17th May 2004
Hey Surg, Just read all 29 pages of the full prescribing info. Nothing about thyroid problems. Adrenal disorders need to be monitored closer but nothing at all about the thyroid or the meds used to replace after it's removed if that's neccesarry.
The full prescribing Info has changed in the last few years, I hadn't read it all the way through in several but they have a great copy at Purdues web site, Just go to "our products," from the home page and click on whichever one you want to see and if you have Adobe the full prescribing info is available from almost every manufacturer. That's why I have a file of nothing but manufacturers, Easiest way to find info is to go direct to the source. The Full prescribing info is the same info submitted for print in the PDR.
Take care and I hope it works.
PS, The conversion Purdue recomends is .5 when coming from morphine which is much less generous than your doc did. It would have cut your mg dose in half and I haven't seen to many people happy getting cut in strength like that. That's extra conservative although they must say eacpatients dose must be customized at least 12 times in the 29 page document. Not to mention a warning on every 3rd page about crushing and other diversion attempts.
Sounds like you made the right switch, just need to tweak the dose to get max benefit with minimum side effects. The side effects profile is pretty much the same for all opiates, constipation, dizzyness, pinpoint pupils, physical dependence, etc. It's not unique in the side effects department although most folk do better with the synthetic opiates rather than the opioids like morphine and codeine as far as stomache and GI symptoms.
Take care, David
The full prescribing Info has changed in the last few years, I hadn't read it all the way through in several but they have a great copy at Purdues web site, Just go to "our products," from the home page and click on whichever one you want to see and if you have Adobe the full prescribing info is available from almost every manufacturer. That's why I have a file of nothing but manufacturers, Easiest way to find info is to go direct to the source. The Full prescribing info is the same info submitted for print in the PDR.
Take care and I hope it works.
PS, The conversion Purdue recomends is .5 when coming from morphine which is much less generous than your doc did. It would have cut your mg dose in half and I haven't seen to many people happy getting cut in strength like that. That's extra conservative although they must say eacpatients dose must be customized at least 12 times in the 29 page document. Not to mention a warning on every 3rd page about crushing and other diversion attempts.
Sounds like you made the right switch, just need to tweak the dose to get max benefit with minimum side effects. The side effects profile is pretty much the same for all opiates, constipation, dizzyness, pinpoint pupils, physical dependence, etc. It's not unique in the side effects department although most folk do better with the synthetic opiates rather than the opioids like morphine and codeine as far as stomache and GI symptoms.
Take care, David