get used to the new med. You will just have to see how you do on the morphine and go from there. I couldn't take it when my dr prescribed it for me. I did better on other meds. Best of luck to you!

The only other thing I could suggest is the Fentanyl patch. What I assume you mean by slow release morphine is MS Contin, which is a very powerful drug, especially at 100mg. I have worked with a lot of patients that once put on the Fentanyl patch, finally felt releif. But it's not for everyone, the nausea symptoms of narcotics can be more intense. This is a 72 hour patch that you apply to your skin every three days.

This a time release pill which last for 12 hrs. I have been on some kind of Morphine for 8 yrs. I was on a time release morphine capsule for several years ( name slips me now) it was excellent. One capsule every 12 hrs. Ask your Dr. about it .

Morphine for breakthrough pain

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