Morphine dose - is it too much?

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Abol76
Regular Member


Date Joined Mar 2010
Total Posts : 74
   Posted 4/5/2010 4:52 PM (GMT -7)   
Hi I was put on Morphine for arthritic pain two weeks ago. I'm on MST (12hr slow release) 40mg 9am and 40mg 9pm and 5ml (10mg) If needed. Well first off some days I wouldn't need the liquid others once and Only sometimes twice. I finished a course of oral steroids last tuesday and already over weekend, joints have swollen, got hot and are very painful. I'm now taking 4-5 spoons of liquid. Just wandering If this is too much and/or If I need to contact my GP?
Arthritis, GORD, IBS, PCOS, Neurosarcoid, Hypothyroidism, psoriasis, mental health issues, BIH, high blood pressure and high cholesterol. . . Methotrexate injections, folic acid, Prednisolone, Alendronic Acid, Adcal D3, Morphine, Lansoprazole, Domperidone, Norethisterone, Metformin, Levothyroxine, Amitriptyline, Sertraline/lustral/Zoloft, buspirone/buspar, Carbamazapine/Tegratol, Risperidone/Risperdal, Melatonin, Lisinopril, Atorvastatin ". . . but hey, Tomorrow is another day!" :-)


Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 4/5/2010 5:26 PM (GMT -7)   
Hi Abol...

I'm a little confused.... so if I have the question wrong.... just tell me :) On the liquid....there should be dosing instructions - isn't there? For instance it might say "take 5ml 3x a day for breakthrough pain..." or sometimes it even says "do not exceed "xyz" per day.

So, the bottom line is that it should say how much you should be taking. I definitely would not exceed the amount prescribed, unless given permission by your doctor.

If you are asking if that is a large dose... it's a very individualized thing For instance, for the last couple of years, I've been on 420mg of morphine a day (240mg in AM, 240 mg in PM) of the 12-hour release. I'm not on that anymore, given some other issues I have... but I just wanted to give you a perspective that the dosing "can" go much higher.

That being said, going back to what I already said - I definitely would never use more than prescribed...for a variety of reasons. I would definitely call your doctor.

Hope your pain lessens up... and hope this helped a little.
--Tina
Main Health Problems: Dysautonomia/POTS; CFS/Fibromyalgia; Severe Hypertension; Hypothyroidism; Hypoadrenalism; Mixed (Obstructive/Central) Sleep Apnea - on Auto BiPap; Depression/Anxiety; Severe Vitamin D Deficiency

Pain Issues: Cervical/Thoracic back pain; migraines; carpal tunnel syndrome; widespread joint/muscle pain, nerve pain in hands/arms/feet; Future Plans: Intrathecal Pain Pump; already completed trial (Sept, 2008); awaiting my decision for implantation


Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 4/5/2010 5:39 PM (GMT -7)   
Hi there,

May I ask are you in the US? I haven't seen people prescribed liquid morphine besides in an IV in a hospital setting too much here...just curious...

I am not sure how much 4-5 spoonfulls adds up to..but PLEASE do not take any more than what you are prescribed...this could endanger you physically as morphine is high risk for breathing difficulties/overdose in large doses ( I am on MSContin)...as well as could get you dismissed from your Dr. and would hate to see either things happen to you...

I recommend calling your Dr. asap for any questions as to what dosage you need to be taking, as well as telling them about your swelling joints...even when we have added pain...we can't up our meds without their knowledge or permission...

I truly feel for you and hope that you can get answers and relief soon..keep us posted...
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Dec 2006
 
 


Abol76
Regular Member


Date Joined Mar 2010
Total Posts : 74
   Posted 4/5/2010 5:48 PM (GMT -7)   
Thanks guys for your help i'll try and answer a few questions. I'm in the UK. My bottles of liquid still have instructions from when I was on it without 12hr tablets. Dr just said take 1spoon If needed didn't actually say up to how many times it was all done over the phone. I think after your advise I won't take anymore tonight but call GP first thing in the morning (it's nearly 2am here). Thanks everso much once again, I hope I've answered your questions and i'll post on this thread tomorrow as to the outcome of my phone call
Arthritis, GORD, IBS, PCOS, Neurosarcoid, Hypothyroidism, psoriasis, mental health issues, BIH, high blood pressure and high cholesterol. . . Methotrexate injections, folic acid, Prednisolone, Alendronic Acid, Adcal D3, Morphine, Lansoprazole, Domperidone, Norethisterone, Metformin, Levothyroxine, Amitriptyline, Sertraline/lustral/Zoloft, buspirone/buspar, Carbamazapine/Tegratol, Risperidone/Risperdal, Melatonin, Lisinopril, Atorvastatin ". . . but hey, Tomorrow is another day!" :-)


Chutz
Veteran Member


Date Joined Jan 2005
Total Posts : 9090
   Posted 4/5/2010 9:27 PM (GMT -7)   
Hi Abol!

I'm glad to hear you're getting in touch with your doc. I think it's a valid concern if he told you to "take 1 spoon if needed" but didn't say how often. As you well know morphine is mighty dangerous stuff used improperly. It's good to see you are wise and safe.

Hugs,
Chutz
Gravitation is not responsible for people falling in love.
Albert Einstein

(\_/)
(o.o)
(> <) Co-Moderator Fibromyalgia & Chronic Pain Forums
Fibromyalgia, PTSD, UC, Diabetic on insulin, collapsed disk, arthritis scattered around and a few other delights.


mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted 4/5/2010 10:51 PM (GMT -7)   

You also need to make sure that you are only using a proper medication dosing spoon, not regular teaspoons or tablespoons since those DO NOT give the proper dosing amount. You should get a dosing spoon from your pharmacist or prescribing doctor.

No one should use teaspoons or tablespoons when taking any medication. nono ust a public service message from your friendly neighborhood sandiwink


PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
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I've seen enough surgeons over the last few years.
Avascular necrosis of left wrist- maybe hips too

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