Descrizione Del Prodotto
Morphine 30mg
Morfina sulfate 30 mg is a potent opioid analgesic commonly available in immediate-release (IR) oral tablets, extended-release (ER) formulations (e.g., MS Contin), or other forms like injections. Here’s a factual breakdown based on standard pharmacological data (e.g., from FDA labels, USP, and medical references like Lexicomp):
Principali Utilizzi
- Primario: Moderate to severe pain relief (e.g., post-surgical, cancer pain, acute injury).
- Altro: Sometimes for severe dyspnea in palliative care or cough suppression.
- 30 mg dose context:
| Modulo | Typical Use Case | Insorgenza/Durata |
|---|---|---|
| IR Tablet | Acute pain breakthrough | Onset: 30-60 min<br>Peak: 1-2 hrs<br>Duration: 3-6 hrs |
| ER Tablet | Chronic pain management | Onset: 1-2 hrs<br>Peak: 3-6 hrs<br>Duration: 8-24 hrs |
| Iniezione | Hospital acute pain/trauma | Onset: 5-10 min (IV)<br>Duration: 2-4 hrs |
Farmacocinetica
- Biodisponibilità: ~20-30% oral (first-pass metabolism); 100% IV.
- Metà vita: 2-4 hours (normal renal/hepatic function).
- Equianalgesic dose: 30 mg oral IR ≈ 10 mg IV/IM ≈ 30 mg rectal.
Dosing Guidelines (Adults)
| Condizione | Starting Dose (IR) | Max Daily (IR) | Note |
|---|---|---|---|
| Dolore acuto | 15-30 mg q4h PRN | 120-180 mg | Titrate based on response. |
| dolore cronico | ER: 30 mg q12-24h | 400+ mg | Do not crush ER; risk of overdose. |
| Opioid-Naive | Start lower (e.g., 15 mg) |
|
Elderly/renal impairment: Reduce 25-50%. |
- Bambini: Weight-based (0.05-0.2 mg/kg IV); not for <2 yrs typically.
- Conversion: From other opioids, use calculators like those from MDCalc (e.g., 30 mg morphine oral = 10 mg IV).
Effetti collaterali e rischi
| Common (>10%) | Serious (Monitor) | Segnali di sovradosaggio |
|---|---|---|
| Nausea, constipation, drowsiness, itching | Respiratory depression, hypotension, tolerance | Pinpoint pupils, coma, apnea (Naloxone reverses) |
- Controindicazioni: Acute asthma, paralytic ileus, severe respiratory depression.
- Avvertenze: High abuse potential (Schedule II controlled substance). Risk of addiction, overdose (esp. with benzos/alcohol). CDC guidelines recommend lowest effective dose/shortest duration.
Prove e fonti
- Efficacia: Supported by RCTs (e.g., WHO pain ladder); 30 mg IR provides ~70-90% pain reduction in opioid-naive patients (JAMA reviews).
- References: FDA label (morphine sulfate), UpToDate, Micromedex. For calculations: Opioid Equianalgesic Table (Palliative Care Network).
Disclaimer: This is general info, not medical advice. Dosing must be personalized by a healthcare provider. Misuse can be fatal—consult a doctor/pharmacist. If this is for a specific scenario, provide more details for tailored facts.
Ulteriori Informazioni
| Quantità | 5 Pills, 10 Pills, 20 Pills, 40 Pills |
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