how to make 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 how to make morphine. Stopping suddenly could cause withdrawal symptomsand make you very uncomfortable how to make morphine. Your doctor may want to gradually reduce yourdose how to make morphine.
• Do not crush, chew, break, or open controlled-release forms of morphinesuch as Oramorph SR, Kadian, and MS Contin how to make morphine. Swallow them whole how to make morphine. They are speciallyformulated to release morphine slowly into your system how to make morphine. Breaking them wouldcause too much of the drug to be released into your blood at one time how to make morphine.
• Morphine will cause drowsiness and fatigue how to make morphine. Avoid alcohol, sleeping pills,antihistamines, sedatives, and tranquilizers that may also make you drowsy exceptunder the supervision of your doctor how to make morphine.
• Morphine will also cause constipation how to make morphine. Drink plenty of water (six toeight full glasses a day) to lessen this side effect how to make morphine. Increasing the amountof fiber in your diet can also help to alleviate constipation how to make morphine.
• Never take more morphine than is prescribed for you how to make morphine. If your pain isnot being adequately treated, talk to your doctor how to make morphine.
What is morphine?
• Morphine is in a class of drugs called narcotic analgesics how to make morphine. It relievespain how to make morphine.
• Morphine is used to treat moderate-to-severe pain how to make morphine.
• Morphine may also be used for purposes other than those listed in thismedication guide how to make 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 how to make 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 how to make 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 how to make morphine.
• Morphine may cause addiction and withdrawal symptoms as well as otherharmful effects in an unborn baby how to make morphine. Do not take morphine without first talkingto your doctor if you are pregnant how to make morphine.
• Morphine may also cause addiction and withdrawal symptoms in a nursinginfant how to make morphine. Do not take morphine without first talking to your doctor if you arebreast-feeding a baby how to make 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 how to make morphine. Useextra caution how to make morphine.
How should I take morphine?
• Take morphine exactly as directed by your doctor how to make morphine. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you how to make morphine.
• Take each dose with a full glass of water how to make morphine.
• Take morphine with food or milk if it upsets your stomach how to make morphine.
• Never take more of this medication than is prescribed for you how to make morphine. Too muchmorphine could be very harmful how to make 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 how to make morphine. Ifyou do not have a dose-measuring device, ask your pharmacist where you can getone how to make morphine.
• Do not crush, chew, break, or open controlled-release forms of morphinesuch as Oramorph SR, Kadian, or MS Contin how to make morphine. Swallow them whole how to make morphine. They are speciallyformulated to release morphine slowly into your system how to make morphine. Breaking them wouldcause too much drug to be released into your blood at one time how to make morphine.
• Use the suppositories rectally as directed by your doctor how to make morphine. If you donot know how to use them, ask you doctor, nurse, or pharmacist for instructions how to make morphine.
• Do not stop taking morphine suddenly if you have been taking it continuouslyfor more than 5 to 7 days how to make morphine. Stopping suddenly could cause withdrawal symptomsand make you feel uncomfortable how to make morphine. Your doctor may want to gradually reduce yourdose how to make morphine.
• Morphine will cause constipation how to make morphine. Increase the amount of fiber and water(at least six to eight full glasses daily) in your diet to prevent constipation how to make morphine.
• Do not share this medication with anyone else how to make morphine.
• Store morphine at room temperature away from moisture and heat how to make morphine.
• Discard any opened bottle of morphine solution after 90 days how to make morphine.
What happens if I miss a dose?
• Take the missed dose as soon as you remember how to make morphine. Do not take a double doseof this medication how to make morphine. Wait the prescribed amount of time before taking your nextdose how to make morphine.
What happens if I overdose?
• Seek emergency medical attention how to make morphine.
• Symptoms of a morphine overdose include slow breathing, seizures, dizziness,weakness, loss of consciousness, coma, confusion, tiredness, cold and clammyskin, and small pupils how to make morphine.
What should I avoid while taking morphine?
• Avoid alcohol while taking morphine how to make morphine. Alcohol will greatly increase thedrowsiness and dizziness caused by morphine and could be dangerous how to make morphine.
• Also avoid sleeping pills, tranquilizers, sedatives, and antihistaminesexcept under the supervision of your doctor how to make morphine. These medications also may causedangerous sedation how to make morphine.
• Use caution when driving, operating machinery, or performing other hazardousactivities how to make morphine. Morphine may cause drowsiness how to make morphine. If you experience drowsiness, avoidthese activities how to make 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 how to make morphine.
• Other, less serious side effects may be more likely to occur how to make 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 how to make morphine.
• Morphine is habit forming how to make morphine. Do not stop taking it suddenly how to make morphine.
• Side effects other than those listed here may also occur how to make morphine. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome how to make 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 how to make morphine. Dangerous side effects could result how to make morphine.
• The most serious interactions affecting morphine are with those drugsthat also cause sedation how to make 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) how to make morphine.
• Do not take any of the drugs listed above without the approval of yourdoctor how to make morphine.
• Drugs other than those listed here may also interact with morphine how to make morphine. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines how to make morphine.
Where can I get more information?
• Your pharmacist has additional information about morphine written forhealth professionals that you may read how to make morphine.
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