Question about morphine dosage

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Question about morphine dosage

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2 posts since

7 Jul 2019

My dad had the doctor out today and she has almost doubled his morphine dose and is talking about a just in case box for the house.

 

His new dose is 70mg morning and night and oramorph as and when required. He was previously 40g morning and night and the oramorph was 10g/5ml dose 4x a day which has been increased to 25g/2.5ml 4x a day .

 

My question is, is this a high dose? Can I expect him to be sleeping more at this point? He has lung cancer and is declining quickly. The next step the doctor says is possibly a driver/pump thing. I’m just trying to understand what to expect.

607 posts since

5 Feb 2018

Hello and thanks for posting,

I am very sorry to hear about your dad, this must be a difficult time for all the family.

Everyone’s pain levels are different and how much pain relief one person needs will be very different to someone else. When it comes to giving morphine they start on a lower dose and gradually increase until they hopefully are able to control the pain. The way they work out how much each person needs is by calculating how much extra oramorph they are taking on top of the twice daily dose. As I say this can range from people only needing a small amount to others taking in my experience much larger doses that your dad. 

Some people don’t agree very well to morphine and can suffer side effects whilst taking it, others can become very drowsy when taking, but others don’t seem to be affected in any way. The doctors and nurses looking after him will be keeping an eye on him and their main aim will be be keep him as comfortable as possible.

I’m afraid it does sound like he is becoming less well, and as someone comes towards the end their are some signs to look out for. You can read more about this here. Usually patients will become very weak and sleep most of the day. They often have less of an appetite, and may stop eating and drinking altogether. It is when these things start to happen, when the doctor decides to put the medications into a syringe driver. This ensures the patient is kept comfortable without the patient needing to swallow medicines.

I hope this is helpful to you, if you have more questions then do get back in touch. If you would like to speak to a nurse please call on 0808 800 4040, we are here Monday to Friday 9am till 5pm.

Take care,

Naomi

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