I have Crohns disease and have been prescribed Morphine Sulphate for severe pain when I have a flare
- Posted:
- 23 May 2010 by Gene Bean
- Topics:
- roxanol, pain, morphine
Details:
... up... And it is the liquid under the tongue type (made by Roxane or Roxanol) and I was wondering a few things.
It tastes so nasty and will chasing it with water hurt its effectiveness? How about other liquids (sodas, juices)?
How long should I try and let it stay under the tongue before swallowing it with something like water?
In the ER and Hospital they inject me with either morphine or dilaudid (or put it in my IV) and I was wondering since it seems to be so much faster acting that way can I inject the liquid I have been given for home use?
If so would the 5ml dose be the same and what size needle/syringe combo is best for a 6' -190# adult male? Especially one with poor veins (according to the nurses... I wouldn't know but with this pain am willing to find out!)
Also I see on here that Dilaudid is stronger than Morphine but the 4mg pills (dilaudid) I was prescribed for this pain didn't seem to work when I last had a major flare and ended up in the ER... I think the pills just take to long to work due to the intensity of the pain when it comes on..it hits fast and seems to build. When I went in that time I had (and usually seem to have when this happens) an elevated white blood cell count so could an infection also be inhibiting the effectiveness of the pain meds?
Thanks in advance for all your help!
24 May 2010
First, no you can not inject the liquid form of the morphine. Also, it may be possible that an infection may cause the medication to be less effective. Keep the medicine under your tongue for as long as possible and follow the directions on the bottle. If your doctor says it's ok to follow up with a soda or other drink, then do so. Check with him first though. Maybe there is some type of oral numbing agent you could use prior to dosing. Any type of pain medication works faster and better when administered in a hospital setting i.e. injection, IV. If the oral med you take doesn't seem to be working as well, ask your doctor for the suppository type. Your body absorbs the most of the medication when used this way. Please check with your doctor and see if he could prescribe the meds this way. The other alternative may be you simply need an increase in the doseage or a different medication all together. I wish you good luck and hope you find that pain relief you need. My thoughts are with you.
Chris
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Further Information
Gene Bean
christine...
Thanks Christine! I appreciate you taking the time for a thorough answer too with some compassion thrown in too, lol (could use more of that 'round here)
Expand this post...
I actually got a new bottle today which happened to be from a different manufacturer and I honestly think now there was something wrong with the solution. Maybe it was old or improperly stored but it lost its effectiveness somehow I think... all I know is that the new concentrate version I got today made by "Lanett" is ALOT more effective. The hot ball of pain in my guts melts away like it does in the hospital (on a .75ml dose instead the prescribed 1ml even... I dont want to have to be on this stuff so I always try less at first) which is of course what I need at this point. I should have figured out that after it took 3 different pharmacies before finding one that could fill the initial prescription last month that it was not a frequently prescribed medication in my little town. Good to know there is the suppository option which I didn't know about and that I don't have to worry about having to inject myself while in that much pain (wasn't sure how that was gonna work anyway, lol) as I live alone.
OK, now you just have to tell me whats different about the morphine they inject in you and the stuff I have? Would it have been really bad news for me if I had taken it upon myself to inject it without asking first?? So glad I asked...
Thanks again Chris!
Gene Bean
By '"round here' I mean my place not this site, lol... whew...
Very happy to hear your meds are working!! I know what you mean about having a hard time getting certain meds filled. The pharmacist looks at you like you're some kind of addict! At least that's been my "small town" experience. Oral meds have other ingredients in them that are not good if injected. Maybe some type of preservative or fillers of some kind. Some people have asked if you could crush a vicodin and mix it with water to inject. Well, yes it you want to do damage to your heart and lungs and you don't mind talc running through your veins. It can actually cause a fatal lung disease. Yours was by no means a dumb question as it is liquid anyway. So please don't take that the wrong way. Your pain must be debilitating to be on such strong meds. The main thing is you finally have some relief. Be sure to let the pharmacy know you will need this medication so please have it in stock for you. Give them a weeks notice in case they need to order it. Take care and good luck to you.
Chris