Anyway to take morphine pill without having severe stomach pain?

[bruinsfred]

Not sure this is the right spot for this post.. I'm not a recreational user, but assumed my experience with opiates would be most similar to a recreational user. I've had an impacted tooth for 2 days now, but it's just gotten worse and worse, so I went to the E.R. since I wont be able to see my dentist until wednesday. I was given some antibiotics along with 6 7.5mg hydrocodone for breakthrough pain and 8 morphine sulfate 30mg. The hydrocodone helped a lot with the pain for a small while, once I noticed that the pain started to come back I took 1 of the morphine pills and it put my stomach into absolute knots... more severe than my tooth pain, but not as constant.. has anyone else had this issue and know of a way to negate it? I'm thinking a very full meal would help avoid this problem, but eating is difficult. It's only been 16 hours since I got my small prescription and I've already used half of my hydrocodone as the morphine was the worst pain ever. I forced vomiting thinking it'd relieve the stomach pain but no luck. My tooth pain is really severe, and I couldn't afford the E.R the first time, let alone going back so if anyone has any advice on how to make the morphine tolerable I'd appreciate it.

 

[EP158207]

Omaperzole if you can get it. If not try eating a full meal first as you suggested. Also how about 'lining the stomach' with milk. should be easier to do than eat. However, if the stomach pain continues I would suggest you stop taking them, there is a reason why your stomach isn't accepting the morphine so... maybe listen to that and use other form of pain killers, like ibuprofen which sound lame, but its an anti inflammatory and should really help your swollen gums.

PS: cannot believe you have to pay for an ER visit. That just not right.

 

[bruinsfred]

it doesn't bother me having to pay for the E.R. visit, but the extremely inflated cost definitely bugs me. 5 minutes with a doctor, 10 with a nurse, no equipment used other than a tongue press and it'll prolly end up costing me around $1000... thats insane. Thanks for the info, i've been practicing oil pulling (taking 2 tablespoons of olive oil infused with garlic and cloves and swishing it around for 15ish minutes) it helps a lot temporairly, so i'll prolly drink some milk with a light easy meal, then drink a table spoon of olive oil before doing my next oil pull and then try the morphine again.. I think the oil should extra coat my stomach... i'll post back how that works in the morning.

 

[abracadabra girl]

30 mg seems like a lot for someone with no tolerance. I took a 30 mg morphine once and didn't quite vomit but was miserable from it for hours. I wonder if you can cut it in half, or is it a capsule? Anyway taking half of it would be my suggestion.

 

[flyhighk]

I'm moving this to OD, as this is a drug side effect issue.

 

[Jktm]

If you can get any Phenergan (promethazine), taking 25mg of that 45 minutes prior to the morphine should help some. If you can't get that, you could try Dramamine (dimenhydrinate hcl) or Dramamine II (Meclizine dihydrochloride); the later of the two causes less sedation.

 

[Crankinit]

If you can get any Phenergan (promethazine), taking 25mg of that 45 minutes prior to the morphine should help some. If you can't get that, you could try Dramamine (dimenhydrinate hcl) or Dramamine II (Meclizine dihydrochloride); the later of the two causes less sedation.

This, except I'd say that 25mg of phenergan is massive overkill, especially on top of 30mg morphine in someone who presumably has no real opiate tolerance He'd be much better off starting at 5mg and going from there, 25mg would probably have him out cold.

 

[lolwhatzdrugs]

30 mg seems like a lot for someone with no tolerance. I took a 30 mg morphine once and didn't quite vomit but was miserable from it for hours. I wonder if you can cut it in half, or is it a capsule? Anyway taking half of it would be my suggestion.

Indeed it is. 30mg of morphine and 7.5mg of hydrocodone for breakthrough pain would seem excessive to anyone without a tolerance.

Your stomach misery could merely be too high of doses; especially if you have a low tolerance.

Break those pills in two!

This, except I'd say that 25mg of phenergan is massive overkill, especially on top of 30mg morphine in someone who presumably has no real opiate tolerance He'd be much better off starting at 5mg and going from there, 25mg would probably have him out cold.

Screw that stuff.

Zofran (odansetron) is where it's at. And no nausea Just 8$/pill depending on the script you have.

 

[EP158207]

He didn't say he was nauseous, he said his stomach hurt. So I doubt anti emetics are going to help him?

However, like the others said try a lower dose of morphine.

 

[lolwhatzdrugs]

He didn't say he was nauseous, he said his stomach hurt. So I doubt anti emetics are going to help him?

However, like the others said try a lower dose of morphine.

These two perceptions are subtle and often conflated.

If he did indeed mean stomach cramping/pain and not nausea, then yeah, still lower your dose.



Anti-emetics are purely for nausea, that is, feeling like you are about to vomit. If your stomach is upset, grab some pepto bismol or something.

 

[Crankinit]

These two perceptions are subtle and often conflated.

Exactly. I never stopped getting stomach trouble from opiates over my 5 years of use, right up to throwing up frequently from my daily suboxone dose for the first 18 months I was on it, and there was never any clear line between ''stomach pain'' and ''nausea','' the two were always inseparable, and it's more than reasonable to assume that the OP is just explaining his own manifestation of the same very common side effect (that is, opiates make your stomach feel like shit because of the histamine release).

 

[Jktm]

Does Promethazine even come in a 5mg tablet? I didn't know it even came in a 12.5 until I was prescribed them once. And to the person mentioning ondansetron, it doesn't work for everyone. Me personally, with my severe stomach issues (not opioid related at all, and infact I've had to be given 2mg of Dilaudid as well as 8mg of Morphine IV for my stomach in the past), I switch between 100mg of Promethazine and 24mg of Ondansetron PRN.

Edit: and all of the anti-emetics mentioned in my first post directly address the histamine release from the opioids as they are all H₁-antagonists.

 

[fizzymk]

Im surprised they gave you both drugs, and surprised they only gave you six 7.5mg vics...LOL they are sure stingy with even the weakest opiates nowadays!!!

In my experience with any kind of dental pain, even an 80mg oxycontin wouldnt get rid of this pain, it was freaking horrible pain...I went to the ER once for a serious toothache, they have me (25) perocet 7.5, but it had the time release coating on it, and sure enough, when I got home, I started removing the coating from them all, but even those didnt kill the pain, I had to literally keep crushed ice with me for that entire day and just hold small pieces of ice on the effected area, as soon a piece of ice melted, the pain would come right back!

Tooth pain is one of those things that even opiates have a hard time killing the pain, I doubt even Heroin would have stopped the toothache I had!

 

[bruinsfred]

since eatings difficult I drank 2 cups of milk and tried half a morphine. I didn't get the stomach pain, but it also didn't stop the pain, just numbed it enough to be tolerable. dentist tomorrow thank god.

 

[EP158207]

Exactly. I never stopped getting stomach trouble from opiates over my 5 years of use, right up to throwing up frequently from my daily suboxone dose for the first 18 months I was on it, and there was never any clear line between ''stomach pain'' and ''nausea','' the two were always inseparable, and it's more than reasonable to assume that the OP is just explaining his own manifestation of the same very common side effect (that is, opiates make your stomach feel like shit because of the histamine release).

Perhaps you aren't able to distinguish between ''stomach pain' and 'nausea' but please, do not lump everyone into that category. I would never give my patient an anti emetic if they complained of stomach pain, only if they said they felt nausea and the need to vomit.

To the OP: glad the milk worked and that you are on your way to the dentist! All the best! Hopefully he will be able to give you better pain relief

 

[EP158207]

These two perceptions are subtle and often conflated.

If he did indeed mean stomach cramping/pain and not nausea, then yeah, still lower your dose.



Anti-emetics are purely for nausea, that is, feeling like you are about to vomit. If your stomach is upset, grab some pepto bismol or something.

He said stomach pain in his original post. Perhaps go and read that first. Also maybe its just YOU who isnt able to distinguish between ''stomach pain' and 'nausea' so dont assume the OP cannot. I would never give my patient an anti emetic if they complained of stomach pain, only if they said they felt nausea and the need to vomit.

To the OP: glad the milk worked and that you are on your way to the dentist! All the best! Hopefully he will be able to give you better pain relief

 

[lolwhatzdrugs]

Well aren't you special; you prescribe drugs as indicated!

The better for your intelligent patients, the worse for people who are very confused about such medical terms.

 

[bingey]

plug it. better bioavailibilty ... bit gay though

 

[misplaced energy]

I suffer the same with all morphine based meds. I used to abuse codeine to help me sleep then because I suffered from gall stones. Turns out they were making my pain worse. I can only describe the pain to be similar to gall stone pain. I have tried taking stomach liners on an empty stomach, then eating, then taking codeine and still I get stomach pain, if I were to plug it, would it not effect my stomach?