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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 music. Stopping suddenly could cause withdrawal symptomsand make you very uncomfortable morphine music. Your doctor may want to gradually reduce yourdose morphine music.
• Do not crush, chew, break, or open controlled-release forms of morphinesuch as Oramorph SR, Kadian, and MS Contin morphine music. Swallow them whole morphine music. They are speciallyformulated to release morphine slowly into your system morphine music. Breaking them wouldcause too much of the drug to be released into your blood at one time morphine music.
• Morphine will cause drowsiness and fatigue morphine music. Avoid alcohol, sleeping pills,antihistamines, sedatives, and tranquilizers that may also make you drowsy exceptunder the supervision of your doctor morphine music.
• Morphine will also cause constipation morphine music. Drink plenty of water (six toeight full glasses a day) to lessen this side effect morphine music. Increasing the amountof fiber in your diet can also help to alleviate constipation morphine music.
• Never take more morphine than is prescribed for you morphine music. If your pain isnot being adequately treated, talk to your doctor morphine music.


What is morphine?
• Morphine is in a class of drugs called narcotic analgesics morphine music. It relievespain morphine music.
• Morphine is used to treat moderate-to-severe pain morphine music.
• Morphine may also be used for purposes other than those listed in thismedication guide morphine music.


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 music.
• 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 music.
• 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 music.
• Morphine may cause addiction and withdrawal symptoms as well as otherharmful effects in an unborn baby morphine music. Do not take morphine without first talkingto your doctor if you are pregnant morphine music.
• Morphine may also cause addiction and withdrawal symptoms in a nursinginfant morphine music. Do not take morphine without first talking to your doctor if you arebreast-feeding a baby morphine music.
• 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 music. Useextra caution morphine music.


How should I take morphine?
• Take morphine exactly as directed by your doctor morphine music. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you morphine music.
• Take each dose with a full glass of water morphine music.
• Take morphine with food or milk if it upsets your stomach morphine music.
• Never take more of this medication than is prescribed for you morphine music. Too muchmorphine could be very harmful morphine music.
• 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 music. Ifyou do not have a dose-measuring device, ask your pharmacist where you can getone morphine music.
• Do not crush, chew, break, or open controlled-release forms of morphinesuch as Oramorph SR, Kadian, or MS Contin morphine music. Swallow them whole morphine music. They are speciallyformulated to release morphine slowly into your system morphine music. Breaking them wouldcause too much drug to be released into your blood at one time morphine music.
• Use the suppositories rectally as directed by your doctor morphine music. If you donot know how to use them, ask you doctor, nurse, or pharmacist for instructions morphine music.
• Do not stop taking morphine suddenly if you have been taking it continuouslyfor more than 5 to 7 days morphine music. Stopping suddenly could cause withdrawal symptomsand make you feel uncomfortable morphine music. Your doctor may want to gradually reduce yourdose morphine music.
• Morphine will cause constipation morphine music. Increase the amount of fiber and water(at least six to eight full glasses daily) in your diet to prevent constipation morphine music.
• Do not share this medication with anyone else morphine music.
• Store morphine at room temperature away from moisture and heat morphine music.
• Discard any opened bottle of morphine solution after 90 days morphine music.


What happens if I miss a dose?
• Take the missed dose as soon as you remember morphine music. Do not take a double doseof this medication morphine music. Wait the prescribed amount of time before taking your nextdose morphine music.


What happens if I overdose?
• Seek emergency medical attention morphine music.
• Symptoms of a morphine overdose include slow breathing, seizures, dizziness,weakness, loss of consciousness, coma, confusion, tiredness, cold and clammyskin, and small pupils morphine music.


What should I avoid while taking morphine?
• Avoid alcohol while taking morphine morphine music. Alcohol will greatly increase thedrowsiness and dizziness caused by morphine and could be dangerous morphine music.
• Also avoid sleeping pills, tranquilizers, sedatives, and antihistaminesexcept under the supervision of your doctor morphine music. These medications also may causedangerous sedation morphine music.
• Use caution when driving, operating machinery, or performing other hazardousactivities morphine music. Morphine may cause drowsiness morphine music. If you experience drowsiness, avoidthese activities morphine music.


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 music.
• Other, less serious side effects may be more likely to occur morphine music. 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 music.
• Morphine is habit forming morphine music. Do not stop taking it suddenly morphine music.
• Side effects other than those listed here may also occur morphine music. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome morphine music.


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 music. Dangerous side effects could result morphine music.
• The most serious interactions affecting morphine are with those drugsthat also cause sedation morphine music. 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 music.
• Do not take any of the drugs listed above without the approval of yourdoctor morphine music.
• Drugs other than those listed here may also interact with morphine morphine music. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines morphine music.


Where can I get more information?
• Your pharmacist has additional information about morphine written forhealth professionals that you may read morphine music.


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