Friday, June 01, 2012

Morphine Spinal Pump dose questions ...?

By Piriotessa Saturday, November 17, 2007

Hi all! My name's Mara and I'm pretty new to both the morphine pump (have had it since Sept now), and CPC (I just signed up today actually, and I wish I'd known about this site sooner that's for sure!). I'm betting my questions have already been asked, but I have no energy to sift through the thousands of posts right now so forgive me. I get my dose adjustment on Friday so by Saturday I'm still getting used to the higher dose. Anyway, does anyone know roughly what the ratio of the pump med is to the pills? I was taking 30 mgs orally before the pump, now I'm at 2.9 mgs via the "hardware", so I'm wondering how much of a difference it is (IE 2 IV mgs = to ? pill mgs).

 

According to my pain management doc I'm still on a very low dose, so if 2.9 mgs is low then what would be a normal or average amount be? And how will I know when the medicine is at the dose that will be good for me? Right now I'm still experiencing a LOT of pain in my neck/upper back/shoulders and a new pain cropped up recently in my left wrist. My general practictioner put me in a wrist brace but it's doing nothing for me; one of the major problems I'm having is that the brace is too big (and it's a small adult size ugg!) so the strap at the top keeps cutting into the lower part of my thumb. I'm pretty sure I need a child sized brace but my GP doesn't have any and I don't have the money right now to buy one (the ones like I have with the metal in it cost a ton whew!), so if anyone has any suggestions how I can fix the strap on the one I have that would be great.

 

Far as the pump, I'm more tired than before and haven't yet gone back to work, but it's worth it to stop the lower body pains (before the pump I would be in tears practically every day with horrid pain in my left knee/hip and my lower spine). However, even though it's working perfectly for below the belt as it were, shouldn't the pump also be helping the upper body pains? How much morphine am I going to need in the long run? And does anyone know of any support groups/etc here in the Orlando/Kissimmee area by chance? I'd really like to meet/talk with other locals who are going through Lupus or any of my other ailments that come with it, or if they have/had a pump, or have/had chronic pain, or all three for that matter, and of course, I'd really like to hear from others on CPC who are in the same boat!

 

Thanks for reading this and for bearing with me when I'm brain-clouded lol. Take care all!

 

~~Mara~~

11/17/07 7:18pm

Mara

Welcome to the Chronic Pain Connection, I hope that we can be of some help for you.

As far as your pain pump goes, I think the best man for the job is Bob over on the Forums.  He has an ongoing discussion thread all regarding pain pumps and you probably will really get a great deal of information from him.  He's wonderful at answering your questions, so here's the link for that Forum. http://forums.healthcentral.com/discussion/chronic-pain/forums scroll down the page to General Discussion, then another screen comes up with the topics in General discussion and then click on Intra Pump with Bob Engbreight? (sp)

As far as finding a support group in your area, I would go to google.com and type in pain support groups in ______ area that you live. 

I myself am trying to support others with my pain page here at care central and also the rest of us through share post discussions are a great way to get support and learn to live with pain to one another.

My pain page;  http://www.carecentral.com/bettys-pages-on-pain  You can send me a request to join and your welcome to send me messages and I'll do what I can to help you and also find you  the additional personal help you are in need of.

You can also reach me through my facebook page and are welcome to sign up and join my Chronic Pain Sufferers Group.  http://www.facebook.com/group.php?gid=6858670582

I hope something here may help you

Betty

11/23/07 4:09pm

I have had the pump for over ten years.

You can't compare oral doses to spinal doses.  the pump is going directly to the specific sites and you don't need as much.

I am a nurse and don't thepump is going to cover all pain over body.  It only covers a specific area like the lower back.  It makes since if only going to be able to help one area in the spinal column.  You need to talk with your Dr about your expectations.  You will fill tired but it improves it is certainlybetter than taking oral medications which have many more side effects.

11/23/07 10:45pm

If this can help .

http://www.globalrph.com/narcotic.cgi

 

But morphine in pump is tailored to you. There is not a "standar" dosage, it depends of the rate of absorpion.

I would like to write a bit more but today is a bad day.

Welcome to this place and follow the links Betty gave you. This forum is still in it's infancy but not the information and the forum leader ( sorry to much brain fog can't find the right word to describe Kareen Richards.)

Marie

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By Piriotessa— Last Modified: 12/20/10, First Published: 11/17/07