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Anone know anything about morphine patches please?

5 replies

hippohead · 20/10/2010 13:09

My lovely 95yo Granny is suffering with terrible back pain. She has had a scan and we have been told that its due to wear and tear on her disks and that all that is appropriate is pain management.

She has been taking cocodamol but this caused constipation and impacted stools followed by horrible diarrhea and most importantly has not given her much relief.

She also has moderate dementia (no idea of date, forgets things that have happened that day, forgets to eat) but she is resolute that she wishes to stay at home. Her GP and the NHS gave been brilliant and so far we are all managing to care for her through 3 or 4 daily visits to her at home, except for this terrible back pain.

She can not move without pain and is spending huge amounts of the day lying in bed. Her GP has suggested 'we' consider morphine patches as an alternative to the cocodamol. I say 'we' as the decision has been given to my mum as Granny is not 'sound' enough to weigh up the options according to her GP. However, Granny simply feels she doesn't want to make a fuss, says its just 'old age', she barely complains even though every movement is clearly painful unless she is lying down.

We don't know what to do for the best. Its hard to weigh up the side effects of the painkillers against the chance for her pain to be reduced. To cut to the point- we cannot seem to get a straight answer about how much of her remaining mental capacity and alertness will be taken by morphine patches. I have had morphine myself (not patches, via a pump) and I would say it was a bizarre experience, sorry for the crass description but I truly was in 'lala land'. I am wondering if anyone has had experience of morphine patches themselves or for a family member and can share their experience of what it was / is like.

OP posts:
Earthdog · 20/10/2010 14:07

I think they affect people differently and if the standard patches don't work they try increasing the dose very gradually, or try other drugs like Fentanyl. I know little about it other than when my late Mother had them for severe cancer pain (and they didn't have much effect on her mentally but she was only 74.)

PortoFangO · 20/10/2010 14:10

My 82 year grandma has had these for rheumatoid arthritis for a few years. She has one a day - and they do help. She still has all her mental faculties in full working order - her big concern is that she is addicted to them.....

CMOTdibbler · 20/10/2010 14:11

My mum is on morphine (tablets, not patches) for her back pain, and has been for a few years now. Although she has early dementia, she certainly isn't out of it, and does everything normally though is a bit sleepier than she might otherwise be - so has an after lunch nap.

The patches release a controlled dose slowly at a much lower dose than a pump or the dose given for rescue pain medication, and really are very effective. You don't have anything to lose by trying them - if your nan does seem to be effected, then the patch can be taken straight off

TurnipLantern · 20/10/2010 14:30

I had fentanyl patches for a serious pain a few years ago and they worked well. I met a nurse with a major injury who carried on working 4 days a week on a very high dose of these, including driving.

But serious pain also dulls the senses and the mind, so it may not make things worse.

hippohead · 20/10/2010 15:44

Thank you everyone for your input it has been really helpful to know that the patches may not cause Granny to be too 'out of it'.

I would have thought that a bit of tiredness is no problem for such an elderly lady, she has slowed down a great deal anyway due to her back pain. I think my vote will be for her to give them a go, if she and my Mum agree.

Thanks again.

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