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