I'm confused as someone on this site in a comment said it was 200 mg. Also my doctor said if he doesn't lower it, he will lose his liscense. Can you please tell me what is accurate? He also referred to a recent study done by the DEA showing that anything over 150mg is not necessary unless you have cancer. Thankyou.
Is the DEA "recommending" no more than 150mg of morphine?
Added 21 Dec 2012:
I understand that it matters what state you are in as to what amount. I am in Arizona. I'm also asking because I don't trust my doctor. He thinks this decrease is a wonderful idea, and worse has not one ounce of regret or compassion about it.
There is a war going on with the DEA over prescription drugs. They believe that people with chronic pain are selling their drugs to get extra money & that's going to fix the problem of drugs on the street. So they are going after the doctors that are prescribing them. A lot of doctors have lost their licenses, & some have gone to jail. so your doctor is teling you the truth. It's been a big subject on this site. The amount is usually set by each state, & quite a few are either not prescribing pain drugs at all, or the state is putting their own limit on how much they can prescribe. In the state of Washington, it is anything that equals 100mg of morphine a day whether it be oxycontinm oxycodone , morphine or dilaudid, or whatever. Many of the doctors like mine, have closed up shop to avoid the problems these new policies are causing. I wish you well, & hope you don't get cut off completely. Best wishes to you...
Any study like that done by the DEA is suspect, they have ulterior motives. There are a group of docs trying to get the FDA to label narcotics with specific amounts for specific things. They also want to limit the maladies that can have a narcotic for pain. Those of us with fibro will be really messed up because they want to see structural damage, if you don't have that you don't have pain. Those of us with chronic pain know that doses of narcotics are individualized and the longer you're on them the more you need. Docs are not only losing their licenses and going to jail, they lose all their assets because they are arrested as drug pushers, just like the illegal ones on the street. So the DEA has greed as a motive too. I don't know what exactly is the dosage, I'll see if I can find it.
It is usually somewhere between 100mg to 200mg morphine or equivelent per day for non cancer pain. There are no accurate studies to prove this. This is an arbitrary number they have pulled out of their @$$ and no studies have proven that doses at or below this level are "Safe" It is a crock and most Drs know this but arent brave enough to fight it on behalf of the patients because they dont want to lose their licenses and assets! Pain patients are going to HAVE to start speaking up to our politicians to let them know how these policies make your lives miserable. If all pain patients stand together as a voting block it WOULD get their attention and this BS would stop! There is already a resurgence of heroin overdoses among illicit drug users as a backlash from this.
Drug users will just move on to another drug to get high on and we pain patients will be the victims of a senseless "witch hunt" The DEA and certain politicians and Drs involved in PROP think that if they limit prescribing for ALL, they can decrease street use of drugs. Once they limit drugs for everybody, they can pat themselves on the back at what a good job they did meanwhile true pain patients are left to suffer! To change this, we need every chronic pain patient to write your politicians to let them know how this affects you and that you will support another politician who is humane or it will take a HUGE lawsuit for cruelty and undertreated pain before things change. If everyone sits back and say "Oh well, there is nothing I can do" then you can count on losing your pain control and living life in misery until the pendulum swings the other way again. I know everyone thinks "there goes crazy DzooBaby talking politics again" but I have been saying this for the past year that this was coming and now we are all being affected by it! Your politicians WILL listen if they are enundated by letters from us pain patients. Please look at the website paintopics.org. There are several articles on there about this madness. One is called "Opioids on Trial but Where is the Evidence". I think you will find them very interesting. There are also articles exposing this PROP group and who they are. Check it out if you care about keeping your pain meds. What I would like to know is WHY is cancer pain any worse than any other pain-pain is PAIN! And also since when are addicts more important than folks with chronic pain? They will move on to other drugs. Maybe their habits will get more expensive but certain people will always find ways to get high-they have since the beginning of time. It seems to me that Drs should step up and take more time to sort out those who are treating pain and those who are getting high and rather than turning out those who abuse medications letting them be someone elses problem, they need to begin getting them proper treatment! This makes more sense than to take away everyone who has non cancer pains medications! Abuse of medication begins as a choice in many cases. People choose to take more than prescribed and it is not that I'm not sympathetic with people who are addicted but it does bother me when that choice they make affects me and my ability to live a less painful life! For people who lie to their Drs and then turn around and sell their medications for profit-SHAME ON YOU! You can bet that no one else gets any of MY meds. I dont care what they are worth on the streets-I need them myself although soon I may have to find out what I will have to pay because soon that will be the only way you can get them. SHAME on politicians and misguided Drs who are pushing your patients to the streets for medications!
There is another group called PROMP, (not PROP, the 37 physicians from Washington State who started this entire mess), who also have a petition for the FDA, saying that to limit pain medications to legitimate pain patients is inhumane and irrational. It too is signed by physicians, though these physicians are pain management physicians, not psychiatrists, internal medicine doctors, etc. To believe that only thirty seven doctors who do not work with pain patients have had so much influence over the DEA is unconscionable!! Most people on the site are scrambling to find decent doctors who understand chronic pain, and have not been bullied to either stop practicing pain management, or reducing the amount of medication that stable pain patients take. Ironically, since they have reduced the number of pain medications available, there is a rise in heroine use.
Actually there is more heroine use now than any other time in history! The DEA is shutting down major warehouses that supply the medications to drugstores, and shutting down physicians who they think prescribe too much, though there is NO amount stated, just their opinions!! This all started because of the "pill mills" in Florida. We all have to do something, if we want any quality of life!! There are numerous petitions on sign on . org, and one posted by one of the patients here. It is called "DEA vs. Chronic Pain Patient". There also is a petition written by PROMP (try googling, you will get to it), that takes you directly to the petition that they wrote in retaliation to the PROP petition that goes to the FDA. They have yet to rule on what they are going to do, but the DEA is scaring these doctors silly, and they just don't want to deal with the problem.
- Morphine Information for Consumers
- Morphine Information for Healthcare Professionals (includes dosage details)
- Side Effects of Morphine (detailed)
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