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