A patient’s guide to Oramorph (oramorph 20 mg/5ml kopen

Oramorph 20 mg/ml Kopen 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

Morphine: strong painkiller to treat severe pain

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 Oral solution 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.

Morphine 20 mg/5ml Oral Solution – Patient Information

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 Oral Solution 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.

Oramorph 20 mg/5ml Kopen 100ml Oral Solution (Pom/Cd05)

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
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.

Oramorph 20 mg/5ml Kopen oral solution 500 ml

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 medicine (tolerance)

Do not take more than your doctor has prescribed
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 20 mg/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.

oramorph 20 mg/5ml kopen, drank

If you forget to take Oramorph Oral Solution
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 Oral Solution

Do not stop treatment with Oramorph Oral Solution unless agreed with your doctor. If you want to stop the treatment with Oramorph Oral Solution, 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 Oral Solution 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

Oramorph® Oral Solution 20 mg/5 ml Kopen / Oramorph 20 mg/ml Kopen

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
By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store oramorph 10mg/5ml kopen Solution
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.

Oramorph as a treatment for breathlessness for patients

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.