Using strong opioids to manage pain
|
|
- Alvin Price
- 7 years ago
- Views:
Transcription
1 Using strong opioids to manage pain Q1. What is an opioid? A. Opioids are strong pain killers. Strong opioids commonly prescribed by doctors include: Oramorph (contains morphine), MST (contains morphine), Oxynorm, Fentanyl, Oxycontin and Sevredol. Patients who are living with advanced, progressive diseases (such as advanced cancer, heart disease, liver disease, lung disease, kidney disease, HIV and some diseases of the nervous system) may need strong opioids to alleviate their pain when other types of pain relief do not help. This leaflet will focus on the use of oral morphine. Q2. Isn t morphine only used for patients who are at the end of life? A. No. Morphine is given for different sorts of severe pain. Treatment with morphine may be needed to allow you to continue living as comfortable a life as possible. You will be able to go on taking morphine for as long as you need to. The pain killing effects do not wear off with time and the dose can be increased, following advice from your doctor or specialist nurse, if needed. Q3. When do I take it? A. The first strong opioid treatment you are likely be offered is morphine. It is usually prescribed in a form that you can take by mouth, such as tablets, capsules, liquid or sachets. There are two types of morphine. Short-acting morphine (called immediate-release): starts to work after about 30 minutes and usually lasts for about 4 hours. It may be taken regularly every 4-6 hours, or taken as required, usually up to every 4-6 hours. It is also used to control breakthrough pain (sudden, intense pain in addition to background pain) as it works quickly. Short acting morphine may also be prescribed in addition to long acting morphine. The short acting morphine may be taken if you experience pain in between the long acting doses. If you need to take more than 2-3 doses of short acting morphine in a day, tell your doctor or nurse. Ref: PIID373 Date: July 2015 Review: July 2017
2 Q4. Are there any side effects from taking morphine? A. There are some common side effects from taking morphine: Constipation This is a very common side effect. It is important to drink plenty of fluids and take a laxative regularly as prescribed by your doctor. The dose of laxative can be increased or reduced to make sure you pass a soft motion regularly. Sickness If you feel sick when you first start to take morphine, try taking it with food. Your doctor may need to give you some anti-sickness medicine for a few days until the sickness goes away. Sleepiness This is most common when you first take morphine or when the dose is increased. It should improve after a few days. Q5. Will I become addicted to morphine and unable to stop taking it? A. No. If you no longer need to take morphine, your doctor will reduce the dose gradually. Q6. Will morphine always relieve my pain completely? A. Although morphine is a very good pain killer, it is not helpful for all types of pain. Other treatments may be needed and suggested by your doctor or nurse. Q7. What do I do if I get pain between the regular doses of morphine? A. If the pain is mild, Paracetamol may help. (Do not take more than 8 Paracetamol 500mg tablets in 24 hours). If it is more severe you should take a dose of short acting morphine (see Question 3). If you need more than 2-3 extra doses in a day, tell your doctor or nurse. Some people find that doing certain things like having a bath or going for a walk brings on the pain. Your doctor or nurse may suggest you try taking a dose of short acting morphine before you start doing something that brings on the pain.
3 Q8. How do I store morphine at home? A. Keep in their original containers, clearly labelled and store safely at room temperature in a dry place, preferably in a locked cupboard, out of reach and sight of children. The label should provide storage instructions but check with your pharmacist if you are unsure. Q9. How will I know if the morphine is not going to work for some of my pain? A. You may still have pain despite taking bigger doses of morphine and may feel unwell in one or more of these ways: more sleepy than usual feeling sick more of the time restlessness or jumpiness bad dreams Do not worry if this happens. Tell your doctor or nurse. Your doctor may reduce your dose of morphine and suggest other treatments to help the pain. Q10. What do I do with unused morphine? A. Unused morphine should be returned to the pharmacist for safe disposal. Do not flush them down the toilet or throw them away. Q11. Can I drive? A. It is essential that you do not drive unless you feel 100 per cent safe to do so. You should not drive for at least five days when you first start taking strong opioids, or if you are changing their dose. Sometimes longer is needed. You must discuss this with your doctor. Please see Patient Information Leaflet: Information on Driving Whilst Taking Opioids Useful contact details: DVLA Drivers medical enquiries Tel No:
4 Q12. Can I drink alcohol? A. A small glass of wine, beer, or spirits may help you feel better and improve your appetite. It is best to avoid taking more than this as you may become too drowsy. ADDITIONAL INFORMATION Please tell the clinician who prescribed the medication about any other medication you may be taking. Please discuss this leaflet with your doctor or nurse who will answer any questions you may have. Information that is given in this leaflet should be read with any patient information leaflet provided by the manufacturer. Repeat prescriptions may be obtained from your GP or hospital doctor Source of information taken from: NICE (2012) Managing pain with strong opioids in people with advanced, progressive disease, Information about NICE clinical guideline Lothian Health Board Palliative care guidelines - patient information leaflets Drug driving: guidance for healthcare professionals July Analgesic drugs and fitness to drive. Palliative Care Formulary 5th Edition palliativedrugs.com 2014
5 Languages/ Alternative Formats Please ask if you require this information in other languages, large print or audio format. Please contact: Fadlan waydii haddii aad warbixintan ku rabto luqad ama hab kale. Fadlan la xidhiidh Jeżeli chcialbyś uzyskać te informacje w innym języku, w dużej czcionce lub w formacie audio, poproś pracownika oddzialu o kontakt z biurem informacji pacjenta (patient information) pod numerem telefonu: 如 果 你 需 要 這 些 資 料 的 其 他 語 言 版 本 大 字 体 或 音 頻 格 式, 請 致 電 查 詢 إذا كنت تود الحصول على هذه المعلومات بلغة أخرى باألحرف صوتي يرجى االتصال بالرقم التالي الكبيرة أو بشكل شريط
Information for women after ultrasound detection of fetal renal pelvic dilatation (RPD)
Information for women after ultrasound detection of fetal renal pelvic dilatation (RPD) The aim of this leaflet is to help explain what renal pelvis dilatation (RPD) means and to answer some of the questions
More informationCalcium and Vitamin D
and Vitamin D This leaflet explains how you can ensure an adequate calcium (and vitamin D) intake. This may be difficult to achieve; particularly if your diet is restricted, or have a cows milk allergy/intolerance
More informationOesophageal Stent Insertion
Oesophageal Stent Insertion What is a Stent? A stent is a tube made of a flexible metal mesh. It is passed by mouth into the oesophagus (gullet) and positioned across the area that has narrowed. This is
More informationWhat is Capsule Endoscopy?
What is Capsule Endoscopy? Capsule Endoscopy involves swallowing a small (the size of the large vitamin pill) capsule, which contains a colour camera, battery, light source and transmitter. The camera
More informationEating well with gestational diabetes
Eating well with gestational diabetes 1. Information for patients The purpose of this leaflet is to understand gestational diabetes and how healthy eating and some dietary changes may help to improve blood
More informationGuidelines and Treatment of Anaphylaxis
Guidelines and Treatment of Anaphylaxis This leaflet explains anaphylaxis and what to do if your child suffers from this severe form of allergic reaction. Anaphylaxis Anaphylaxis is a dangerous type of
More informationOpioids in Palliative Care- Patient Information Manual
Version 2.0 with MST example Introduction The following pages explain what opioids are and what we think you may want to know about them. There is quite a lot of information here, most of it is based on
More informationA Guide to pain relief medicines For patients receiving Palliative Care
A Guide to pain relief medicines For patients receiving Palliative Care 1 Which pain medicines are you taking? Contents Page No. Amitriptyline 8 Codeine 9 Co-codamol 10 Co-dydramol 11 Diclofenac (Voltarol
More informationPatient information. Using strong Opioids to control your pain
Patient information Using strong Opioids to control your pain Published: April 2013. Date for review: April 2016 Introduction This leaflet explains what strong opioids (pronounced oh-pee-oyds) e are and
More informationStrong opioids (painkillers) in palliative care what you should know
Strong opioids (painkillers) in palliative care what you should know Patient Information Author ID: JG Leaflet Number: PC 006 Version: 1 Name of Leaflet: Strong opioids (painkillers) in palliative care
More informationPain relief at home. Information for adult patients
Pain relief at home Information for adult patients 3 Contents Page 3 Page 3 Page 5 Page 7 Page 8 Introduction to pain relief Common pain relief medicines and their side effects More information about pain
More informationHow To Take A Strong Opioid Painkiller
Using strong painkillers for cancer pain This information is an extract from the booklet Controlling cancer pain. You may find the full booklet helpful. We can send you a copy free see page 8. Contents
More informationProstate cancer follow-up Who do I call if?
Prostate cancer follow-up Who do I call if? Key Worker Details (named nurse) Mon Fri 9am 4pm (answerphone when unattended) Via Switchboard 01895 238282 and ask for Ext. 2674 Introduction This leaflet gives
More informationGetting the best result from Opioid medicine. in the management of chronic pain
Getting the best result from Opioid medicine in the management of chronic pain Your doctor has prescribed you opioid medicine to help you manage your chronic pain. This patient information leaflet gives
More informationPharmaceutical care of people requiring palliative care Course activities
Pharmaceutical care of people requiring palliative care Course activities Case Study 1 Mrs Green, a 70 year-old lady, has metastatic carcinoma of the breast (breast cancer with spread to other areas).
More informationLow fibre diet for irritable bowel syndrome
Department of Nutrition and Dietetics Low fibre diet for irritable bowel syndrome Fibre is that part of plant foods that our digestive system is unable to break down. It is found in cereals, fruits and
More informationUnderstanding Your Pain
Toll Free: 800-462-3636 Web: www.endo.com Understanding Your Pain This brochure was developed by Margo McCaffery, RN, MS, FAAN, and Chris Pasero, RN, MS, FAAN authors of Pain: Clinical Manual (2nd ed.
More informationOxford University Hospitals. NHS Trust. Oxford Centre for Head and Neck Oncology. Pain Relief. Information for patients
Oxford University Hospitals NHS Trust Oxford Centre for Head and Neck Oncology Pain Relief Information for patients Introduction This booklet has been written to give you information about pain relief.
More informationPain Handbook for Cancer Patients. A Guide for Management of Pain and Side Effects
Pain Handbook for Cancer Patients A Guide for Management of Pain and Side Effects Relief of Pain Is Important There is no benefit from suffering with pain. Pain can actually be harmful to you. It can:
More informationCancer Pain. Relief from PALLIATIVE CARE
PALLIATIVE CARE Relief from Cancer Pain National Clinical Programme for Palliative Care For more information on the National Clinical Programme for Palliative Care, go to www.hse.ie/palliativecareprogramme
More informationHorton Day Case Unit. Information and advice after a surgical procedure under a general anaesthetic
Horton Day Case Unit Information and advice after a surgical procedure under a general anaesthetic Information for patients 2 Driving Anaesthetic drugs remain the body for up to 48 hours and gradually
More informationThe Horton General Hospital, Day Case Unit After a laparoscopic cholecystectomy Information for patients
The Horton General Hospital, Day Case Unit After a laparoscopic cholecystectomy Information for patients Today you have had a procedure called laparoscopic cholecystectomy. This means that your gall bladder
More informationPatient Information Department of Urology 31/Info_04_11. Nocturnal polyuria: frequently-asked questions
Patient Information Department of Urology 31/Info_04_11 : frequently-asked questions Why does it happen? means passing large volumes of urine at night but normal amounts during the day. There are a number
More informationWelcome to Hillingdon Hospital! Feeding Your Baby
Welcome to Hillingdon Hospital! Feeding Your Baby This folder is the property of The Hillingdon Hospitals NHS Foundation Trust Developed by, Kelly Kinsella Infant Feeding Co-ordinator and Kasia Willaims
More informationControlling Pain Part 2: Types of Pain Medicines for Your Prostate Cancer
Controlling Pain Part 2: Types of Pain Medicines for Your Prostate Cancer The following information is based on the general experiences of many prostate cancer patients. Your experience may be different.
More informationSecondary liver cancer Patient Information Booklet
Secondary liver cancer Patient Information Booklet Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationEpidural Continuous Infusion. Patient information Leaflet
Epidural Continuous Infusion Patient information Leaflet April 2015 Introduction You may already know that epidural s are often used to treat pain during childbirth. This same technique can also used as
More informationYour A-Z of Pain Relief A guide to pain relief medicines. We care, we discover, we teach
Your A-Z of Pain Relief A guide to pain relief medicines We care, we discover, we teach Which pain medicines are you taking? Abstral (see Fentanyl Instant Tablets) Amitriptyline 5 Brufen (see Ibuprofen)
More informationHow to take your Opioid Pain Medication
How to take your Opioid Pain Medication Today your doctor gave you a prescription for medication to help relieve your pain. The pain medication is called an opioid or narcotic. Taking pain medication,
More informationmedicineupdate Tramadol for pain Asking the right questions about new medicines Page Section 1: What tramadol is 1 Section 2: What tramadol is for 1
medicineupdate Asking the right questions about new medicines Tramadol for pain Page Section 1: What tramadol is 1 Section 2: What tramadol is for 1 Section 3: Who can take tramadol 2 Section 4: What does
More informationPalliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness
Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness Dealing with the symptoms of any painful or serious illness is difficult. However, special care is available
More informationMethadone treatment Information for service users Page
South London and Maudsley NHS Foundation Trust Methadone treatment Information for service users Page What can happen if I stop using heroin? If you are addicted to or dependent on heroin, you develop
More informationPneumonia. Pneumonia is an infection that makes the tiny air sacs in your lungs inflamed (swollen and sore). They then fill with liquid.
Pneumonia Pneumonia is an infection that makes the tiny air sacs in your lungs inflamed (swollen and sore). They then fill with liquid. People with mild (not so bad) pneumonia can usually be treated at
More informationGUIDELINES ON THE MANAGEMENT OF PAIN DUE TO CANCER IN ADULTS
GUIDELINES ON THE MANAGEMENT OF PAIN DUE TO CANCER IN ADULTS Bristol Palliative Care Collaborative Contact Numbers: Hospital Specialist Palliative Care Teams: Frenchay 0117 340 6692 Southmead 0117 323
More informationCholangiocarcinoma (Bile Duct Cancer) Patient Information Booklet
Cholangiocarcinoma (Bile Duct Cancer) Patient Information Booklet Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationOxford Centre for Head and Neck Oncology. Sore Mouth or Throat (Mucositis) Dry Mouth (Xerostomia) Oral Thrush (Candida) Information for patients
Oxford Centre for Head and Neck Oncology Sore Mouth or Throat (Mucositis) Dry Mouth (Xerostomia) Oral Thrush (Candida) Information for patients This leaflet gives you some suggested remedies which previous
More informationQuestions about your pain medicines
Questions about your pain medicines This information is an extract from the booklet Controlling cancer pain. You may find the full booklet helpful. We can send you a free copy see page 6. Contents Common
More informationElective Laparoscopic Cholecystectomy
General Surgery Elective Laparoscopic Cholecystectomy This information aims to explain what will happen before, during and after your surgery to remove your gallbladder. It includes information about the
More informationCancer Pain. What is Pain?
Cancer Pain What is Pain? The International Association for the Study of Pain says that pain is "an unpleasant sensory and emotional experience associated with actual or potential tissue damage." Pain
More informationBerkshire Healthcare NHS Foundation Trust Becky White CHS Pharmacist April 2013
Berkshire Healthcare NHS Foundation Trust Becky White CHS Pharmacist April 2013 Access to palliative care drugs out of hours Agreement set up with local community pharmacy s to hold stock of commonly prescribed
More informationHaving a Trans-Arterial Embolisation
Having a Trans-Arterial Embolisation Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
More informationRadiotherapy for a mesothelioma
Oxford University Hospitals NHS Trust The Radiotherapy Department Radiotherapy for a mesothelioma Information for patients Introduction This leaflet is for people who have been recommended treatment with
More informationChemotherapy for non-small cell lung cancer
Chemotherapy for non-small cell lung cancer This information is an extract from the booklet Understanding lung cancer. You may find the full booklet helpful. We can send you a free copy see page 3. Contents
More informationDay Case Unit, Horton General Hospital Information and advice following a surgical procedure under spinal anaesthetic
Oxford University Hospitals NHS Trust Day Case Unit, Horton General Hospital Information and advice following a surgical procedure under spinal anaesthetic What is a spinal anaesthetic? Spinal anaesthesia
More informationStudies tell us the pain will be gone or improved significantly in ¾ of patients in 4 weeks and 9/10ths of patients in 6 weeks.
Back pain is common and ranges from mild to severe pain. Most episodes soon ease within 4 weeks and are not due to serious illness. Keeping active is the most important message along with painkillers if
More informationPain and problem drug use
Pain and problem drug use Information for patients Prepared by the British Pain Society in consultation with the Royal College of Psychiatrists, the Royal College of General Practitioners and the Advisory
More informationAugust Is Palliative Care and Cancer Pain Awareness Month
August Is Palliative Care and Cancer Pain Awareness Month What Is Palliative Care? Palliative care is a growing research area that focuses on improving the quality of life of all people living with cancer,
More informationGalantamine hydrobromide (Reminyl) Drug treatment for Alzheimer s disease
IS 17 October 2011 Information sheet Galantamine hydrobromide (Reminyl) Drug treatment for Alzheimer s disease Introduction... 1 How does Reminyl work?... 1 Who might benefit?... 2 What effect might Reminyl
More informationWhat you should know about treating your pain with opioids. Important information on the safe use of opioid pain medicine.
What you should know about treating your pain with opioids Important information on the safe use of opioid pain medicine. If your healthcare provider has determined that opioid therapy is right for you,
More informationFollowing minor gynaecological surgery
Following minor gynaecological surgery Exceptional healthcare, personally delivered n Following your operation you should have an adult to take you home and remain with you overnight. Transport home should
More informationChildren s Cancer Pain Can Be Relieved A Guide for Parents and Families
Children s Cancer Pain Can Be Relieved A Guide for Parents and Families This booklet is dedicated to Shaney Banks and all other children with cancer. Wisconsin Cancer Pain Initiative 1989 This booklet
More informationAlways take this medicine exactly as described in this leaflet or as your doctor, pharmacist or nurse have told you.
leaflet: Information for the user Macrogol 4000 10 g powder for oral solution in sachet Macrogol 4000
More informationSecondary Liver Cancer Information for patients with bowel cancer which has spread to the liver
Secondary Liver Cancer Information for patients with bowel cancer which has spread to the liver Patient Information Introduction This booklet contains information about secondary liver cancer. It is written
More informationPatient Information Leaflet
Patient Information Leaflet METHOTREXATE We hope this fact sheet will provide you with some information about Methotrexate and answer some of the questions you may have. Methotrexate is available in tablet
More informationCannabinoid Analgesics for Pain Management
2014 Cannabinoid Analgesics for Pain Management Cannabinoid Analgesics for Pain Management This group of medicine is sometimes called marijuana analgesics (painkillers) or synthetic (man-made) cannabinoids.
More informationEnhanced recovery programme (ERP) for patients undergoing bowel surgery
Enhanced recovery programme (ERP) for patients undergoing bowel surgery Information for patients, relatives and carers An enhanced recovery programme (ERP) has been established at Imperial College Healthcare
More informationA PATIENT S GUIDE TO DEEP VEIN THROMBOSIS TREATMENT
A PATIENT S GUIDE TO DEEP VEIN THROMBOSIS TREATMENT This medicine is subject to additional monitoring. This will allow quick identification of new safety information. If you get any side effects, talk
More informationIntraperitoneal Chemotherapy
Intraperitoneal Chemotherapy What is Intraperitoneal (IP) Chemotherapy? Intraperitoneal (IP) chemotherapy is a way to put some of your chemotherapy into your abdomen (also called the peritoneal cavity)
More informationPackage leaflet: Information for the patient. Laxido Orange, powder for oral solution
Package leaflet: Information for the patient Laxido Orange, powder for oral solution Read all of this leaflet carefully before you start taking this medicine because it contains important information for
More informationEar Infections Fever fever
Ear Infections Fever fever Fever is when the temperature of the body rises above normal, generally above 38 degrees (38ºC) when the temperature is taken under the arm or in the mouth. Fever usually occurs
More informationMemantine (Ebixa) Drug treatment for Alzheimer s disease
IS 20 October 2011 Information sheet Memantine (Ebixa) Drug treatment for Alzheimer s disease Introduction... 1 How does Ebixa work?... 1 Who might benefit?... 2 What effect might Ebixa have?... 2 How
More informationData Protection Policy
Town Hall, Penrith, Cumbria CA11 7QF Tel: 01768 817817 Email: info.governance@eden.gov.uk Data Protection Policy Director of Governance (01768) 212205 1 April 2016 www.eden.gov.uk 1. Introduction Eden
More informationManaging Constipation
Managing Constipation The following information is based on the general experiences of many prostate cancer patients. Your experience may be different. If you have any questions about what prostate cancer
More informationMEDICINES MANAGEMENT STANDARD OPERATING PROCEDURE (MMSOP018) Preparation of Medication Administration Record (MAR) Charts
MEDICINES MANAGEMENT STANDARD OPERATING PROCEDURE (MMSOP018) Preparation of Medication Administration Record (MAR) Charts Any deviation in practice from this procedure must be discussed with the Community
More informationAbstral Prescriber and Pharmacist Guide
Abstral Prescriber and Pharmacist Guide fentanyl citrate sublingual tablets Introduction The Abstral Prescriber and Pharmacist Guide is designed to support healthcare professionals in the diagnosis of
More informationA Patient s Guide to PAIN MANAGEMENT. After Surgery
A Patient s Guide to PAIN MANAGEMENT After Surgery C o m p a s s i o n a n d C o m m i t m e n t A Patient s Guide to Pain Management After Surgery If you re facing an upcoming surgery, it s natural to
More informationPatient Information Department of Urology 36/Urol_04_11. Repair of hydrocele: procedure-specific information
Patient Information Department of Urology 36/Urol_04_11 : procedure-specific information What is the evidence base for this information? This leaflet includes advice from consensus panels, the British
More informationAmitriptyline. Drug information Amitriptyline
Drug information Amitriptyline Amitriptyline This leaflet provides information on amitriptyline and will answer any questions you have about the treatment. Arthritis Research UK produce and print our booklets
More informationThe Pharmacological Management of Cancer Pain in Adults. Clinical Audit Tool
The Pharmacological Management of Cancer Pain in Adults Clinical Audit Tool 2015 This clinical audit tool accompanies the Pharmacological Management of Cancer Pain in Adults NCEC National Clinical Guideline
More informationA Guide to Breast Screening
A Guide to Breast Screening Contents Information for Carers, Family, Friends and Medical Guardians of Care Introduction Information on BreastCheck Information on Attending Screening The Screening Story
More informationPatient Information Department of Urology 16/Urol_04_11
Patient Information Department of Urology 16/Urol_04_11 : procedure-specific information What is the evidence base for this information? This leaflet includes advice from consensus panels, the British
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER. Dalacin C 150 mg Capsules. clindamycin hydrochloride. Dalacin C 150mg Capsules clindamycin hydrochloride
PACKAGE LEAFLET: INFORMATION FOR THE USER PFIZER Dalacin C 150 mg Capsules clindamycin hydrochloride Dalacin C 150mg Capsules clindamycin hydrochloride PFIZER Read all of this leaflet carefully before
More informationCVP Chemotherapy Regimen for Lymphoma Information for Patients
CVP Chemotherapy Regimen for Lymphoma Information for Patients The Regimen Contains: C: Cyclophosphamide (Cytoxan ) V: Vincristine (Oncovin ) P: Prednisone How Is This Regimen Given? CVP is given every
More informationSativex Cannabis sativa L. extracts (delta-9-tetrahydrocannabinol and cannabidiol) Oromucosal Spray 5.5 / 10 ml
New Zealand Consumer Medicine Information Sativex Cannabis sativa L. extracts (delta-9-tetrahydrocannabinol and cannabidiol) Oromucosal Spray 5.5 / 10 ml What is in this leaflet Please read all of this
More informationPatient Information Department of Urology 94/Urol_04_11. Removal of part or all of the epididymis: procedure-specific information
Patient Information Department of Urology 94/Urol_04_11 : procedure-specific information What is the evidence base for this information? This leaflet includes advice from consensus panels, the British
More informationPelvic floor exercises for women. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Pelvic floor exercises for women An information guide Pelvic floor exercises for women Introduction Exercising the pelvic floor muscles
More informationEver wish you could... Quit using heroin? Protect yourself from HIV infection? Get healthier?
Ever wish you could... Quit using heroin? Protect yourself from HIV infection? Get healthier? Good News: Medical treatments called opioid (oh-pee-oyd) maintenance can help you! Injecting heroin puts you
More informationPatient Information Department of Urology 15/Urol_04_11. Cystoscopy & stent procedure: procedurespecific
Patient Information Department of Urology 15/Urol_04_11 : procedurespecific information What is the evidence base for this information? This leaflet includes advice from consensus panels, the British Association
More informationShare the important information in this Medication Guide with members of your household.
MEDICATION GUIDE BUPRENORPHINE (BUE-pre-NOR-feen) Sublingual Tablets, CIII IMPORTANT: Keep buprenorphine sublingual tablets in a secure place away from children. Accidental use by a child is a medical
More informationOpioid Analgesic Medication Information
Opioid Analgesic Medication Information This handout provides information about treating pain with opioid analgesics or narcotics. Please read this entire handout. We want to be sure that you understand
More informationA G U I D E F O R U S E R S N a l t r e x o n e U
A GUIDE FOR USERS UNaltrexone abstinence not using a particular drug; being drug-free. opioid antagonist a drug which blocks the effects of opioid drugs. dependence the drug has become central to a person
More informationMouth care during chemotherapy
Some people having chemotherapy treatment find that their mouth gets sore. This information gives some tips about how you can look after your mouth before and during your chemotherapy treatment. In this
More informationREAD THIS LEAFLET VERY CAREFULLY, AND KEEP IT IN A SAFE PLACE. FLU IS SPREADING IN IRELAND, AND THIS INFORMATION IS IMPORTANT FOR YOU AND YOUR FAMILY.
READ THIS LEAFLET VERY CAREFULLY, AND KEEP IT IN A SAFE PLACE. FLU IS SPREADING IN IRELAND, AND THIS INFORMATION IS IMPORTANT FOR YOU AND YOUR FAMILY. Information and medical advice for the public on Pandemic
More informationEnhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2
This booklet is funded by, and developed in collaboration between University Hospital Southampton NHS Foundation Trust and Pfizer Limited. NPKAM0198 March 2014 Enhanced recovery after laparoscopic surgery
More informationOpioid toxicity and alternative opioids. Palliative care fixed resource session
Opioid toxicity and alternative opioids Palliative care fixed resource session Opioid toxicity and alternative opioids - aims Know the symptoms of opioid toxicity Understand which patients are at higher
More informationMEDICATION GUIDE. What is Morphine Sulfate Oral Solution?
MEDICATION GUIDE Morphine Sulfate (mor-pheen) (CII) Oral Solution IMPORTANT: Keep Morphine Sulfate Oral Solution in a safe place away from children. Accidental use by a child is a medical emergency and
More informationAlcohol and older people. What you need to know
Alcohol and older people What you need to know Alcohol and older people 1 Contents As we age, we become more sensitive to alcohol s effects...3 Alcohol can cause problems if you re taking certain medicines...4
More informationPanadol Extra (paracetamol and caffeine) for pain
Panadol Extra (paracetamol and caffeine) for pain This Medicine Update is for people who are taking, or thinking about taking, Panadol Extra. Summary Panadol Extra is a pain reliever available from pharmacies.
More informationPatient Information Department of Urology 83/Urol_04_11. Meatal/urethral dilatation: procedurespecific
Patient Information Department of Urology 83/Urol_04_11 : procedurespecific information What is the evidence base for this information? This leaflet includes advice from consensus panels, the British Association
More informationMEDICATION GUIDE COUMADIN (COU-ma-din) (warfarin sodium)
MEDICATION GUIDE COUMADIN (COU-ma-din) (warfarin sodium) Read this Medication Guide before you start taking COUMADIN (warfarin sodium) and each time you get a refill. There may be new information. This
More informationWhat Codeine Phosphate Tablets are used for
New Zealand Consumer Medicine Information CODEINE PHOSPHATE 15mg, 30mg & 60mg Tablets What is in this leaflet Please read this leaflet carefully before you start using Codeine Phosphate Tablets. This leaflet
More informationVesico-Vaginal Fistula
Saint Mary s Hospital The Warrell Unit Vesico-Vaginal Fistula Information For Patients Contents Page What is a vesico-vaginal fistula? 3 How does a fistula develop? 3 What tests will I need? 3 How can
More informationORAL ANTICOAGULANTS RIVAROXABAN (XARELTO) FOR PULMONARY EMBOLISM (PE)
ORAL ANTICOAGULANTS RIVAROXABAN (XARELTO) FOR PULMONARY EMBOLISM (PE) Information Leaflet Your Health. Our Priority. Page 2 of 6 What Are Anticoagulants And What Do They Do? This information leaflet has
More informationORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR DEEP VEIN THROMBOSIS (DVT)
ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR DEEP VEIN THROMBOSIS (DVT) Information Leaflet Your Health. Our Priority. Page 2 of 6 What Are Anticoagulants And What Do They Do? This information leaflet
More informationPain Control Aims. General principles of pain control. Basic pharmacokinetics. Case history demo. Opioids renal failure John Welsh 8/4/2010
Pain Control Aims General principles of pain control Basic pharmacokinetics Case history demo Opioids renal failure John Welsh 8/4/2010 Pain Control Morphine is gold standard treatment for moderate to
More informationPatient Information Department of Urology 81/Urol_04_11. Urodynamics (or pressure tests on the bladder): procedure-specific information
Patient Information Department of Urology 81/Urol_04_11 Urodynamics (or pressure tests on the bladder): procedure-specific information What is the evidence base for this information? This leaflet includes
More informationAs You Age. Aging, Medicines, and Alcohol. A Guide to
As You Age A Guide to Aging, Medicines, and Alcohol U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Food and Drug Administration www.samhsa.gov Take
More informationAlcohol. Problems with drinking alcohol
Alcohol Alcoholism is a word which many people use to mean alcohol dependence (alcohol addiction). Some people are problem drinkers without being dependent on alcohol. If you are alcohol- dependent then
More informationTypes of surgery for kidney cancer
Useful information for cancer patients Contents This information is about the different operations that you may have for kidney cancer. Surgery can be used to treat almost any stage of kidney cancer. There
More informationGuidelines and Procedure for the Safe Administration and Management of Medicines
Appendix 7 Guidelines and Procedure for the Safe Administration and Management of Medicines 1. INTRODUCTION 1.1 This procedure must be read in conjunction with the Policy for the Administration of Medication
More information