Re: your med questions - basically, morphine cr, ms contin, kadian, avinza, etc - are all long-acting morphine and act the same, in most cases. As morphine has been my long-lasting med for a long while now - I often have had to switch between the different meds.
I also have had lots of experience in tapering off of morphine. I agree - the 60mg to 30mg is a big leap. I usually would decrease my dose by about 15mg. What my PM doc would do is write me for two strengths of morphine - the 30mg and the 15mg. So, I would go from 60mg.... down to 45mg (again, combining a 30mg and 15mg).... then to 30mg... then to 15mg.... etc. (I had to do this over the last year, due to my pregnancy).
Just a thought. Glad the lortab is working well for breakthrough. Take good care.... if you have any other questions, let me know.
Main Health Issues: Dysautonomia/POTS; CFS/Fibro; Chronic Pain (back issues, migraines, carpal tunnel, among other things); Chronic Hypertension; Hypothyroidism and Hypoadrenalism; Mixed Sleep Apnea (on BiPap); Depression/Anxiety; Vitamin D Deficiency.