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#945159 - 10/17/09 06:43 AM
Re: Liquid OC and Morphine
[Re: Milvus]
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Threadhead
Registered: 08/08/07
Posts: 804
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The only time I've seen liquid Morphine was when my Dad was dying. He had less than a week to live and wanted to die at home, so a home nurse came over everyday and gave him huge bottles of morphine. It didn't kill the pain, but it did put him to sleep often so that he at least didn't feel the pain.
I don't think you can get the liquid in the US unless you are terminal with a very short amount of time left. Everyone else would get the pill form.
And yeah, oxycodone has a higher bioability so he probably should have been given that, but maybe it wasn't an option at the time (around 15 years go), since he didn't have an IV and maybe it has to be taken via IV. I don't know.
Oxycodone makes me feel hot from the inside out and I actually sweat doing even small things. Hydrocodone doesn't do that, although it causes a lot of heartburn. I guess you have to pick your poison.
When Dad died he was only given Morphine. When my father in law died he was hooked to an IV at home and his wife shown how to administer his medicines. They had to keep a book that so that he didn't overdose, as he was taking liquid narcotics, narcotics through an IV, Fentanyl(which the nurse changed every 2 days), and several other narcotics. But he was in so much pain that he could only stay awake an hour or two a day and in the end didn't know where he was or what was going on. He wife had to okay pulling the plug, as he was technically still alive, but totally inchoherent and in a heck of a lot of pain, regardless of what they gave him.
So, I would think that liquid morphine or liquid oxycodone would be reserved for terminal patients and people in so much pain that they could possibly die from the pain alone.
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#945250 - 10/17/09 12:23 PM
Re: Liquid OC and Morphine
[Re: Milvus]
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GRAND Pooh-Bah
Registered: 09/04/06
Posts: 9716
Loc: NOT 40!
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Like magic. Such a pity the drug is so short-acting and toxic when given repeatedly. They have debunked the myth that it works by relaxing smooth muscle, but instead it seems to have a local anaesthetic effect. One of its other chemical names, isonipecaine, suggests this by the "caine" at the end if it. I wish I could have just one ampoule on hand in case of another attack, just to get me to hospital, but it seems impossible to get. It didn't help that one doctor gave me 3 x 10mg IVs of morphine within an hour, despite it making it worse every time. As soon as a consultant saw me, he knew what was happening and rescued me with pethidine. He said that he always uses pethidine as the drug of choice for renal colic. I didn't complain about the first doctor because he was a nice chap and was doing his best for me, even though the pain caused was just unbelievable. It probably wasn't his fault that he hadn't been trained to recognise this issue with renal colic and morphine, and 3 x 10mg IV morphine was very generous of him in the space of one hour. Some doctors would have given diclofenac and waited an hour "to give it chance to work". It is so cruel to treat acute pain like that. Give the IV opioid and THEN give the NSAID. Get the patient out of pain. It's not difficult.
Edited by nephro (10/17/09 12:32 PM)
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