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


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


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


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


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


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


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


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


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


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


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