because the pain was getting worse, he did gave me 1 kadianand one 60mg i took the first 80mg kadian and it made me very sick,went back to the dr ,and told him that i couldnt take the 80 mg kadian would he write me script fo the60's instead of the 80, he said no ,ihave been taking 2 of the 60s per day but no more of the 80s,and iam about out ,and only the 80 left,took an 80 yesterday after coming home from the drs,woke up gasping for my breath three times,he had me on 100s before they werent kadin and they done nothing , i just want less strength , not stronger ,iam not out of pills just nothing but theese 80 kadian and i thought they were going to kill me last night what should i do?
26 Feb 2011
I just looked this on Drugs A-Z. CALL YOUR DOCTOR NOW!!! Please read the possible side effects as you have described. Not to mixed with Morphine. Gasping for breathe. Please call Doctor or ER now! Mary 632009
Kadian belongs to a class of drugs called narcotic pain relievers.
Kadian is used to treat moderate to severe pain. Extended-release Kadian capsules are used when around-the-clock pain relief is needed.
Kadian may also be used for purposes other than those listed in this medication guide.
Important information about Kadian
You may not be able to take Kadian unless you are already being treated with a similar opioid pain medicine and your body is tolerant to it. Talk with your doctor if you are not sure you are opioid-tolerant.
Kadian may be habit-forming and should be used only by the person it was prescribed for. Kadian should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Do not drink alcohol while you are using Kadian. Dangerous side effects or death can occur when alcohol is combined with Kadian. Check your food and medicine labels to be sure these products do not contain alcohol.
Never take more than your prescribed dose of Kadian. Tell your doctor if the medicine seems to stop working as well in relieving your pain.
Do not stop taking Kadian suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication.
Before using Kadian
Do not use Kadian if you have ever had an allergic reaction to a narcotic medicine (examples include codeine, methadone, Oxycontin, Darvocet, Percocet, Vicodin, Lortab, and many others). You should also not take Kadian if you are having an asthma attack or if you have a bowel obstruction called paralytic ileus. Kadian may be habit-forming and should be used only by the person it was prescribed for. Kadian should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.
Before using Kadian, tell your doctor if you are allergic to any drugs, or if you have:
asthma, COPD, sleep apnea, or other breathing disorders;
liver or kidney disease;
curvature of the spine;
a history of head injury or brain tumor;
epilepsy or other seizure disorder;
low blood pressure;
Addison's disease or other adrenal gland disorders;
enlarged prostate, urination problems;
mental illness; or
a history of drug or alcohol addiction.
You may not be able to take Kadian unless you are already being treated with a similar opioid pain medicine and your body is tolerant to it. Talk with your doctor if you are not sure you are opioid-tolerant. FDA pregnancy category C. This medication may be harmful to an unborn baby, and could cause addiction or withdrawal symptoms in a newborn. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Morphine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Older adults may be more sensitive to the effects of Kadian.
How should I use Kadian?
Use Kadian exactly as it was prescribed for you. Never take Kadian in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label. Too much Kadian could be very harmful. Tell your doctor if the medicine seems to stop working as well in relieving your pain.
To make swallowing easier, you may open the extended-release capsule and sprinkle the medicine into a spoonful of apple sauce. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule.
Do not stop using Kadian suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Store Kadian at room temperature, away from heat, moisture, and light.
Keep track of how many pills have been used from each new bottle of this medicine. Morphine is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. An overdose of morphine can be fatal.
Overdose symptoms may include extreme drowsiness, pinpoint pupils, confusion, cold and clammy skin, weak pulse, shallow breathing, fainting, or breathing that stops.
What should I avoid while using Kadian?
Do not drink alcohol while you are taking this medication. Dangerous side effects or death can occur when alcohol is combined with Kadian. Check your food and medicine labels to be sure these products do not contain alcohol. Kadian can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Phentramine HCL 37.5 mg
Kadian side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
shallow breathing, slow heartbeat;
cold, clammy skin;
severe weakness or dizziness; or
feeling light-headed, fainting.
Less serious Kadian side effects are more likely to occur, such as:
warmth, tingling, or redness under your skin;
nausea, vomiting, stomach pain, diarrhea, loss of appetite;
dizziness, headache, anxiety;
memory problems; or
sleep problems (insomnia).
See also: Kadian side effects (in more detail)
What other drugs will affect Kadian?
Avoid taking Kadian if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Side effects can be more severe if you use Kadian before the MAO inhibitor has cleared from your body. Do not take Kadian with other narcotic pain medications, sedatives, tranquilizers, muscle relaxers, or other medicines that can make you sleepy or slow your breathing. Dangerous side effects may result.
Before taking Kadian, tell your doctor if you are using pentazocine (Talwin), nalbuphine (Nubain), butorphanol (Stadol), or buprenorphine (Buprenex, Subutex). If you are using any of these drugs, you may not be able to use Kadian, or you may need dosage adjustments or special tests during treatment.
This list is not complete and there may be other drugs that can interact with Kadian. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
26 Feb 2011
sorry I haven't had the chance to answer you before now, I want to be clear about this are you out of the other medicine (just the Morphine)? How much Kadian 80mg do you have left? I am just concerned about you being out of the Morphine totally and left to use the Kadian, As a patient with the information that you have given here I would not feel comfortable myself to take the Kadian,
I realize that you have to follow you doctors instructions but I would be sure (again) that he is aware of the problems you are having with the Kadian and that you are almost out of Morphine, I am looking at it if that were me or you were a family member of mine I would have concerns about using Kadian and apparently you have problems with side effects that can become severe, another concern is this is a week end and you need his help, I think this is just me I would talk to him again. I was reading the list of things and it says not to abruptly stop this medicine, How long have you been on Morphine? Well since it has been this length of time I sincerely hope you have this resolved and are feeling much better, We care about you and are willing to talk with you and advise you in any way that we can
27 Feb 2011
I am a little confused. You are taking morphine ER at 60mgs AND Kadian at 80mgs? Kadian is morphine sulfate in an extended release formula. So technically you are taking one 60mg and one 80 mg a day?
If you are taking more than two pills a day of the morphine whether in form of kadian or morphine ER, you took too much. DO NOT take more then one Kadian every twelve hours. Or take more than one 60mg followed by one 80mg twelve hours later. Does that make sense?
Maybe I am confused, but it sounds like you took too much medication and that is why you had respiratory problems. The Kadian can be sprinkled on soft food like pudding or yogurt. Do not chew the spinkles. Rinse your mouth out completely when done so to swallow all the sprinkles. Taking it with food this way may alleviate the stomach upset. Do not chew or crush the capsule or the sprinkles inside because you will release too much medicine at once into your system.
Not sure that I have helped any but if you continue to have respiratory distress symptoms, please contact the doctor or nearest ER asap.
Take care and best of luck,
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