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  • EADD Moderators: Pissed_and_messed | Shinji Ikari

๐Ÿ’‚โ€โ™‚๏ธ UK ๐Ÿ’‚โ€โ™‚๏ธ (I'd heard of this in America, but) UK now using painkillers to shut up/fob off patients?

ChemicallyEnhanced

ChemicallyEnhanced

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I feel like NHS has always been really strict with opioids, but I was in hospital last week and while it was fairly urgent so I was only in the A&E waiting room for an hour, once I got to the assessment suite/waiting area there was a SIX AND A HALF HOUR wait to see a doctor which I have never seen anything so bad before. Most of us were on gurneys in the hallway, like that hospital scene in The Impossible :/
Anyway, literally every single person I saw there was immediately put on 10mg Oramorph every 4 hours. I heard a woman complaining about it, too, saying "you're just giving us all morphine to shut us up and keep us out of too much pain while we wait hours on end to see a doctor who half the time just sends us home and tells us to contact our GP"

I eventually complained (after I had waited 5 hours to see a doctor for suspected Corda Equina, which is a surgical EMERGENCY) and they literally just said "the doctor has said it won't be long and we're gonna increase your morphine dose to 15mg".

Has anyone else seen or experienced anything like this?
 
I spent 24 hours in a&e last year in a plastic chair with my mother who has bone cancer and another 48 in a different room with a comfier chair waiting to be admitted to a ward. They're so over capacity they'll do whatever they have to to move people on and the people who need to be admitted can still wait days for a bed. It's fucked.
 
Shinji Ikari said:
I spent 24 hours in a&e last year in a plastic chair with my mother who has bone cancer and another 48 in a different room with a comfier chair waiting to be admitted to a ward. They're so over capacity they'll do whatever they have to to move people on and the people who need to be admitted can still wait days for a bed. It's fucked.
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So sorry to hear about your mother.

The super-over-capacity thing is so dire. Britain really needs to make NHS the #1 priority when it comes to funding. Like, I'm not saying we shouldn't be helping Ukraine, but maybe we shouldn't have just sent (I think it's ยฃ450 MILLION) when our own country is collapsing.

Maybe harsh but I feel like we might have to stop treating people (for free) for health conditions caused by things they refuse to TRY (and I'm saying TRY not SUCCEED) to change themselves. Like (and I'M a smoker) if a smoker refuses to even attempt to quit or decease how much they smoke when diagnosed with related pulmonary issues or if someone who is severely obese refuses to even try to lose weight has obesity-related issues.
 
ChemicallyEnhanced said:
10mg Oramorph every 4 hours
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ChemicallyEnhanced said:
we're gonna increase your morphine dose to 15mg"
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10-15mg every 4 hours is meant to keep people silent? Even the dog at my moms could take that much oral Morphine & still chase after the birds & Ducks with no issue, that is taking the piss.

Even 60mg wouldn't get someone to STFU, just wait till they begin with the rags soaked in Ether being held up to your face.
 
Jnowhere said:
No, but I wish I would have experienced that.
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I take that back; it is morphine sulfate and 10-15 mg ain't shit. I looked it up( oramorph= morphine sulfate) and I know from personal( prescibed use; that little is not going to do anything; unless it is for certain breathing problems.)

Strangely, it said in the medical article I read; that 10mg of oramorph is useful in people with breathing problems.( yes I know that is counter intuitive, but it said in people with certain breathing problems it can very useful in that small dose).

The article said correctly, that the amounts you described are not for pain relief really. Too little; from a medical article.
I had assumed that it was Morphine HCL or sometype that wasn't morphine sulfate. No, buzz and only pain relief on much higher doses. Not great pain. Why not 10-15mg of oxycodone. That would actually shut up people; who are opiate naive and actually help the pain, and pass the time.( if opiate naive). Do they even prescibe Oxycodone in the UK?
Oxycodone without Tylenol or paracetamol as you Brits say.( it should be called: liver killer that doesn't help much. Acetaminophen, sucks.

Throw in some Valium 10mg( diazepam) or 2mg lorazepam( Ativan) or 1 mg alprazolam( xanax) and at least 500-1000mg of Gabapentin. That would shut people up who don't use any, or all of them.๐Ÿคซ Maybe some promethazine, also? That would help pass the time and help with pain( depending on severity of the pain, give more oxy ir or give Shinji's mother Heroin, it is legal for cancer patients their, isn't it? And some for Shiniji for being a good son.)

Wow, we bitch when we have too wait more than an hour.
 
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Jnowhere said:
I take that back; it is morphine sulfate and 10-15 mg ain't shit. I looked it up( oramorph= morphine sulfate) and I know from personal( prescibed use; that little is not going to do anything; unless it is for certain breathing problems.)

Strangely, it said in the medical article I read; that 10mg of oramorph is useful in people with breathing problems.( yes I know that is counter intuitive, but it said in people with certain breathing problems it can very useful in that small dose).

The article said correctly, that the amounts you described are not for pain relief really. Too little; from a medical article.
I had assumed that it was Morphine HCL or sometype that wasn't morphine sulfate. No, buzz and only pain relief on much higher doses. Not great pain. Why not 10-15mg of oxycodone. That would actually shut up people; who are opiate naive and actually help the pain, and pass the time.( if opiate naive). Do they even prescibe Oxycodone in the UK?
Oxycodone without Tylenol or paracetamol as you Brits say.( it should be called: liver killer that doesn't help much. Acetaminophen, sucks.

Throw in some Valium 10mg( diazepam) or 2mg lorazepam( Ativan) or 1 mg alprazolam( xanax) and at least 500-1000mg of Gabapentin. That would shut people up who don't use any, or all of them.๐Ÿคซ Maybe some promethazine, also? That would help pass the time and help with pain( depending on severity of the pain, give more oxy ir or give Shinji's mother Heroin, it is legal for cancer patients their, isn't it? And some for Shiniji for being a good son.)

Wow, we bitch when we have too wait more than an hour.
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Oramorph 10-15mg is the same as Oxycodone 6.6-10mg. That would definitely take the edge off pain in people who were opioid-naive.

Yeah, we do have Oxycodone here, I used to be prescribed it.
AND we have the good OC oxycontin, not that OP oxycontin :P
 
ChemicallyEnhanced said:
Oramorph 10-15mg is the same as Oxycodone 6.6-10mg. That would definitely take the edge off pain in people who were opioid-naive.

Yeah, we do have Oxycodone here, I used to be prescribed it.
AND we have the good OC oxycontin, not that OP oxycontin :P
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No it wouldn't, Iwas on both a lot of morphine sulfate and a moderate amount of oxycodone, still am. They may say whatever, but bioavailibilty is different from person to person. Besides you have not had around 10,000 oxycodone ir's and countless thousands of morphine sulfate pills that were alot stronger than 10 or 15 mg's.
Pancreatitus and was given a year to live almost a decade ago. I know oxycodone and Morphine sulfate better than you ever will!!!!!!

You are way off, on this one.

[True story]
 
Jnowhere said:
Strangely, it said in the medical article I read; that 10mg of oramorph is useful in people with breathing problems.( yes I know that is counter intuitive, but it said in people with certain breathing problems it can very useful in that small dose).
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I've seen oramorph offered for lymphangitus carcinomatosis as it's supposed to help relieve the sensation of breathlessness even if it doesn't help you breathe (heard that one direct from the doc) and also saw/overheard it was being given to patients in the respiratory ward to get them off at night. Not all of them but certainly some of them.
ChemicallyEnhanced said:
Btw, by "shut people up", I didn't mean literally drug them into silence lol.
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That did appear to be more or less what they were doing on the respiratory ward, but I think with a lot of things like that all you can really do it try and keep them comfortable in the interim.
 
Yeah, I that, but 20%-40% bioavailibilty rate is and Morphine Sulfate is not nearly as good pain, IMO as Morphine HCL. The article even said 10 mg is not nearly enough for pain and I agree. Give something that will work or at least enough to relieve pain.

Oh, you have headache; here is half a baby asprin.( not talking about the hospital. If your family has money and your mother ๐Ÿ˜ข is not terminal;
She should come to America and go to one of our cancer treatment places.
 
Also, that doesn't happen in America.( giving out morphine in the waiting rooms. I have been to countless hospitals not to mention, well I won't get into it. Our laws would not allow a person to be given morphine in our waiting rooms; which the worst I heard was during Covid and they were not as crowded, close in some but not usually like that.

You have to see a doctor or be seen by a nurse practioner, before they ever order a script from the inhouse pharmacy to before giving out schedule 2 or any drugs. That is ridiculous. Then if they did the Federal government would be all over them. We have different laws and spend close to 3 times as much per person on Healthcare.( adjusted for currency and population)

We have too much healthcare and it costs. But we don't have the same issues.

That Oramorph thing could not legally happen in America. The hospital would be in serious trouble and potential jail time. Besides they are so strict about drugs. They have to order it for a specific person. They can't do that. We are don't allow that. Whoever said that is full of it. Maybe in your country but not here. Crowding like you and Shinji wrote only happens almost never.

There can be crowding but you ain't getting anything till you see a doctor. Luckily we have a ridiculous number of them. Our health care industry is bloated. We have urgent care facilities everywhere. We call them "doc in box" at least that's what I have heard doctors call them.

No wait inexpensive non lifethreatening ER's many covered by insurance and for non life threatening, those are the place to go. There are tons of private practices that have all their own facilities for their specialty and act as a mini specialist hospitals.

On the lowest of care. Being broke I got great care free and hundreds of dollars a month spent on me by medicaid, for scripts. I was on a bunch. Still on over half a dozen, but not as much pain meds. Within the state guidlines which are super low. I have a legitimate pain problem and is dealt with, without antidepressants.lol

The American hospitals just giving out morphine. Lawsuits and the DEA and even the FDA wouldn't allow that. There are a set of protocals to give out opiods here.
Your info was wrong.
 
Good hospital. I remember for years after Shipman no-one would prescribe morphine. John McVicar said he scored his dying mother heroin as they wouldnt give her morphine
 
Jnowhere said:
No it wouldn't, Iwas on both a lot of morphine sulfate and a moderate amount of oxycodone, still am. They may say whatever, but bioavailibilty is different from person to person. Besides you have not had around 10,000 oxycodone ir's and countless thousands of morphine sulfate pills that were alot stronger than 10 or 15 mg's.
Pancreatitus and was given a year to live almost a decade ago. I know oxycodone and Morphine sulfate better than you ever will!!!!!!

You are way off, on this one.

[True story]
Click to expand...

But I HAVE taken thousands of both ALSO for pancreatitis
 
What do you think I had? I nearly died and was given a year to live almost a decade ago and was on both for almost 7 years, now for 1 1/2 years just Oxycodone. They are more generous over here. Chronic pancreatitus.
 
ChemicallyEnhanced said:
But I HAVE taken thousands of both ALSO for pancreatitis
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Me too, but longer. And they never hand out morphine in American hospital waiting rooms. We have different laws. And we spend 3x as much on Healthcare.( almost, and that is per capita with exchange rate calculated into the equation) The Uk is underfunded. France and Germany aren't.
 
Jnowhere said:
What do you think I had? I nearly died and was given a year to live almost a decade ago and was on both for almost 7 years, now for 1 1/2 years just Oxycodone. They are more generous over here. Chronic pancreatitus.
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"almost a decade ago" - you haven't had it longer than me then, I've had it since 2011.

Oh, and obv congrats on living so much longer than they gave you back then! Have they re-evaluated life-expectancy for you since then? It's amazing how wrong they can be. My grandmother was given 12 months to live in 1996 and she died in 2022.
 
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