morphine gurus and advise

[Guest guest]

>

>Use in Patients with Increased Intracranial Pressure or with Head Injury:

ORAM

>ORPH SR should be used with extreme caution in patients with increased

intracr

>anial pressure or with head injury. The respiratory depressant effects of

morp

>hine (increased pCO2) may result in elevation of cerebrospinal fluid

pressure

>and may thus be markedly exaggerated in the presence of head injury, other

int

>racranial lesions, or a pre-existing increased intracranial pressure.

>Morphine produces effects which may obscure neurologic signs of further

>increases in pressure in patients with head injuries. Pupillary changes

>(miosis), associated with morphine, may conceal the existence, extent, and

>course of intracranial pathology.

>

>

>anyone taken sustained oral morphine long term ?? anyone think this is a

good

>idea to try ? i honestly dont remember anyone posting about oromorph sr ??

>

>sarah in paradise ....freeze dried hippie

, who is the most informed freeze dried hippie I have ever come across!

Re: Morphine, although I can't comment on the long term morphone thing,

we have had some problems with morphine. Post op second decompression

when Rox was still intubated but doc's were wanting her to be extubated,

we could not get her to breath up until we got her off the Morphine.

It is a respiratory depressant and I guess in a Chiari with mainly

respiratory dysfunction it is a shocking combo.

You should tread gently with this I would think, someone should guide

you if it would be appropriate for your Chiari. Pain is a hard one

and needs to be addressed so you have quality of life.

Take care

Kym

[Guest guest]

>

>Use in Patients with Increased Intracranial Pressure or with Head Injury:

ORAM

>ORPH SR should be used with extreme caution in patients with increased

intracr

>anial pressure or with head injury. The respiratory depressant effects of

morp

>hine (increased pCO2) may result in elevation of cerebrospinal fluid

pressure

>and may thus be markedly exaggerated in the presence of head injury, other

int

>racranial lesions, or a pre-existing increased intracranial pressure.

>Morphine produces effects which may obscure neurologic signs of further

>increases in pressure in patients with head injuries. Pupillary changes

>(miosis), associated with morphine, may conceal the existence, extent, and

>course of intracranial pathology.

>

>

>anyone taken sustained oral morphine long term ?? anyone think this is a

good

>idea to try ? i honestly dont remember anyone posting about oromorph sr ??

>

>sarah in paradise ....freeze dried hippie

, who is the most informed freeze dried hippie I have ever come across!

Re: Morphine, although I can't comment on the long term morphone thing,

we have had some problems with morphine. Post op second decompression

when Rox was still intubated but doc's were wanting her to be extubated,

we could not get her to breath up until we got her off the Morphine.

It is a respiratory depressant and I guess in a Chiari with mainly

respiratory dysfunction it is a shocking combo.

You should tread gently with this I would think, someone should guide

you if it would be appropriate for your Chiari. Pain is a hard one

and needs to be addressed so you have quality of life.

Take care

Kym

[Guest guest]

>

>Use in Patients with Increased Intracranial Pressure or with Head Injury:

ORAM

>ORPH SR should be used with extreme caution in patients with increased

intracr

>anial pressure or with head injury. The respiratory depressant effects of

morp

>hine (increased pCO2) may result in elevation of cerebrospinal fluid

pressure

>and may thus be markedly exaggerated in the presence of head injury, other

int

>racranial lesions, or a pre-existing increased intracranial pressure.

>Morphine produces effects which may obscure neurologic signs of further

>increases in pressure in patients with head injuries. Pupillary changes

>(miosis), associated with morphine, may conceal the existence, extent, and

>course of intracranial pathology.

>

>

>anyone taken sustained oral morphine long term ?? anyone think this is a

good

>idea to try ? i honestly dont remember anyone posting about oromorph sr ??

>

>sarah in paradise ....freeze dried hippie

, who is the most informed freeze dried hippie I have ever come across!

Re: Morphine, although I can't comment on the long term morphone thing,

we have had some problems with morphine. Post op second decompression

when Rox was still intubated but doc's were wanting her to be extubated,

we could not get her to breath up until we got her off the Morphine.

It is a respiratory depressant and I guess in a Chiari with mainly

respiratory dysfunction it is a shocking combo.

You should tread gently with this I would think, someone should guide

you if it would be appropriate for your Chiari. Pain is a hard one

and needs to be addressed so you have quality of life.

Take care

Kym

[Guest guest]

im preparing for a journey to my guru doctor tomorow ......and found some

daunting info tonight in my last min . homework .....( as a former nurse ,

i've grown cautious and even wary i supose ) . this is very long ...geesh ,

i wrote a book again :-)

my primary care doctor here in town is wonderful .....for all of you who have

known me years now , ....you may remember my strugle to land with someone who

truly would try and help me ...inform themselves ,learn with me , and let me

share in decision making fully ....well , it is posible to find good doctors

, and i found one last year ....keep searching if your not feeling like

you've found someone wanting answers enough to try and help .

at his sugestion , i went to darvocette round the clock a couple months or so

back , when things got even worse , and i honestly felt defeated by pain . it

has helped some at times , but first when it does help , i get a bit drunk

feeling ....then fatique hits , and i have a tendancy to go sleep a few hours

.....i wake with the pain back ...and its a few hours still till another pill

.......needless to say , i dont think this is the answer for me ....my

objective is to be up , moderatly pain free *, ( at least enough to work ) .

so we discussed the fentynl patch ....and i remembered posts of others here

using it ......we discussed that its really in the same family as the other

meds like morphine , darvocette , darvon ....and he said it would be a good

idea to arrange for someone to be here the first 48 hours , just as a

precaution . ok ...sounds like a good plan to me .

the script takes prior approval time , then is called a triplicate ....(

state paperwork ect .) i pick it up , and take it to the pharmacy .......and

on the way , read whats written thinking gee , not the patch ...hmmm ,

......so its delivered today ....its oromorph sr . ( morphine ).....ah gee

.....ok i better look it up huh ??

( i dimly remember Dr Batzdorf telling me i didnt handle morphine well post

surgery ....and that they had to stop it , so id be in a bit more discomfort

than normal for a couple days ...and he was sorry . the first couple days are

hazzy in memory now ....i did hurt . )

yikes ....now that ive read the following ....im glad im off to the brain and

spinal cord hospital to my guru doctor tomorow .....this may NOT be an

avenue Im willing to try .....ah geesh , what next ??? does the same

precaution and potential impacts profile apply to fentynl ??

Use in Patients with Increased Intracranial Pressure or with Head Injury: ORAM

ORPH SR should be used with extreme caution in patients with increased intracr

anial pressure or with head injury. The respiratory depressant effects of morp

hine (increased pCO2) may result in elevation of cerebrospinal fluid pressure

and may thus be markedly exaggerated in the presence of head injury, other int

racranial lesions, or a pre-existing increased intracranial pressure.

Morphine produces effects which may obscure neurologic signs of further

increases in pressure in patients with head injuries. Pupillary changes

(miosis), associated with morphine, may conceal the existence, extent, and

course of intracranial pathology.

part of what has gotten worse , is more likely to be chiari ( increased head

ache , neck ache / presure feelings increasing with bending over ,

orthostatic dizzys returned .....my pain level is much increased ....( from 6

months ago ) ...and im weaker at the same time ...it could be ms acting up

too ...but the sensation pattern seems chiari ....had two episodes now were i

wake with a dead arm , numb completly and cant wiggle my fingers .....with

consentration and effort , after a couple mins of trying ....a slow and

building tingling starts ....eventualy it fully buzzes , burns and tingles

enough , to start working again ......there is a frequent sharp knife stabing

pinching at the base of my skull turning my head on and off , with constant

lehrmittes sign for hours following ....its all not fun .

i dont want more surgery , if other less invasive measures will work ....so

im willing to try most any meds at this point .....

im taking the following .....and open to ideas to discuss with the doctors

.....

ms med ....avonex ...may slow ms down , im injection once a week , with

tylenol before and after

neurontin ....3600 mg /day ....helps some with the constant burning , numb

and buzzing sensations in both left extremities .

naprocyn ...500 mg / twice a day ....antiimflamitory ...helps with both

moderate burning in my neck and left knee , and some with the headache

flexoril ....10 mg sleep .....helps the muscle cramping stay at a lower level

and not wake me a few times a night . typically works about 6 hours .

ive tried both baclofen and zanaflex .....zanaflex did seem to help some

.....but the freeze dried hippie wasnt happy with bottles of pills ....and

rebelled ...havent tried it again ...

after seeing pain doctor clinic guys for a year plus .....i quite going clear

down there ....they just tinkered with neurontin doses ect ....and discussed

things i might consider trying like injection point stuff ( no thanks ) " =)

so now , im pondering again .......please share your thoughts !

anyone taken sustained oral morphine long term ?? anyone think this is a good

idea to try ? i honestly dont remember anyone posting about oromorph sr ??

sarah in paradise ....freeze dried hippie