Morphine

Author
Discussion

so called

9,086 posts

209 months

Sunday 5th June 2016
quotequote all
Our local hospital loves the stuff.
They put my daughter on it for 9 months to "manage the pain" with her gallstones.
Then same again with her dislocated shoulder.
Not good for the body.

Du1point8

21,607 posts

192 months

Monday 6th June 2016
quotequote all
Why did I only get dihydrocodeine for a shattered leg and dislocated ankle... Think I had oral morphine for 2 days in hospital whilst waiting for the op to put my leg back together, then it was just dihydrocodeine and aspirin... nothing else?

Silent1

19,761 posts

235 months

Monday 6th June 2016
quotequote all
Du1point8 said:
Why did I only get dihydrocodeine for a shattered leg and dislocated ankle... Think I had oral morphine for 2 days in hospital whilst waiting for the op to put my leg back together, then it was just dihydrocodeine and aspirin... nothing else?
because you had a sensible doctor TBH, if you had been in greater pain they would have expected you to go to your GP who would have prescribed something stronger (although i do know someone who went from dihydrocodeine to fentanyl in one step but i wouldn't consider that a sensible thing to do!)

Paul Dishman

4,700 posts

237 months

Monday 6th June 2016
quotequote all
grumpy52 said:
He was on Oramorph at the end of his life which gave him relief from what must have been severe discomfort as his spine and ribs had crumbled away due to that awful thing called cancer .
We had loads of it left at home when he had passed away and it was a bit of a challenge to dispose of it legally .
We could have made a fair few ££s on the dodgy side with the stuff.
I certainly could have used some last night !
Sorry, a bit late on this thread. You could have returned the surplus Oramorph to your local pharmacy for disposal.

Roscco

276 posts

222 months

Monday 6th June 2016
quotequote all
so called said:
Our local hospital loves the stuff.
They put my daughter on it for 9 months to "manage the pain" with her gallstones.
Then same again with her dislocated shoulder.
Not good for the body.
What are you talking about "Not good for the body" ?

Around 90% of it is excreted within 24hrs and it doesn't kill brain cells, damage liver or kidneys.... please enlighten me.

Edit to add the link I forgot

http://www.news-medical.net/health/Morphine-Pharma...

Silent1

19,761 posts

235 months

Monday 6th June 2016
quotequote all
Roscco said:
so called said:
Our local hospital loves the stuff.
They put my daughter on it for 9 months to "manage the pain" with her gallstones.
Then same again with her dislocated shoulder.
Not good for the body.
What are you talking about "Not good for the body" ?

Around 90% of it is excreted within 24hrs and it doesn't kill brain cells, damage liver or kidneys.... please enlighten me.

Edit to add the link I forgot

http://www.news-medical.net/health/Morphine-Pharma...
Long term use causes low testosterone in males which can lead to impotence for a start, if you're on any opioid long term surely your doctor has told you about all the potential side effects?

silverthorn2151

6,298 posts

179 months

Tuesday 7th June 2016
quotequote all
That's interesting as I have been found to have very low testosterone for no explicable reason and with no apparent symptoms.

Having spent time on morphine recently its something I'll read up on.

solo2

861 posts

147 months

Tuesday 7th June 2016
quotequote all
grumpy52 said:
It's wonderful stuff !
I had a flare up of my gallstones last night and my usual meds of Naproxen and Zapain didn't kill the pain last night .
Over the next few hours the pain got to the level where I could neither sit lay or stand then the room started to tilt it was that much agony .
Called 101 who said it was an emergency and sent a response car with two paramedics .
The release from pain after one syringe full was fantastic, was a bit nauseous from the stuff but another syringe of stuff sorted that .
6 hrs of tests and x rays in A+E later and a dose of Oramorph later and I was good to go home .
Great service from the NHS even if they were very busy in A+E .
Not the best start to a birthday and I cannot drive for 24hrs as I would fail a drugs test .
I was given absolutely nothing to help the pain of gallstones by the NHS, in fact I only ever got to see my GP. I had to wait several months of being referred privately to then having an op to remove the gallbladder to get rid of the pain.

I did however have morphine after a C Section and I had the awful side effect of scratching myself silly. It was great at removing the pain but the scratches to my arms/legs/body from my nails were no fun afterwards frown

grumpy52

Original Poster:

5,580 posts

166 months

Tuesday 7th June 2016
quotequote all
Paul Dishman said:
grumpy52 said:
He was on Oramorph at the end of his life which gave him relief from what must have been severe discomfort as his spine and ribs had crumbled away due to that awful thing called cancer .
We had loads of it left at home when he had passed away and it was a bit of a challenge to dispose of it legally .
We could have made a fair few ££s on the dodgy side with the stuff.
I certainly could have used some last night !
Sorry, a bit late on this thread. You could have returned the surplus Oramorph to your local pharmacy for disposal.
Our local pharmacy wanted all sorts of paperwork to accept it as they hadn't issued it .The wonderful Macmilan nurse took it away in the end .
The amount of un-opened pharmaceutical stuff we had left that was just destroyed must have been worth a fortune.

grumpy52

Original Poster:

5,580 posts

166 months

Tuesday 7th June 2016
quotequote all
Our family is going through it at the moment as one of my sisters is in ICU at the moment with Legionelle ,pneumonia and sepsis .

Emeye

9,773 posts

223 months

Tuesday 7th June 2016
quotequote all
I had morphing for a burst appendix about 20 years ago. I had one of those PCA devices - an automated syringe that you are allowed to trigger every few minutes. It didn't take me long until I was lying there tapping the button like a demented woodpecker waiting for my next fix. It felt amazing.

Then I started hallucinating - there were naked nurses spinning in the air at 45 degrees with black diamond shape shooting out of them in all directions.... eek

During all this it seemed like my entire extended family turn up all at once and I started to feel panicked. After that I made sure I only pushed the button when I really needed it, but it took some will power - luckily, other than nice coffee and cars, I've not got an addictive personality. biggrin

Chris Hinds

482 posts

165 months

Tuesday 7th June 2016
quotequote all
grumpy52 said:
Our family is going through it at the moment as one of my sisters is in ICU at the moment with Legionelle ,pneumonia and sepsis .
Hope she pulls through grumpy52, I was in ICU earlier this year including pneumonia and sepsis, wonderful care but you don't want to end up there in the first place. Hope she makes a swift recovery.

Paul Dishman

4,700 posts

237 months

Wednesday 8th June 2016
quotequote all
grumpy52 said:
Paul Dishman said:
grumpy52 said:
He was on Oramorph at the end of his life which gave him relief from what must have been severe discomfort as his spine and ribs had crumbled away due to that awful thing called cancer .
We had loads of it left at home when he had passed away and it was a bit of a challenge to dispose of it legally .
We could have made a fair few ££s on the dodgy side with the stuff.
I certainly could have used some last night !
Sorry, a bit late on this thread. You could have returned the surplus Oramorph to your local pharmacy for disposal.
Our local pharmacy wanted all sorts of paperwork to accept it as they hadn't issued it .The wonderful Macmilan nurse took it away in the end .
The amount of un-opened pharmaceutical stuff we had left that was just destroyed must have been worth a fortune.
Struggling to think what paperwork would be needed, none I'm aware of for standard strength Oramorph. Returned CDs such as MST have to be recorded, but beyond asking for your name and address I can't think of anything else that would need to be done. Accepting returned CDs is pretty routine we'd get them back two or three times a week.

Of course, once anything goes out the supply chain is broken and has to go in the controlled waste for disposal.

grumpy52

Original Poster:

5,580 posts

166 months

Thursday 9th June 2016
quotequote all
Paul Dishman said:
grumpy52 said:
Paul Dishman said:
grumpy52 said:
He was on Oramorph at the end of his life which gave him relief from what must have been severe discomfort as his spine and ribs had crumbled away due to that awful thing called cancer .
We had loads of it left at home when he had passed away and it was a bit of a challenge to dispose of it legally .
We could have made a fair few ££s on the dodgy side with the stuff.
I certainly could have used some last night !
Sorry, a bit late on this thread. You could have returned the surplus Oramorph to your local pharmacy for disposal.
Our local pharmacy wanted all sorts of paperwork to accept it as they hadn't issued it .The wonderful Macmilan nurse took it away in the end .
The amount of un-opened pharmaceutical stuff we had left that was just destroyed must have been worth a fortune.
Struggling to think what paperwork would be needed, none I'm aware of for standard strength Oramorph. Returned CDs such as MST have to be recorded, but beyond asking for your name and address I can't think of anything else that would need to be done. Accepting returned CDs is pretty routine we'd get them back two or three times a week.

Of course, once anything goes out the supply chain is broken and has to go in the controlled waste for disposal.
It's ok if you are dealing with properly trained staff ,but when dealing with people that are clearly making it up as they go along and I was dealing with a bereavement I decided to leave it and sort it later .The phone call from dads care nurse checking that we were coping with everything resulted in the mention of the controlled drugs .20 mins later she collected them and the sharps container .
We unfortunately had a pharmacy that had staff that left a great deal to be desired.
I now use a different pharmacy that is soooo much better with well trained and efficient customer focused staff .

Roscco

276 posts

222 months

Thursday 9th June 2016
quotequote all
Silent1 said:
Roscco said:
so called said:
Our local hospital loves the stuff.
They put my daughter on it for 9 months to "manage the pain" with her gallstones.
Then same again with her dislocated shoulder.
Not good for the body.
What are you talking about "Not good for the body" ?

Around 90% of it is excreted within 24hrs and it doesn't kill brain cells, damage liver or kidneys.... please enlighten me.

Edit to add the link I forgot

http://www.news-medical.net/health/Morphine-Pharma...
Long term use causes low testosterone in males which can lead to impotence for a start, if you're on any opioid long term surely your doctor has told you about all the potential side effects?
Having been 'heavily' involved with opiates/opioids for 13+ years I can honestly say that yes I've heard this mentioned, but no its never been a problem I've either experienced nor known anybody else to be affected by.

But again sudden death syndrome has been mentioned..... Never heard anyone taken by that either :/

Silent1

19,761 posts

235 months

Thursday 9th June 2016
quotequote all
Roscco said:
Having been 'heavily' involved with opiates/opioids for 13+ years I can honestly say that yes I've heard this mentioned, but no its never been a problem I've either experienced nor known anybody else to be affected by.

But again sudden death syndrome has been mentioned..... Never heard anyone taken by that either :/
Have you had your testosterone tested? Of all the males I know taking oxycodone, fentanyl or other opioids in a high dose consistently at least 80% of them when tested had extremely low testosterone, anecdotally a seemingly high proportion also have depression but I don't know if that's the opioids or the long term pain.
Overall opioids are not good taken long term (I say this coming from being on fentanyl for nearly a decade), short term they're fine apart from the potential for addiction, long term they can and do have dramatic side effects.
Although ironically I think that people taking opioids for pain long term suffer more problems than recreational users because they are always maintaining a therapeutic dose rather than a recreational dose and then not taking another until they're down to the point withdrawals are imminent, for example oxycodone as a painkiller is only good for 6 hours but for withdrawals it's good for 24 hours.

drivin_me_nuts

17,949 posts

211 months

Thursday 9th June 2016
quotequote all
I had does of this a few days ago. Makes me ill. Or oramorph and me do not get on. I had litres of it at home a while ago along with boxes of fentynl patches.

I was curious to know what a patch would do if you weren't I'll.


Silent1

19,761 posts

235 months

Thursday 9th June 2016
quotequote all
drivin_me_nuts said:
I had does of this a few days ago. Makes me ill. Or oramorph and me do not get on. I had litres of it at home a while ago along with boxes of fentynl patches.

I was curious to know what a patch would do if you weren't I'll.
Depending on the dose, 12.5mcg/hr in an opioid naive patient would get you absolutely trashed probably to the point of anaesthesia, 100mcg/hr would almost certainly kill you through respiratory depression, 50mcg/hr probably would as well, 25mcg/hr would be close.
The biggest danger with fentanyl patches is addicts 'cheeking' them where instead of wearing it they put it in inside their mouth against their cheek because the saliva in your mouth causes the patch to release all of its 3 day dose in about 4 hours.
This is how addicts usually die, they get hold of them and usually take heroin and aren't used to how fentanyl takes a long time to accumulate and because it's held in fat if you take the patch out when you feel 'good' it's probably too late.

The other issue with cheeking is most fentanyl patches actually contain 144 times their hourly dose so that they give out their full dose for the 72 hours and when exposed to saliva it's not uncommon for all of the fentanyl to leech out.

drivin_me_nuts

17,949 posts

211 months

Thursday 9th June 2016
quotequote all
Thanks for the reply. I am very glad indeed that idol curiosity and a few nights of grief never got the better of me. I feel quite scared reading all that now! Bloody hell.

Uncle John

4,284 posts

191 months

Thursday 9th June 2016
quotequote all
Ripped my shoulder out of the socket in a bike accident. Ambulance arrives, can't move me as my arm is twisted behind me. Shot of morphine they got me in the ambulance.

Half way to hospital had another shot for the pain.

Arrived at the hospital and had to have another shot. Finally felt pain free.

Had to be put to sleep to have my shoulder put back in.

Then dinner plate sized Co Codamols for 6 weeks.

I don't think I had a coherent conversation for a couple of months!