Astramorph; AVINza [DSC]; Duramorph; Infumorph 200; Infumorph 500; Kadian; MS Contin; Oramorph SR [DSC]
Doloral; Kadian; M-Eslon; M.O.S. 10; M.O.S. 20; M.O.S. 30; M.O.S.-SR; M.O.S.-Sulfate; Morphine Extra Forte Injection; Morphine Forte Injection; Morphine HP; Morphine LP Epidural; Morphine SR; Morphine-EPD; MS Contin; MS Contin SRT; MS-IR; Novo-Morphine SR; PMS-Morphine Sulfate SR; ratio-Morphine; ratio-Morphine SR; Sandoz-Morphine SR; Statex; Teva-Morphine SR
- Even one dose of this drug may be deadly if it is taken by someone else or by accident, especially in children. If this drug is taken by someone else or by accident, get medical help right away.
- Be sure your child does not drink alcohol or use products that have alcohol. Unsafe and sometimes deadly effects may happen.
- This drug may be habit-forming with long-term use.
- Misuse or abuse of this drug can lead to overdose and death.
If your child is pregnant:
- Using this drug for a long time during pregnancy may lead to withdrawal in the newborn baby. This can be life-threatening. Talk with the doctor.
- This drug may cause very bad and sometimes deadly breathing problems. Call the doctor right away if your child has slow, shallow, or trouble breathing.
- The chance of very bad and sometimes deadly breathing problems may be greater when your child first starts this drug or anytime the dose is raised. Talk with your child’s doctor.
- Have your child swallow whole. Do not let your child chew, break, crush, or melt before swallowing. Do not let your child inject or snort this drug. Doing any of these things can cause very bad side effects like trouble breathing and death from overdose.
Long-acting and liquid products:
- Make sure you have the right drug; there is more than one strength.
- Certain strengths of this drug may only be used by people who have been taking drugs like this drug and are used to their effects. The use of these strengths by people who have not been taking drugs like this drug may cause very bad and sometimes deadly breathing problems. Talk with the doctor.
- It is used to ease very bad pain.
- It is only to be used when around-the-clock (continuous) care is needed for a long time. It is also only to be used when other pain drugs do not treat your child’s pain well enough or your child cannot take them.
All other products:
- It is used to ease pain.
- If your child has an allergy to this drug or any part of this drug.
- If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If your child has any of these health problems: Very bad lung problems like asthma or trouble breathing, high levels of carbon dioxide in the blood, or stomach or bowel block or narrowing.
- If your child has taken certain drugs used for low mood (depression) like isocarboxazid, phenelzine, or tranylcypromine or drugs used for certain other health problems in the last 14 days. Taking this drug within 14 days of those drugs can cause very bad high blood pressure. Talk with your child’s doctor.
- If your child is taking any of these drugs: Buprenorphine, butorphanol, nalbuphine, or pentazocine.
If your child is breast-feeding a baby:
- Be sure your child does not breast-feed a baby while taking this drug.
- Tell dentists, surgeons, and other doctors that your child is using this drug.
- Have your child avoid tasks or actions that call for alertness until you see how this drug affects your child. These are things like riding a bike, playing sports, or using items such as scissors, lawnmowers, electric scooters, toy cars, or motorized vehicles.
- To lower the chance of feeling dizzy or passing out, have your child get up slowly over a few minutes when sitting or lying down. Have your child be extra careful climbing stairs.
- Talk with the doctor before giving your child other drugs and natural products that may slow your child’s actions.
- Do not give this drug with other strong pain drugs or pain patches without talking to your child’s doctor first.
- Have your child’s blood work checked if he/she is on this drug for a long time. Talk with your child’s doctor.
- Do not give your child more of this drug than what the doctor told you to give. Giving more of this drug than you are told may raise the chance of very bad side effects.
- If your child has been taking this drug for a long time or at high doses, it may not work as well and your child may need higher doses to get the same effect. This is known as tolerance. Call the doctor if this drug stops working well. Do not give more than ordered.
- Do not stop giving this drug to your child all of a sudden without calling the doctor. Your child may have a greater risk of signs of withdrawal. If your child needs to stop this drug, you will want to slowly stop it as ordered by the doctor.
If your child is pregnant:
- Tell the doctor if your child is pregnant or becomes pregnant. You will need to talk about the benefits and risks of your child using this drug while pregnant.
- If your child is allergic to sulfites, talk with your child’s doctor. Some products have sulfites in them.
- Your child will be watched closely to make sure your child does not misuse, abuse, or become addicted to this drug.
- For some brands, you or your child may see the tablet shell in your child’s stool. For these brands, this is normal and not a cause for concern. If you have questions, talk with the doctor.
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Very bad dizziness or passing out.
- Chest pain or pressure or a fast heartbeat.
- Trouble breathing, slow breathing, or shallow breathing.
- Noisy breathing.
- Feeling very tired or weak.
- Very hard stools (constipation).
- Feeling very sleepy.
- Mood changes.
- Upset stomach or throwing up.
- Hard stools (constipation).
- Dry mouth.
- Feeling sleepy.
- Feeling tired or weak.
- Belly pain.
- Sweating a lot.
All oral products:
- Give this drug with or without food. Give with food if it causes an upset stomach.
- Do not let your child inject or snort this drug. Doing any of these things can cause very bad side effects like trouble breathing and death from overdose.
- To gain the most benefit, do not miss giving your child doses.
- Give this drug at the same time of day.
- Have your child swallow whole. Do not let your child chew, break, crush, or melt before swallowing. Doing these things can cause very bad side effects and death.
- Do not give long-acting products for fast pain relief or on an as needed basis.
- Do not give for pain relief after surgery if your child has not been taking drugs like this drug.
- Do not put this drug down a feeding tube.
- If your child cannot swallow this drug whole, you may sprinkle the contents on applesauce. If you do this, have your child swallow the mixture right away without chewing.
- Have your child rinse mouth to make sure all contents have been swallowed.
- Some brands of this drug may be given down a certain type of feeding tube. Other brands must not be given down a feeding tube. Check with your pharmacist to see if you can give this drug down a feeding tube.
- Measure liquid doses carefully. Use the measuring device that comes with this drug. If there is none, get an oral syringe, a dropper, a spoon, or a cup (only for older children) from your pharmacist.
- Measure liquid doses carefully. Use the measuring device that comes with this drug.
- It is given as a shot into a muscle, vein, or into the fatty part of the skin.
- Suppositories are for rectal use only.
- Wash your hands before and after use.
- If suppository is soft, chill in a refrigerator or run cold water over it.
- Take foil off the rectal suppository and put in, pointed end first. Do not handle too much.
- Wet suppository before putting in rectum.
- If your child takes this drug on a regular basis, give a missed dose as soon as you think about it.
- If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
- Do not give 2 doses at the same time or extra doses.
- Many times this drug is given on an as needed basis. Do not give to your child more often than told by the doctor.
- Skip the missed dose and go back to your child’s normal time.
- Do not give 2 doses at the same time or extra doses.
- Call your child’s doctor to find out what to do.
Oral products and suppository:
- Store at room temperature.
- Protect from light.
- Store in a dry place. Do not store in a bathroom.
- This drug will be given to your child in a hospital or doctor’s office. You will not store it at home.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Check with your pharmacist about how to throw out unused drugs.
- If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
- Do not share your child’s drug with others and do not give anyone else’s drug to your child.
- Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
- Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.