pharma Dorp

ORAMORPH ORAL SOLUTION 100ml (10mg/5ml) BOTTLE

150,00 

What is Oramorph? It’s a liquid form of morphine, a drug often used as a pain killer. In small doses, we prescribe Oramorph for the relief of long term or chronic breathlessness.

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A patient’s guide to Oramorph (morphine sulphate oral solution 10mg/5ml) for use in breathlessness

Read our guide below about using Oramorph in breathlessness.

You can also download a PDF version of this patient information by following the link on the right.

What is Oramorph?

It’s a liquid form of morphine, a drug often used as a pain killer. In small doses, we prescribe Oramorph for the relief of long term or chronic breathlessness.

Why we use it

Oramorph has been used as a treatment for breathlessness for many years. It has proven to be effective and safe.

Will it help?

Patients tell us they find it very helpful in relieving their breathlessness. Many say it has allowed them to sleep and cope better with daily activities.

How does it work?

Oramorph works quickly to relieve the feeling of being breathless and does not linger in your system. You will start on a small dose 2 to 4 times a day, If this seems to help you, we can gradually increase the dose.

Once you become used to Oramorph, you can take extra doses when you are breathless. You can also use it before doing activities that you know will make you breathless.

What are the possible side effects?

As with all medicines there may be side effects which can include:

  • constipation – which is why a gentle laxative is often prescribed whilst you are taking oramorph.
  • itchy skin (mild)
  • drowsiness (rarely). If you do feel drowsy you must not drive

Itchiness and drowsiness usually go away over time, and with continued use of Oramorph.

Some people may feel concerned at the thought of using morphine for a number of reasons:

Some people may recognise this as a medicine used for pain including when someone has cancer or is dying. This is absolutely not why oramorph is used for breathlessness.

Some people may think that using morphine will make you addicted. The small amount of morphine used to treat breathlessness does not cause addiction. The oramorph dosage can be safely weaned and stopped if it does not benefit you, or if you no longer need it.

You might notice that the packet information leaflet includes a warning that states that it is dangerous to take oramorph when you have a breathing condition. This is only a potential problem if you need to take very large doses to treat pain. oramorph dosage is not dangerous in the low doses we prescribe for treating breathlessness.

What happens if Oramorph does not work for me?

It is important to let your doctor know if you feel that the oramorph is not helping as it may be that you need an alternative dose or medication.

Is oxygen a treatment for breathlessness?

No. Oxygen corrects low oxygen levels and reduces strain on your heart and lungs. You can have a normal oxygen level and be very breathless which is why we use other treatments for breathlessness like Oramorph.

ORAMORPH ORAL SOLUTION 10mg/5ml, Bottle 100ml

1 bottle per order maximum

for monthly emergency supply

oramorph bottle

MORPHINE ORAL SOLUTION 10mg/5ml, Bottle 100ml

How to order?
In order to buy Oramorph Oral Solution be aware that Morphine for some countries you don’t need prescription while for some you does. Our convenient service allows you to obtain a prescription and medication without seeing a doctor face-to-face.
To place an order, fill in our brief assessment questionnaire and select your preferred treatment. Our online doctor will review your information and if “suitable” approve treatment.
We offer free delivery as well as a convenient same day in-store collection service, which allows you to pick up your order at your local pharmacy. For a fast delivery, choose our courier service (selected postcodes only). If out of UK then please choose “STANDARD DELIVERY” postage service by Royal Mail. For bigger orders you will have FREE Delivery anywhere in EU.
Please note when ordering MST just from the below stated manufacturer ONLY and we will not provide you any alternatives with your medication, and will be delivered in a timely manner..

Print this info. You may need to read it again. If you have any further questions, ask your doctor or pharmacist. This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

In this info:

Oramorph 10mg/5ml Oral Solution PACKAGE LEAFLET: INFORMATION FOR THE USER
ORAMORPH 10mg/5ml Oral Solution
Morphine Sulphate

Read all of this leaflet carefully before you are given this medicine because it contains important information for you.

Keep this leaflet, you may need to read it again
If you have any further questions, please ask your doctor, pharmacist or nurse.
If you get any side effects, talk to your doctor, or pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.
What is in this leaflet:
1. What Morphine Oral Solution is and what it is used for
2. What you need to know before you take Morphine Oral Solution
3. How to take oramorph 10mg/5ml kopen
4. Possible side effects
5. How to store Morphine Oral Solution
6. Contents of the pack and other information

1. What Oramorph Oral Solution is and what it is used for

Morphine is an alkaloid with powerful pain relieving properties. It belongs to a group of medicines called ‘opioid analgesics’.
This medicine is used for the relief of severe pain.

2. What you need to know before you are given Oramorph Oral Solution

Do not take Morphine Oral Solution if:
you are allergic (hypersensitive) to Morphine sulphate or any of the ingredients of this medicine (listed in section 6).
you have problems with your lungs or breathing such as ‘hypoventilation’ or ‘Chronic Obstructive Pulmonary Disease’ (COPD)
you are having an asthma attack
you have recently had a head injury
you are addicted to alcohol or have recently consumed large amount of alcohol
you have fits (convulsions) or increased pressure inside your skull
you have sudden or recent liver problems
you have paralytic ileus (loss of intestinal movement)
you are taking or have in the last two weeks taken medication to treat depression such as Monoamine-Oxidase Inhibitors (MAOI’s) (see ‘Taking other medicines’)
you have something called ‘phaeochromocytoma’. This is a rare tumour which is not malignant
the person taking this medicine is in a deep and prolonged unconscious state (coma)
Do not take this medicine if any of the above applied to you If you are not sure, talk to your doctor or pharmacist.

Warnings and precautions

Talk to your doctor or pharmacist before taking Morphine Oral Solution if:
you are pregnant, trying to become pregnant or if you are breast-feeding
You have a lung problem that causes shortness of breath called emphysema
you are a man who has prostate problems
you have an under-active adrenal gland (adrenocortical insufficiency)
you have asthma
you have gall-bladder problems
you have long term (chronic) liver or kidney problems
you have an under-active thyroid gland or swelling of your skin (myxoedema)
you have had an operation in the last 24 hours
you are extremely overweight
your spine is unusually curved (kyphoscoliosis)
you have shock (circulatory failure)
you suffer from bowel problems
Talk to your doctor, pharmacist or nurse if you experience any of the following symptoms while taking Morphine Oral Solution:

Increased sensitivity to pain despite the fact that you are taking increasing doses (hyperalgesia). Your doctor will decide whether you will need a change in dose or a change in strong analgesic (“painkiller”), (see section 2).
Weakness, fatigue, lack of appetite, nausea, vomiting or low blood pressure. This may be a symptom of the adrenals producing too little of the hormone cortisol, and you may need to take hormone supplement.
Loss of libido, impotence, cessation of menstruation. This may be because of decreased sex hormone production.
If you have once been dependent on drugs or alcohol. Also tell if you feel that you are becoming dependent on Morphine Sulfate while you are using it. You may have started to think a lot about when you can take the next dose, even if you do not need it for the pain.
Abstinence symptoms or dependence. The most common abstinence symptoms are mentioned in section 3. If this occurs, your doctor may change the type of medicine or the times between doses.
If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking Morphine Oral solution.

Other medicines and Oramorph Oral Solution

Tell your doctor if you are taking or have recently taken any other medicines, including those obtained without prescription. This includes medicine that you buy without a prescription and herbal medicines. This is because Morphine oramorph dose can affect the way some other medicines work. Also, some other medicines can affect the way Morphine Oral Solution works. Morphine Oral Solution must not be used with drugs used to treat severe depression, such as phenelzine or moclobemide, or if you are within 2 weeks of discontinuing them.

These drugs are known as Monoamine Oxidase Inhibitors (MAOI’s).
In particular tell your doctor or pharmacist if you are taking any of the following medicines:
medicines to help you sleep, make you feel less anxious or calm you down such as tranquilisers, anaesthetics, hypnotics, sedatives, antipsychotics, tricyclic antidepressants (clomipramine) and alcohol
CNS depressants (drugs that act on the brain to cause drowsiness)
medicines for controlling heart rhythm such as esmolol and mexiletine
medicines to treat stomach ulcers, indigestion or heartburn such as cimetidine
medicines for feeling sick (nausea) and being sick (vomiting) such as domperidone, metoclopramide or phenothiazide
medicines to treat HIV infections such as ritonavir
medicines used to treat fungal infections such as voriconazole
medicines to treat epilepsy and long lasting pain caused by damage to the nerves such as gabapentin
medicines to treat tuberculosis and other infections such as Rifampicin
Concomitant use of oramorph dosage and sedative medicines such as benzodiazepines or related drugs increases the risk of drowsiness, difficulties in breathing (respiratory depression), coma and may be life-threatening. Because of this, concomitant use should only be considered when other treatment options are not possible.
However, if your doctor does prescribe Oramorph Oral solution together with sedative medicines the dose and duration of concomitant treatment should be limited by your doctor.

Please tell your doctor about all sedative medicines you are taking, and follow your doctor’s dose recommendation closely. It could be helpful to inform friends or relatives to be aware of the signs and symptoms stated above. Contact your doctor when experiencing such symptoms.
Taking Oramorph Oral Solution with alcohol
You should avoid alcohol whilst taking this medicine.
Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine. If you take this medicine during pregnancy or while breast-feeding, it may slow down the baby’s breathing. If oramorph dose is used for a long time during pregnancy, there is a risk of the new-born child having drug withdrawal (abstinence) symptoms which should be treated by a doctor.

Operations and anaesthetics

Tell your doctor or pharmacist if you are due to have an operation or an anaesthetic or if you have had an operation or an anaesthetic within the last 24 hours.

Driving and using machines

This medicine can affect your ability to drive and operate machinery as it may make you sleepy or dizzy.
Do not drive while taking this medicine until you know how it affects you.
It is an offence to drive if this medicine affects your ability to drive.
However, you would not be committing an offence if:
The medicine has been prescribed to treat a medical or dental problem and
You have taken it according to the instructions given by the prescriber or in the information provided with the medicine and
It was not affecting your ability to drive safely
Talk to your doctor or pharmacist if you are not sure whether it is safe for you to drive while taking this medicine.

This effect is even more enhanced, when used in combination with alcohol or CNS depressants (medicines for sleeping disorders and anxiety). Do not drive or operate machinery if you feel drowsy or cannot think clearly.

Important information about some of the ingredients:
If you have been told by your doctor that you have an intolerance to some sugars (sucrose), contact your doctor before taking this medicinal product
sodium propyl hydroxybenzoate (E217) and sodium methyl hydroxybenzoate (E219) may cause an allergic reaction which could be delayed. Although rare, you may have difficulty breathing.
Morphine Oral Solution contains alcohol which may be harmful to those suffering from alcoholism. The amount of alcohol should also be considered if you are pregnant or breast-feeding, have long term (chronic) liver problems or epilepsy, or if you are a child.
This medicine contains less than 1mmol sodium (23mg) per 1ml. that is to say essentially ‘sodium-free’.
3. How to take Oramorph Oral Solution

Oramorph
Your doctor will decide on the dose and duration of your therapy. Always follow the instructions of your doctor and pharmacist. If you are changing from other types of morphine medication your doctor may have to change your dose.

This medicine is for oral use
Adults: Recommended dose is one or two 5ml spoonfuls (10-20mg) every 4 hours
Elderly and infirm patients: A reduced dose is recommended
Children: 13 to 18 years: Recommended dose is half or two 5ml spoonfuls (5-20mg) every 4 hours
6 to 12 years: Recommended dose of is half or one 5ml spoonfuls (5-10mg) every 4 hours
1 to 5 years: recommended dose is half a 5ml spoonful (5mg) every 4 hours
Under 1 year: not recommended
Being given more or less of this medicine
For some people, it may be necessary for the doctor to give a higher dose
For other people (for example the elderly, people with kidney or liver problems, an under active thyroid or thyroid gland or prostate problems, and people that should not be sedated) the doctor may decide to use a lower dose
Your body may get used to the Oramorph medicine (tolerance)

Do not take more than your doctor has prescribed for oramorph dose
If you have been taking your medicine for some time you may find that it does not seem to be working as well as it did. If this happens, talk to your doctor
If you take more oramorph 10mg/5ml kopen than you should:

If you take more of this medicine than you should, talk to a doctor or go to a hospital straight away. Take the medicine pack with you. This is so the doctor knows what you have taken. Symptoms of an overdose include sudden or unexpected difficulty in breathing, pin-point pupils (the black circle in the centre of your eyes (pupil) getting smaller) or a drop in blood pressure. In the case of infants and children they may suffer fits (convulsions). People who have taken an overdose may get pneumonia from inhaling vomit or foreign matter, symptoms may include breathlessness, cough and fever. People who have taken an overdose may also have breathing difficulties leading to unconsciousness or even death. In more severe cases, very high doses could cause your blood circulation to slow down and cause unconsciousness for a long time, or even death.

If you forget to take oramorph dose
If you have missed a dose take it as soon as you remember unless it is nearly time for your next dose. Then continue your normal dose times.
If it is nearly time for the next dose, skip the missed dose. This is because the time between doses should be at least 4 hours.
Do not take a double dose to make up for a forgotten dose
If you stop taking oramorph dose

Do not stop treatment with oramorph dosage unless agreed with your doctor. If you want to stop the treatment with oramorph dosage, ask your doctor how to slowly decrease the doses so you avoid abstinence symptoms. Abstinence symptoms may include body aches, tremors, diarrhoea, stomach pain, nausea, flu-like symptoms, fast heartbeat and large pupils. Psychological symptoms include an intense feeling of unsatisfaction, anxiety and irritability.
If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.

4. Possible Side Effects
Like all medicines, oramorph dose can cause side effects but not everyone gets them.

Repeated use of morphine can result in tolerance and addiction
Allergic reaction
If you have a severe allergic reaction, stop taking this medicine and see and doctor straight away. Signs may include swelling of the mouth and face, difficult breathing, dizziness and skin reactions such as rash and itching.
Tell your doctor straight away if you notice the following side effects. You may need urgent medical treatment:
Having a headache. This could be a sign of increased pressure inside your skull
Feeling dizzy or unsteady when you stand up. This could be a sign of a temporary fall in blood pressure (orthostatic hypotension)
Shallow breathing, with a slow heartbeat (bradycardia) and cold clammy skin
Feeling restless, irritable or having changes in your mood
Stomach pain caused by spasm (cramps) of the tubes that carry urine to the bladder or bile to the intestines
Difficulty breathing (not linked to an allergic reaction)
Other side effects
Feeling sick (nausea) or being sick (vomiting)
Constipation, which can be treated with appropriate laxatives
Difficulty in passing water (urine)
Feeling drowsy
Dry mouth, sweating and flushing of your face
Your heart rate getting faster (tachycardia) or slower (bradycardia) or fast and uneven (palpitations)
Lower body temperature (hypothermia)
Lowered sex drive or erection problems
Seeing or hearing things that are not there (hallucinations) or feeling confused
Muscles feeling tense
The black circle in the centre of your eyes (pupil) getting smaller (miosis)
An increased sensitivity to pain
Abstinence symptoms or dependence (for symptoms see section 3: If you stop taking Morphine Oral Solution).
Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.
By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store oramorph dosage
Keep this medicine out of the sight and reach of children.
Do not use this product after the expiry date which is stated on the carton. The expiry date refers to the last day of that month. Keep container in the outer carton. Use within 90 days of first opening.
Do not store above 25°C. Store in the original container in order to protect from light.
Please return any remaining medicine to your pharmacist 90 days after first opening.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. Contents of the pack and other Information
What Morphine Oral Solution contains:
Active ingredient: Morphine Sulphate Ph Eur 10mg in each 5ml of solution.
Other ingredients: sugar (sucrose), alcohol, disodium edetate, sodium propyl hydroxybenzoate (E217), sodium methyl hydroxybenzoate (E219), raspberry flavour, purified water and may include hydrochloric acid.
Each 5ml dose of this solution contains 0.4ml of alcohol and 2.25g of sugar.
What Morphine Oral Solution looks like and contents of the pack:
The clear, colourless solution is supplied in amber glass bottles containing 100ml, 250ml, 300ml or 500ml.
Not all pack sizes may be marketed. This leaflet was last revised in August 2019.

Ingredients Of Oramorph Dose: See leaflet inside the box provided.
Allergy Advice: See manufacturer description.
Storage: Store the oramorph dose in a cool, dry place, odourless and protected from sunlight and out of reach of children.
Country of origin: EU

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