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  • BDD Moderators: Keif’ Richards | negrogesic

Looking for some clarifacation

kindred374

kindred374

Greenlighter
Joined
Mar 30, 2014
Messages
4
I can not seem to find my answer on Google and I am sorry if it is a dumb question but, I am prescribed Morphine 30mg Er pill at 2 a day. I know this means one every 12 hours, I have been on this for 12 years now and still have really bad days. What is stronger 1 pill every 12 hours or 2 pills at the same time every 24 hours?
 
Don't take it all at once, it would feel great but it won't hold you 24 hours and you will pop another pill. This is how people run out of their scripts.
If you have been 12 years on 60 mg, it's normal that you dont find it to be enough; that's because your system got used to that amount of morphine and now it's asking for a dose increase to get the same effect from it. This phenomenom is called tolerance and your doctor knows about it
There are some things that can potentiate your morphine, but after a while you will be at the same spot where you are now, you will get used to the morph plus the potentiator.
Only options here are to increase your dose to get more effects (and, again, you eventually will get used to that new dosage) or decrease it for a while to lower your tolerance and then get your 60mg to work again
 
Btw, some pain clinics use to rotate patients from one opiate to another, maybe you could benefit from that, but as long as you stay on morphine, there are only the options said above.

Just an advise: if they are willing to rotate, don't let them stick fentanyl patches on you, also don't let them fool you into taking tapentadol or sny other shit like that
 
Hey @kindred374 :)

To answer your question, Morphine typically produces effects for ~6 hours. If it is a controlled-release pill like MSContin for instance, it's probably gonna last 10-12 hours. I assume this is why your pills are twice per day.

Being that the medication lasts for ~12 hours, the idea is that by the time you take your second one, the first one is no longer producing effects. To take both pills at once would be to have more pain relief for 12 hours, but then to be in fairly intense pain for the other 12 hours.

What you're describing is a textbook issue in the world of Opioid/Pain Management. Folks feel they are not covered adequately. They then start taking a little bit extra to get where they need to go. This practice leads to a situation at the end of the month in which a person runs out. In practice, Opioid withdrawal is not something a person accepts. Even the most mild-mannered people in this world, Grandmas for instance, can find their way to a Fentanyl dealer if they are pushed far enough.

Absolutely do not start taking more Morphine. It is a short-term solution that will only cause you more trouble. You need this for pain. Even if it's not enough, the solution isn't more, at least more of your own prescription. Try to do everything you can to get it through the right channels. You need a constant supply, whatever dose you're taking. I wish I had something better than telling you to just stay put. Fight for yourself and you can maybe get more medication.
 
After 12 years??? I'm surprised you feel them at all. They never tried to up your dose or taper off?

I don't know if you are lucky or not. My experience with hydrocodone, morphine, pain management was steady for 4 years or so. But then I started trying to mess with my dose because just like you say , some days were very rough. I ended up going down a very dark road after my meds were abruptly cut off.

Today I am on no meds. My pain is manageable without narcotics. I do not know how long it will last this time. As I get older I am slowly losing the range of motion. But for now I'm terrified to get back on narcotics.

Withdrawal was the absolute worst pain in my life. The weird thing is the pain got better without opiates after a while. Everybody's pain is different mine is skeletal muscular, I also developed a digestion issue. I'm lucky I know it. Even if it's just for a short time I got out of the pain cycle.

My experience with pain meds wasn't necessarily a negative one. Far as I'm concerned they bought me time. But I did notice a plateau of effects around the 4-year mark. I would take my recommended dose and I would still be in debilitating pain. I mean what do you do about that honestly? But when you realize that it's not getting any better, I personally just wanted to be sober before I died. I never expected it to actually fix my pain.
 
Yeah it's been 8 years and this kind of conversation still makes my back hurt and it still makes me sick to my stomach and it still makes me tear up for people such as yourself. Just keep up with your health as best as you can. Mental health most of all.

It's hard to keep your head up in the face of constant pain and acute withdrawal symptoms. But that's the thing with opiates as you're tolerance builds they just don't work anymore.

You could take more but it just builds and builds.
 
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