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Does Intake Of Morphia Help In Treating Osteoarthritis?

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Posted on Mon, 20 Jun 2016
Question: I am female 0f 81years of age and have had 0esteo arthritis for many years. I was prescribed an ante inflametory many years which resulted in stomach problems. after which I was prescribed tramadol 3 times per day but after suffering a stroke in august last year shoulder pain has increased a great deal and am now prescribed tramadol 4 times per day. I wake most nights with severe neck pain which eases when I stand up out of bed. whilst in hospital I had patches as well as iboprophen gel applied to shoulder to help with physio re post stroke. I wonder if I would be better off trying morphia which is what the hospital sugested
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Answered by Dr. Dr. Matt Wachsman (22 minutes later)
Brief Answer:
it's tricky

Detailed Answer:
long acting narcotics carry a lot of risk of getting used to them/tolerance/needing more over time to get the same effect. Also if you are on a fair amount, you get a lot of bad feelings if you stop them. We are not even mentioning the (small) risk of addiction which is separate from the other options.

Mainly, it depends on the pattern of the pain. Morphia, and other long acting narcotics have more problems and more cost. The short acting narcotics at low doses have no stomach issues, frankly are safer in someone with a history of stroke compared to ultram BUT do NOT last as long as ultram (4 hr versus more like 8 hrs).
There is higher dose ultram (equivalent to SIX pills a day of ultram 50 mg. 300 mg pills). There are the short acting narcotics if the pain is not all the time and there is the long acting narcotics.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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Does Intake Of Morphia Help In Treating Osteoarthritis?

Brief Answer: it's tricky Detailed Answer: long acting narcotics carry a lot of risk of getting used to them/tolerance/needing more over time to get the same effect. Also if you are on a fair amount, you get a lot of bad feelings if you stop them. We are not even mentioning the (small) risk of addiction which is separate from the other options. Mainly, it depends on the pattern of the pain. Morphia, and other long acting narcotics have more problems and more cost. The short acting narcotics at low doses have no stomach issues, frankly are safer in someone with a history of stroke compared to ultram BUT do NOT last as long as ultram (4 hr versus more like 8 hrs). There is higher dose ultram (equivalent to SIX pills a day of ultram 50 mg. 300 mg pills). There are the short acting narcotics if the pain is not all the time and there is the long acting narcotics.