Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

159 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Can ​Morphine Sulfate be taken in place of Oxycodone?

Answered by
Dr.
Dr. Salah Saad Shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 1817 Questions

default
Posted on Mon, 27 Mar 2017 in Pain Management
Question: father is on his first fentanyl patch 25mcg/hr, day 2. also taking baclofen tab 10mg and oxycod/apap tab 10-325mg. He has not gotten any relief from the patch yet as we were hoping and didn't think he would still need the baclofen and oxycod. He has run out of the oxycod this morning and being it is saturday we can not see his dr till monday a.m. appt. Can I now give him morphine sul tab 30mg ER in place of the oxycod? This what he was taking before the fentanyl and oxycod. Also, before the morphine he was taking hydroco/apap tab 10-325mg. would it be better to take the morphine or the hydroco in place of the oxycod?
doctor
Answered by Dr. Salah Saad Shoman 1 hour later
Brief Answer:
Yes , you can

Detailed Answer:
Dear sir,I understand your concerns but the fentanyl patch takes at least 24 hours up to a few days to start working. your father will need the fast acting narcotics as oxycodone, morphine until the patch starts working and during the adjustement of the fentanyl patch dose. as after the patch starts working it might need to increase the dose to get the desired effect. .yes you can give him morphine 30 mg instead of oxycodone. as for which is better, the responsiveness of patients differ to different narcotics but morphine is essentially stronger in action while oxycodone and hydrocodone are similar to each other. however, using different narcotics together may increase the side effects. this means that you need to monitor your father for respiratory depression , confusion and dizziness. oxycodone also causes constipation. I hope I answered your question.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Salah Saad Shoman 5 minutes later
What can i do if he is experiencing respiratory depression?
doctor
Answered by Dr. Salah Saad Shoman 4 hours later
Brief Answer:
Intravenous naloxone

Detailed Answer:
If he experiences respiratory depression then you should take him as soon as possible to the hospital to be treated with intravenous naloxone.

I hope you find this helpful
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication ,   ,   ,   ,  

Recent questions on  Hydrocodone

doctor1 MD

I had hemorrhoid surgery 7 days ago the first pain med. was oxycodone/acetaminophen 5-325 and it worked if I took 2 tablets every 6 hours I ran out called doctor and he said he could not called that one had to put me on hydrocondon-acetaminoph 7.5-325 and it does not stop the pain can I take advil with it ?

doctor1 MD

Hi, here are a list of medications I am currently on: these are ones my arthritis doc. has perscribed: lyrica 75 mg 3x day,metholtrexate tabs 25 mg,metanx tabs 1 tab twice daily,celebrex caps 200mg 1 cap daily,folbic tabs1 tab daily,tramadol hcl tabs 50 mg one tablet 4 times dailyviibryd tabs 40 mg ,i tablet daily with food,savella tablets 50mg 1 tab twice a day,he just added buprropion sr 150 mg tablets1 tablet a day for 30 days, hydrocodone / acetaminophen5-325IB,Iam also taking dexilant DR caps 60 mg 1 cap daily for stomach,diovan tabs 320 mg 1 daily for blood pressure,L-Thyoxine tab 50 mg 1 tab daily and hydrochlorothizire 1 tab daily. I m not sure all these should go together it worries me taking so much but I am in pain most of tne much worse when standing or walking.

doctor1 MD

yes i am a 39 year old male. several years ago i damaged my upper thoracic spine and was left with severe chronic pain. i take hydrocodone 10/325 for pain. also androderm 1.62% for low testosterone. i have flat feet. here lately my feet feel bruised and hurt. also my legs are sore for no reason. any thoughts?

doctor1 MD

My husband has had light headedness, vertigo since wed. when he had paridontal surgery, He had taken 1000mg of ibuprofen 1hr before on an empty stomach. After surgery he became very nauseated and was unable to drive do to vomiting. He went home with his sister to recover. He took a total of 2 hydrocodone before the evening ended and he went to bed. Since then he has had trouble with vertigo for the past few weeks he has complained of being tired,d and now light headed when he arises. He doesn t seem to be able to walk normally, more like he is on a boat. I am a retired cardiac intensive care nurse. I tried to listen to his carotid artery I could hear it well on the left but not on the right, it is there but much softer.(I have a cardiac stethescope) I can feel all of his other pulses well.

doctor1 MD

Is there any evidence that donepezil can cause a false negative with hydrocodone?

doctor1 MD

I think I have nerve pain from shingles . I cannot drive my car for so long without pain from my rear to my left leg to foot what meds do you recommend.

doctor1 MD

Have son 38 yers old. Ex wife committed suicide 3 years ago by hanging herself after being reeased from a rehab unit for Bi Polar and alcohol treatment. Left with 2 kids now 12 and 17. Married again and had 2 boys age 4 and 5. Divorced last week....