QUOTE (The Professor @ Jun 21 2009, 03:26 AM)

Yeah I know this area pretty well. The morphine, isn't great, well, it's good at relieving the pain, I'll give you that, but that is a good reason not to give her cannabis, as a test, unbeknown areas etc, I know that for sure. Cannabis will add to the morphine affect, they are similar in make up, you already have been advised of that. I use, or am prescribed a drug called Zydol, (tramadol hydrochloride) it is an opiod, i.e. derived from opium, err, oh oh, so is heroin. Ok it isn't that bad, but I can tell you I and others have a problem with zydol, the poit is this, it is similar to morphine remember, it can be addictive, quite badly so, and if I miss a day, I get nasty anxiety attacks, and feel totally fu'd up, now morphine, to recap here, and cannabis, might have the same affect, and you don't want that. In addition, morphine can cause constipation, which although is not terrible, it is bloody uncomfortable, and depending on the patient, it an be more of a problem. Now, fact. It is worth taking the pain killer, medication, if it is worth the risks, there is no point in my mind, although some may disagree, that suffering because a side effect might kick up, worry about that if the side effect crops up.
Hi Proff.
You and I have similar physical probelms (I have Spinal Stenosis - Peripheral Neuropathy; Arthritis; and recently Superor Laryngeal Neuralgia (awaiting full diagnosis on the latter, but its damned unpleasant).
I find cannabis of no use as an analgesic per se, none at at all. Indeed, sometimes it can make matters very much worse. But it does have mood elevating properties that can be useful; and it potentiates other painkillers resulting in reduced doses being needed.
Cannabis potentiates Morphine. I for one regard the combo of the two an almost "Dream-ticket" analgesic. For me, it doesn't really come any better, in terms of pain relief. When I run out of weed, I need to up the Morph doses to achieve the same level of pain management.
Morphine is about as good a painkiller as I have so far encountered. I take it morning and night and it gives me some management of pain levels, plus a good night's sleep unless things are really ballistic.
Like many I face a choice: Pain, or a mild Morphine habit. Being a coward, I opt for the latter

However, addiction is a much milder problem when Morphine is used therapeutically. Full on rattling is rare unless the Morphine has been over-prescribed.
Constipation is a side effect that can be easily treated. I'm as regular as clockwork despite my prescription

Most folks have unfounded fears about Morphine. In reality it is a very safe drug (comparatively), and as far as I can find out, does virtually no damage to essential organs etc etc, unlike so many other drugs. A true "Gold Standard". Just a shame so many fear it, and that is mainly due to Tabloid hype and hysteria about junkies.
QUOTE (2hi2try @ Jun 28 2009, 10:08 AM)

i talked to the doc about the EM-1 which he replied it looks intresting but i can't comment because its had no medical trials, her morphine has now been increased to 80mg daily and the co codammol stopped
thanks for all your replies but i feel im banging my head against a wall as she'll only ever take meds a doc has given her and wont entertain anything alternative
Don't worry about the Morphine. 80mg per day is a very minor dose (actually just about half of what I take, and I am by no means on a "high" dose really). The important thing is - "Does it work?" If so,

Great! If not get the Doc to up the dose again. Its called "Titration", slowly upping the dose till pain relief is achieved. It can take some time, even a week or two as in my case. But once the levels have been found, the relief is most welcome.
In properly titrated therapeutic use, there is no ceiling to the amount of morphine that can be taken. And given its relative lack of toxicity, long term use presents no serious issues. So don't worry about things like rising doses etc etc. The important issue is to relieve your Grandmother's pain. And that, I hope, is done very quickly.