buy Morphine 60mg online
Persistent pain that is intense or resistant to other analgesics, in particular pain of cancerous origin.
Contraindications: why not take it?
This medication should never be used in the following cases:
Hypersensitivity to buy Morphine 60mg online or to any of the excipients mentioned in section List of excipients,
– child under 6 months (for prolonged-release forms),
Decompensated respiratory failure (in the absence of artificial ventilation),
Severe hepatocellular insufficiency (with encephalopathy),
In acute: head trauma and intracranial hypertension in the absence of controlled ventilation,
Combinations with buprenorphine, nalbuphine, naltrexone, nalmefene and sodium oxybate (see section Interactions with other medicinal products and other forms of interactions),
– breast-feeding, in the event of initiation or continuation after the birth of a long-term treatment.
Posology and method of administration
Reserved for adults and children over 6 months.
It is advisable to initiate treatment with an immediate-release (IR) form of morphine before using a prolonged-release (LP) form of morphine.
As with all pain relievers, the lowest effective dose should generally be used, for the shortest possible time. The initial dosage should take into account previous and concomitant analgesic treatments, and should be adjusted according to the patient’s clinical response.
With prolonged-release forms, the total daily dose should be divided into two doses, usually equivalent, 12 hours apart.
As a general rule, the starting daily dose is 60 mg per day.
Child over 6 months:
The starting daily dose is 1 mg / kg per day.
It is recommended to reduce the initial doses by half.
Very old subject:
Treatment should be started with a dosage of the order of 2.5 to 5 mg of oral morphine LI 4 to 6 times a day, i.e. 10 to 30 mg per day.
Renal failure :
The doses will also be reduced compared to a subject with normal renal function and adjusted according to the patient’s needs.
Frequency of assessment
Do not dwell on a dosage that is ineffective. The patient should therefore be seen closely together, mainly at the start of treatment, as long as the pain is not controlled. In practice, a daily assessment is recommended at the start of treatment.
If the pain is not controlled, an increase of 25 to 50% of the previous daily dose of LP morphine may be proposed, while maintaining an interval of 12 hours between doses.
buy Morphine 60mg online Dose adjustment will be safer and faster using interdoses of morphine LI. Each interdose corresponds to 10% of the daily dose of LP morphine. If the patient regularly uses more than 3 to 4 interdoses per day, these interdoses will be integrated into the next daily dosage of morphine without waiting more than 48 hours.
In these dose adjustment processes, there is no upper limit as long as the side effects can be controlled.