Call your doctor if you have any unusual problems while you are taking this medication. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture not in the bathroom. You must immediately dispose of any medication that is outdated or no longer needed through a medicine take-back program.
If you do not have a take-back program nearby or one that you can access promptly, flush any morphine extended-release tablets, extended-release capsules, and liquid that are outdated or no longer needed down the toilet so that others will not take them. Talk to your pharmacist about the proper disposal of your medication. It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily.
To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach. In case of overdose, call the poison control helpline at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at While taking morphine, you should talk to your doctor about having a rescue medication called naloxone readily available e.
Naloxone is used to reverse the life-threatening effects of an overdose. It works by blocking the effects of opiates to relieve dangerous symptoms caused by high levels of opiates in the blood.
Your doctor may also prescribe you naloxone if you are living in a household where there are small children or someone who has abused street or prescription drugs. You should make sure that you and your family members, caregivers, or the people who spend time with you know how to recognize an overdose, how to use naloxone, and what to do until emergency medical help arrives. Your doctor or pharmacist will show you and your family members how to use the medication.
Ask your pharmacist for the instructions or visit the manufacturer's website to get the instructions. If symptoms of an overdose occur, a friend or family member should give the first dose of naloxone, call immediately, and stay with you and watch you closely until emergency medical help arrives.
Your symptoms may return within a few minutes after you receive naloxone. If your symptoms return, the person should give you another dose of naloxone. Additional doses may be given every 2 to 3 minutes, if symptoms return before medical help arrives.
Keep all appointments with your doctor and laboratory. Your doctor may order certain lab tests to check your body's response to morphine. Before having any laboratory test especially those that involve methylene blue , tell your doctor and the laboratory personnel that you are taking morphine. This prescription is not refillable. If you are taking morphine to control your pain on a long term basis, be sure to schedule appointments with your doctor so that you do not run out of medication.
If you are taking morphine on a short-term basis, call your doctor if you continue to experience pain after you finish the medication. It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements.
You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies. Generic alternatives may be available. Morphine pronounced as mor' feen. Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow?
What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names Brand names of combination products.
Other uses for this medicine. What special precautions should I follow? Before taking morphine, tell your doctor and pharmacist if you are allergic to morphine, any other medications, or any of the inactive ingredients in the type of morphine product you plan to take.
Ask your pharmacist or check the Medication Guide for a list of the inactive ingredients. Also tell your doctor if you are taking any of the following monoamine oxidase MAO inhibitors, or if you have stopped taking them within the past 2 weeks: isocarboxazid Marplan , linezolid Zyvox , methylene blue, phenelzine Nardil , selegiline Eldepryl, Emsam, Zelapar , and tranylcypromine Parnate. Many other medications may also interact with morphine, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list.
Different types of morphine Morphine comes as: tablets fast-acting — these contain 10mg, 20mg or 50mg of morphine tablets slow-acting — these contain 5mg, 10mg, 15mg, 30mg, 60mg, mg or mg of morphine capsules slow-acting — these contain 10mg, 30mg, 60mg, 90mg, mg, mg or mg of morphine granules that you mix in water to make a drink — these are in sachets containing 30mg, 60mg, mg or mg of morphine a liquid that you swallow — this contains either 10mg of morphine in a 5ml spoonful or 20mg of morphine in 1ml of liquid suppositories — these contain 10mg of morphine injection usually given in hospital Morphine suppositories are useful if you cannot swallow tablets or liquids.
Dosage Doses vary from person to person. How often will I take it? How often you take it depends on the type of morphine that you've been prescribed.
Important Do not break, crush, chew or suck morphine slow-release tablets or capsules. Will my dose go up or down? How long will I take it for? What if I forget to take it? This will vary depending on which type of morphine you're taking.
Never take 2 doses at the same time to make up for a forgotten one. What will happen if I stop taking it? If you need to take morphine for a long time your body can become tolerant to it.
If you stop taking morphine suddenly it can cause unpleasant withdrawal symptoms such as: feeling agitated feeling anxious shaking sweating. Important If you have been taking morphine for more than a few weeks do not stop taking it without speaking to your doctor first.
What if I take too much? Taking too much morphine can be dangerous. The amount of morphine that can lead to an overdose varies from person to person. Urgent advice: Contact for advice now if:. Take the morphine box or leaflet inside the packet plus any remaining medicine with you. Where to store morphine If you're prescribed morphine, it's particularly important that you: store it properly and safely at home keep it out of the sight and reach of children never give your medicine to anyone else Return any unused morphine to your pharmacist who will dispose of it.
The higher the dose of morphine the more chance that you will get side effects. Common side effects Common side effects happen in more than 1 in people. Talk to your doctor or pharmacist if the side effects bother you or do not go away: constipation feeling or being sick nausea or vomiting feeling sleepy or tired dizziness and a sensation of spinning vertigo confusion headaches itchiness or rash Serious side effects Serious side effects happen in less than 1 in people.
Serious allergic reaction In rare cases, it's possible to have a serious allergic reaction anaphylaxis to morphine. Information: You can report any suspected side effect using the Yellow Card safety scheme.
Visit Yellow Card for further information. What to do about: constipation — try to eat more high-fibre foods such as fresh fruit and vegetables and cereals. Try to drink several glasses of water or other non-alcoholic liquid each day. If you can, it may also help to do some gentle exercise. Speak to your doctor about medicine to help prevent or treat constipation caused by morphine if your symptoms do not go away.
This side effect should normally wear off after a few days. Talk to your doctor about taking anti-sickness medicine if it carries on for longer. Talk to your doctor if they carry on for longer. It may be best not to drink alcohol while taking morphine as this can make headaches worse. Ask your pharmacist to recommend a painkiller.
Headaches should usually go away after the first week of taking morphine. Talk to your doctor if they last longer than a week or are severe. Check with the pharmacist to see what type is suitable for you. If symptoms do not go away or get worse talk to your doctor as you may need to try a different painkiller. Morphine is generally not recommended during pregnancy and while breastfeeding.
Morphine and pregnancy In early pregnancy, it's been linked to some problems for your unborn baby. Morphine and breastfeeding Morphine is not usually recommended if you're breastfeeding. Non-urgent advice: Tell your doctor if you're:. Tell your doctor if you are taking any medicines : to help you sleep for depression — some types cannot be taken with morphine for high blood pressure to help stop you feeling or being sick vomiting to treat symptoms of an allergy to reduce tension or anxiety for mental health problems Mixing morphine with herbal remedies and supplements It's not possible to say that complementary medicines are safe to take with morphine.
Important: Medicine safety Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements.
How does morphine work? Morphine is from a group of medicines called opiates, or narcotics. How long will it take to work? This depends on the type of morphine you take. A morphine injection into a vein gives the quickest pain relief. It works almost straight away. Can I become addicted to morphine? How will I know if I'm addicted? Is morphine a controlled medicine? How can I tell if I am taking slow or fast release morphine?
Will it affect my fertility? There's no clear evidence to suggest that taking morphine will reduce fertility in men. Will it affect my contraception? Can I drink alcohol with it? If you feel sleepy with morphine, stop drinking alcohol while you are taking it.
Are there other painkillers I can try? Will it make me so sleepy I cannot function? Is morphine only used at the end of life? Can children take morphine? Can I drive or ride a bike? Will recreational drugs affect it?
Tell your doctor if you think you may take recreational drugs while you're on morphine. Related conditions Cancer End of life care. Children over 6 months of age should be closely monitored for signs of respiratory distress with an oximetry and sedation check 10 minutes post administration of morphine IV APP. For children less than 6 months a usual initial dose would be 0.
For children over 50 kg the initial administration dose may be a standard bolus of 5 mg. Further doses may then be administered as per IV morphine protocol. Handover of narcotics from operating room staff to PACU staff is not best practice. McGrath, J, P. Twycross, A. United Kingdom: Wiley Blackwell. Date last published: 26 August This document is only valid for the day on which it is accessed. Please read our disclaimer.
Pain services. Introduction Morphine is considered the 'gold standard' opioid analgesic for management of acute pain in children unless contraindicated. See the below chart for further details.
Administration All registered nursing staff that have completed their intravenous administration competency and attended the Paediatric pain study can administer IV morphine APP. Risks Side effects will occur more rapidly with IV morphine over oral, such as the risk of respiratory depression.
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