- Fentanyl patch - an opiate that can be absorbed across the skin. It releases a steady stream of fentanyl 24 hours a day. Each patch lasts three days. We increased his dose by 25% in the last day.
- Morphine extended release (ER) - a pill form of morphine that is slowly released in the GI system to get a somewhat steady level. It's to be given every 8 hours so that an even amount is present 24 hours a day in the blood stream.
- Morphine solution - a liquid form that is to be held under the tongue or against the cheek to be absorbed across the mucosal lining and directly into the blood stream. When done this way, it bypasses the GI system and gets into the system quickly. It's for breakthrough pain events. Ideally, if options #1 and #2 are working well, the necessity of #3 is minimized. We're not dealing with ideal circumstances anymore.
May 19, 2011
My brother's pain management comes in three forms.