a faithful Duramorph (Injection) Generic Name: morphine (Injection route) MOR-feen Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings Breastfeeding Warnings User Reviews Support Group Q & A Injection route(Solution) Misuse or erroneous substitution of Infumorph(TM) 200 or 500 (10 or 25 mg/mL, respectively) for Duramorph (0.5 or 1 mg/mL) may result in overdose, seizures, respiratory depression, or possibly death . With the use of morphine sulfate, there is a risk of severe adverse effects when the epidural, intrathecal, or catheter implantation route of administration is employed. Monitor patients closely and have naloxone injection and resuscitative equipment immediately available . Do not use Infumorph(TM) for single-dose IV, IM, or subQ administration due to the possible risk of overdose . For Duramorph, the intrathecal dosage is usually 1/10 that of epidural dosage . Commonly used brand name(s) In the U.S. Astramorph PF Duramorph Infumorph Available Dosage Forms: Solution Injectable Therapeutic Class: Analgesic Chemical Class: Opioid Slideshow Fact or Fiction? The Top 15 Osteoarthritis Myths Uses For Duramorph Morphine injection is used to relieve moderate to severe pain. It may also be used before or during surgery with an anesthetic (medicine that puts you to sleep). Morphine belongs to the group of medicines called narcotic analgesics (pain medicines). It acts on the central nervous system (CNS) to relieve pain. When a narcotic medicine is used for a long time, it may become habit-forming, causing mental or physical dependence. However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain. Mental dependence (addiction) is not likely to occur when narcotics are used for this purpose. Physical dependence may lead to withdrawal side effects if treatment is stopped suddenly. However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely. This medicine is available only with your doctor's prescription. Before Using Duramorph In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: Allergies Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Pediatric Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of morphine injection in children 1 month of age and older. Safety and efficacy in infants younger than 1 month of age have not been established. Morphine injections into the back are not recommended for children. Geriatric Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of morphine injection in the elderly. However, elderly patients are more likely to have age-related kidney, liver, or lung problems, which may require caution and an adjustment in the dose for patients receiving morphine injection. Pregnancy Pregnancy Category Explanation All Trimesters C Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women. Breast Feeding There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Interactions with Medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Nalmefene Naltrexone Safinamide Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Abiraterone Acepromazine Alfentanil Almotriptan Alprazolam Alvimopan Amineptine Amiodarone Amisulpride Amitriptyline Amitriptylinoxide Amobarbital Amoxapine Amphetamine Anileridine Aripiprazole Asenapine Azithromycin Baclofen Benperidol Benzphetamine Bromazepam Bromopride Brompheniramine Buprenorphine Buspirone Butabarbital Butorphanol Captopril Carbamazepine Carbinoxamine Carisoprodol Carphenazine Carvedilol Chloral Hydrate Chlordiazepoxide Chlorpheniramine Chlorpromazine Chlorzoxazone Cimetidine Citalopram Clarithromycin Clobazam Clomipramine Clonazepam Clorazepate Clozapine Cobicistat Cocaine Codeine Conivaptan Cyclobenzaprine Cyclosporine Desipramine Desmopressin Desvenlafaxine Dexmedetomidine Dextroamphetamine Dextromethorphan Dezocine Diazepam Dibenzepin Dichloralphenazone Difenoxin Dihydrocodeine Diltiazem Diphenhydramine Diphenoxylate Dolasetron Donepezil Doxepin Doxorubicin Doxorubicin Hydrochloride Liposome Doxylamine Dronedarone Droperidol Duloxetine Eletriptan Enflurane Erythromycin Escitalopram Estazolam Eszopiclone Ethchlorvynol Ethopropazine Ethylmorphine Felodipine Fentanyl Flibanserin Fluoxetine Fluphenazine Flurazepam Fluspirilene Fluvoxamine Fospropofol Frovatriptan Furazolidone Granisetron Halazepam Haloperidol Halothane Hexobarbital Hydrocodone Hydromorphone Hydroxytryptophan Hydroxyzine Imipramine Iproniazid Isocarboxazid Isoflurane Itraconazole Ivacaftor Ketamine Ketobemidone Ketoconazole Levomilnacipran Levorphanol Linezolid Lisdexamfetamine Lithium Lofepramine Lopinavir Lorazepam Lorcaserin Loxapine Meclizine Melitracen Melperone Meperidine Mephobarbital Meprobamate Meptazinol Mesoridazine Metaxalone Methadone Methamphetamine Methdilazine Methocarbamol Methohexital Methotrimeprazine Methylene Blue Methylnaltrexone Midazolam Milnacipran Mirtazapine Moclobemide Molindone Moricizine Nalbuphine Nalorphine Naloxone Naratriptan Nefazodone Nialamide Nicomorphine Nilotinib Nitrazepam Nitrous Oxide Nortriptyline Olanzapine Ondansetron Opipramol Opium Opium Alkaloids Orphenadrine Oxazepam Oxycodone Oxymorphone Palonosetron Papaveretum Paregoric Paroxetine Pentazocine Pentobarbital Perampanel Perazine Periciazine Perphenazine Phenelzine Phenobarbital Pimozide Piperacetazine Pipotiazine Piritramide Prazepam Primidone Procarbazine Prochlorperazine Promazine Promethazine Propofol Protriptyline Quazepam Quercetin Quetiapine Quinidine Ramelteon Ranolazine Rasagiline Remifentanil Remoxipride Ritonavir Rizatriptan Samidorphan Secobarbital Selegiline Sertindole Sertraline Sibutramine Simeprevir Sodium Oxybate St John's Wort Sufentanil Sulpiride Sumatriptan Sunitinib Suvorexant Tapentadol Telaprevir Temazepam Thiethylperazine Thiopental Thiopropazate Thioridazine Tianeptine Ticagrelor Tilidine Tizanidine Tocophersolan Tolonium Chloride Topiramate Tramadol Tranylcypromine Trazodone Triazolam Trifluoperazine Trifluperidol Triflupromazine Trimeprazine Trimipramine Tryptophan Venlafaxine Verapamil Vilazodone Vortioxetine Zaleplon Ziprasidone Zolmitriptan Zolpidem Zopiclone Zotepine Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Esmolol Gabapentin Gabapentin Enacarbil Rifampin Somatostatin Yohimbine Interactions with Food/Tobacco/Alcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Ethanol Other Medical Problems The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Addison's disease (adrenal gland problem) or Alcohol abuse, or history of or Asthma, severe or Breathing problems, severe (e.g., hypoxia) or Chronic obstructive pulmonary disease (COPD) or Cor pulmonale (serious heart condition) or Drug dependence, especially with narcotics, or history of or Enlarged prostate (BPH, prostatic hypertrophy) or Gallbladder disease or gallstones or Head injuries, history of or Heart disease or Hypothyroidism (an underactive thyroid) or Hypovolemia (low blood volume) or Kyphoscoliosis (curvature of the spine with breathing problems) or Problems with passing urine or Respiratory depression (very slow breathing) or Ulcerative colitis Use with caution. May increase risk for more serious side effects. Brain tumor or Heart failure from lung disease or Heart rhythm problems (e.g., atrial flutter, tachycardia) Should not be used in patients with these conditions. Hypotension (low blood pressure) or Seizures, history of Use with caution. May make these conditions worse. Kidney disease or Liver disease Use with caution. The effects may be increased because of slower removal of the medicine from the body. Proper Use of morphine This section provides information on the proper use of a number of products that contain morphine. It may not be specific to Duramorph. Please read with care. A nurse or other trained health professional will give you this medicine in a hospital. This medicine may be given as a shot under the skin, as a shot into one of your muscles, or through a needle placed in one of your veins. It can also be given through a needle or catheter into your back. Your doctor will give you a few doses of this medicine until your condition improves, and then switch you to an oral medicine that works the same way. If you have any concerns about this, talk to your doctor. Precautions While Using Duramorph It is very important that your doctor check the progress or you or your child while you are receiving this medicine . This will allow your doctor to see if the medicine is working properly and to decide if you should continue to use it. This medicine will add to the effects of alcohol and other CNS depressants (medicines that can make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for allergies or colds; sedatives, tranquilizers, or sleeping medicine; other prescription pain medicine or narcotics; medicine for seizures or barbiturates; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before you or your child take any of the medicines listed above while you are using this medicine . This medicine may be habit-forming. If you or your child feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions. Using narcotics for a long time can cause severe constipation. To prevent this, your doctor may direct you or your child to take laxatives, drink a lot of fluids, or increase the amount of fiber in the diet. Be sure to follow the directions carefully, because continuing constipation can lead to more serious problems. Dizziness, lightheadedness, or fainting may occur when you or your child get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem. Also, lying down for a while may relieve the dizziness or lightheadedness. This medicine may make you dizzy, drowsy, confused, or disoriented. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or not alert . Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you or your child are using this medicine. Serious unwanted effects can occur if certain medicines are given together with morphine injection. If you or your child have been using this medicine regularly for several weeks or longer, do not suddenly stop using it without checking with your doctor . Your doctor may want you to gradually reduce the amount you are using before stopping it completely. This may help prevent worsening of your condition and reduce the possibility of withdrawal symptoms, such as abdominal or stomach cramps, anxiety, fever, nausea, runny nose, sweating, tremors, or trouble with sleeping. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. Duramorph Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor or nurse immediately if any of the following side effects occur: More common Difficult or troubled breathing irregular, fast or slow, or shallow breathing pale or blue lips, fingernails, or skin shortness of breath very slow breathing Incidence not known Blurred vision convulsions decrease in frequency of urination decrease in the amount of urine difficulty in passing urine (dribbling) dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position painful urination sweating unusual tiredness or weakness Get emergency help immediately if any of the following symptoms of overdose occur: Symptoms of overdose Bluish lips or skin dizziness fainting irregular heartbeat lightheadedness low blood pressure or pulse slow heartbeat unconsciousness Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Incidence not known Absent, missed, or irregular menstrual periods anxiety confusion decreased interest in sexual intercourse delusions depersonalization difficulty having a bowel movement (stool) false or unusual sense of well-being hallucinations headache inability to have or keep an erection itching skin loss in sexual ability, desire, drive, or performance menstrual changes nausea and vomiting stopping of menstrual bleeding Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Side Effects (complete list) The information contained in the Truven Health Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. The use of the Truven Health products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Truven Health and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, TRUVEN HEALTH MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Copyright 2017 Truven Health Analytics, Inc. All Rights Reserved. Next Side Effects Print this page Add to My Med List More about Duramorph (morphine) Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Interactions Support Group 4 Reviews Add your own review/rating Drug class: narcotic analgesics Consumer resources Other brands: MS Contin , Kadian , Avinza , Roxanol , ... +7 more Professional resources Duramorph (FDA) Morphine Sulfate (AHFS Monograph) Related treatment guides Chronic Pain Pain} Drug Status Rx Availability Prescription only C Pregnancy Category Risk cannot be ruled out 2 CSA Schedule High potential for abuse WADA Class Anti-Doping Classification Drug Class Narcotic analgesics Related Drugs Chronic Pain tramadol , oxycodone , Cymbalta , duloxetine , Percocet , morphine , fentanyl , Ultram , methadone , acetaminophen / oxycodone , OxyContin , More... Pain tramadol , acetaminophen , Tylenol , naproxen , oxycodone , aspirin , ibuprofen , amitriptyline , hydrocodone , clonidine , Norco , More... Duramorph Rating 4 User Reviews 6.2 /10 4 User Reviews 6.2 Rate it! Help and Support Looking for answers? Ask a question or go join the Duramorph support group to connect with others who have similar interests.} } a realistic
ahead of Duramorph (Injection) novices
EmoticonEmoticon