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Nov 30, 2016 · Need guidelines for long term, long-acting morphine withdrawal plan in Chronic Pain

Thanks and I will let everybody know how it goes. Maybe by sharing my experience – especially if I am successful might encourage others to try.

Nov 30, 2016 · Need guidelines for long term, long-acting morphine withdrawal plan in Chronic Pain

Thanks so much for your concern and helping me sort this out. I am going to stay on this dose until I speak to my provider on the 5th. So far it seems to be going very well. I am very hopeful I can kick these opioids to the curb!

Nov 30, 2016 · Need guidelines for long term, long-acting morphine withdrawal plan in Chronic Pain

Thank you for all the information! I do have an appointment on the 5th and I do have more than enough to last me until I speak with her. I did let her know by email about what I did and that I would continue that dose until we spoke. I am happy to say that it seems to be going very well at this point.

Nov 29, 2016 · Need guidelines for long term, long-acting morphine withdrawal plan in Chronic Pain

Hi Scott,

I agree I should not be doing this on my own but I seem to be left in a lurch as my provider is gone until next week. I am doing a “best guess” until I can talk to my provider next week. I do seem to be doing MUCH better than what she had me scheduled. I was not seeking specific advice but looking for links to written guidelines – like 10% per week per whatever.

Was your wife able to get off opioids (thank you for the spelling!). I just recently had a breast reduction and it eliminated pain from my waist up and so I am hopeful about this. I would be very happy if I could get off of them! I just want to do it safely.

Nov 29, 2016 · Need guidelines for long term, long-acting morphine withdrawal plan in Chronic Pain

I have been on MS Contin 15 mg twice daily for six years for fractured discs and arthritis. I am told by my PCP (a nurse practitioner) that there is a federal mandate that I must get off opoids. I am a retired nurse so I know something about medications. Her proposed withdrawal schedule was: Short acting morphine 15 mg twice daily x 1 week; then once daily x 1 week, then every other day x 1 week then stop. I told her I completely disagreed with her schedule – that 15 mg short acting was way too much and that it would shoot me way up then crash me in the middle of the day and the middle of the night. I reminded her that I had been on this medication for six YEARS and a far longer and more gradual taper was warranted. She told me to try it. About the 4th day it started to hit me. “Fortunately” I was seeing my rheumatologist that day in the late afternoon so I was at my max.- I was nauseated, sweating, shaking, and my BP was up. My PCP is out of town for this week and I am scheduled for a phone appointment on the 5th. In the meantime, I have cut the 15 mg tablets in half and am taking 7.5 mg every 8 hours combined with 8 hour Tylenol. In addition, my rheumatologist upped my prednisone from my usual 5 mg daily to 10 mg daily x 1 week then 7.5 mg daily x 1 week then back to my usual 5 mg daily. I am comfortable on this regime and I could see where a GRADUAL withdrawal in this manner might make me successful at getting of morphine. I do not feel my PCP is qualified to manage this withdrawal but my managed care insurance doesn’t have any pain specialists in our community. Does anybody have any suggestions as to what I should/could do? Could you point me to guidelines for withdrawing opoids?