history of morphine
(MOR feen)
Kadian, MS Contin, MSIR, OMS, Oramorph SR, Rescudose, RMS, Roxanol, Roxanol 100,Roxanol-T
What is the most important information I should know about morphine?
• Do not stop taking morphine suddenly if you have been taking it continuouslyfor more than 5 to 7 days history of morphine. Stopping suddenly could cause withdrawal symptomsand make you very uncomfortable history of morphine. Your doctor may want to gradually reduce yourdose history of morphine.
• Do not crush, chew, break, or open controlled-release forms of morphinesuch as Oramorph SR, Kadian, and MS Contin history of morphine. Swallow them whole history of morphine. They are speciallyformulated to release morphine slowly into your system history of morphine. Breaking them wouldcause too much of the drug to be released into your blood at one time history of morphine.
• Morphine will cause drowsiness and fatigue history of morphine. Avoid alcohol, sleeping pills,antihistamines, sedatives, and tranquilizers that may also make you drowsy exceptunder the supervision of your doctor history of morphine.
• Morphine will also cause constipation history of morphine. Drink plenty of water (six toeight full glasses a day) to lessen this side effect history of morphine. Increasing the amountof fiber in your diet can also help to alleviate constipation history of morphine.
• Never take more morphine than is prescribed for you history of morphine. If your pain isnot being adequately treated, talk to your doctor history of morphine.
What is morphine?
• Morphine is in a class of drugs called narcotic analgesics history of morphine. It relievespain history of morphine.
• Morphine is used to treat moderate-to-severe pain history of morphine.
• Morphine may also be used for purposes other than those listed in thismedication guide history of morphine.
Who should not take morphine?
• Morphine is habit forming and should only be used under close supervisionif you have an alcohol or drug addiction history of morphine.
• Before taking this medication, tell your doctor if you have
· kidney disease,
· liver disease,
· asthma,
· urinary retention,
· an enlarged prostate,
· hypothyroidism,
· seizures or epilepsy,
· gallbladder disease,
· a head injury, or
· Addison's disease history of morphine.
• You may not be able to take morphine, or you may require a lower doseor special monitoring during treatment if you have any of the conditions listedabove history of morphine.
• Morphine may cause addiction and withdrawal symptoms as well as otherharmful effects in an unborn baby history of morphine. Do not take morphine without first talkingto your doctor if you are pregnant history of morphine.
• Morphine may also cause addiction and withdrawal symptoms in a nursinginfant history of morphine. Do not take morphine without first talking to your doctor if you arebreast-feeding a baby history of morphine.
• If you are younger than 18 years of age or older than 60 years of age,you may be more likely to experience side effects from morphine therapy history of morphine. Useextra caution history of morphine.
How should I take morphine?
• Take morphine exactly as directed by your doctor history of morphine. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you history of morphine.
• Take each dose with a full glass of water history of morphine.
• Take morphine with food or milk if it upsets your stomach history of morphine.
• Never take more of this medication than is prescribed for you history of morphine. Too muchmorphine could be very harmful history of morphine.
• To ensure that you get a correct dose, measure the liquid form of morphinewith a special dose-measuring spoon or cup, not with a regular tablespoon history of morphine. Ifyou do not have a dose-measuring device, ask your pharmacist where you can getone history of morphine.
• Do not crush, chew, break, or open controlled-release forms of morphinesuch as Oramorph SR, Kadian, or MS Contin history of morphine. Swallow them whole history of morphine. They are speciallyformulated to release morphine slowly into your system history of morphine. Breaking them wouldcause too much drug to be released into your blood at one time history of morphine.
• Use the suppositories rectally as directed by your doctor history of morphine. If you donot know how to use them, ask you doctor, nurse, or pharmacist for instructions history of morphine.
• Do not stop taking morphine suddenly if you have been taking it continuouslyfor more than 5 to 7 days history of morphine. Stopping suddenly could cause withdrawal symptomsand make you feel uncomfortable history of morphine. Your doctor may want to gradually reduce yourdose history of morphine.
• Morphine will cause constipation history of morphine. Increase the amount of fiber and water(at least six to eight full glasses daily) in your diet to prevent constipation history of morphine.
• Do not share this medication with anyone else history of morphine.
• Store morphine at room temperature away from moisture and heat history of morphine.
• Discard any opened bottle of morphine solution after 90 days history of morphine.
What happens if I miss a dose?
• Take the missed dose as soon as you remember history of morphine. Do not take a double doseof this medication history of morphine. Wait the prescribed amount of time before taking your nextdose history of morphine.
What happens if I overdose?
• Seek emergency medical attention history of morphine.
• Symptoms of a morphine overdose include slow breathing, seizures, dizziness,weakness, loss of consciousness, coma, confusion, tiredness, cold and clammyskin, and small pupils history of morphine.
What should I avoid while taking morphine?
• Avoid alcohol while taking morphine history of morphine. Alcohol will greatly increase thedrowsiness and dizziness caused by morphine and could be dangerous history of morphine.
• Also avoid sleeping pills, tranquilizers, sedatives, and antihistaminesexcept under the supervision of your doctor history of morphine. These medications also may causedangerous sedation history of morphine.
• Use caution when driving, operating machinery, or performing other hazardousactivities history of morphine. Morphine may cause drowsiness history of morphine. If you experience drowsiness, avoidthese activities history of morphine.
What are the possible side effects of morphine?
• If you experience any of the following serious side effects, stop takingmorphine and seek emergency medical attention:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· slow, weak breathing;
· seizures;
· cold, clammy skin;
· severe weakness or dizziness; or
· unconsciousness history of morphine.
• Other, less serious side effects may be more likely to occur history of morphine. Continueto take morphine and talk to your doctor if you experience
· constipation;
· dry mouth, nausea, vomiting, or decreased appetite;
· dizziness, tiredness, or lightheadedness;
· muscle twitches;
· sweating;
· itching;
· decreased urination; or
· decreased sex drive history of morphine.
• Morphine is habit forming history of morphine. Do not stop taking it suddenly history of morphine.
• Side effects other than those listed here may also occur history of morphine. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome history of morphine.
What other drugs will affect morphine?
• Do not take morphine if you have taken a monoamine oxidase inhibitor(MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine(Parnate) in the last 14 days history of morphine. Dangerous side effects could result history of morphine.
• The most serious interactions affecting morphine are with those drugsthat also cause sedation history of morphine. The following drugs may lead to dangerous sedationif taken with morphine:
· antihistamines such as brompheniramine (Dimetane, Bromfed, others),diphenhydramine (Benadryl, Nytol, Compoz, others), chlorpheniramine (Chlor-Trimeton,Teldrin, others), and others;
· tricyclic antidepressants, such as amitriptyline (Elavil) and doxepin(Sinequan), and serotonin reuptake inhibitors such as fluoxetine (Prozac), sertraline(Zoloft), and paroxetine (Paxil);
· other commonly used antidepressants, including amoxapine (Asendin),clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), nortriptyline(Pamelor), and protriptyline (Vivactil);
· anticholinergics such as belladonna (Donnatal), clidinium (Quarzan),dicyclomine (Bentyl, Antispas), hyoscyamine (Levsin, Anaspaz), ipratropium (Atrovent),propantheline (Pro-Banthine), and scopolamine (Transderm-Scop);
· phenothiazines such as chlorpromazine (Thorazine), fluphenazine (Prolixin),thioridazine (Mellaril), and prochlorperazine (Compazine); and
· tranquilizers and sedatives such as phenobarbital (Solfoton, Luminal),amobarbital (Amytal), secobarbital (Seconal), alprazolam (Xanax), diazepam (Valium),lorazepam (Ativan), flurazepam (Prosom), and temazepam (Restoril) history of morphine.
• Do not take any of the drugs listed above without the approval of yourdoctor history of morphine.
• Drugs other than those listed here may also interact with morphine history of morphine. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines history of morphine.
Where can I get more information?
• Your pharmacist has additional information about morphine written forhealth professionals that you may read history of morphine.
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