Buy Oramorph Oral Solution

Oramorph® Oral Solution
10 mg/5 ml



Package Leaflet: Information for the User

(morphine sulfate)

In this leaflet:
1. What ORAMORPH Oral Solution is and what it is used for
2. Before you take ORAMORPH Oral Solution
3. How to take ORAMORPH Oral Solution
4. Possible side effects
5. How to store ORAMORPH Oral Solution
6. Further information
The name of your medicine is ORAMORPH Oral Solution 10 mg/5 ml
(called ORAMORPH in this leaflet).
• It contains a medicine called morphine sulfate. This belongs to a
group of medicines called ‘opioid analgesics’
• It is used to relieve severe pain
Do not take ORAMORPH if:
• You are allergic (hypersensitive) to morphine sulfate or any of the
other ingredients of ORAMORPH (listed in Section 6 below)
• You have problems with your lungs or breathing such as
‘hypoventilation’ or ‘Chronic Obstructive Pulmonary Disease’ (COPD)
• You are having an asthma attack
• You have sudden or recent liver problems
• You have recently had a head injury
• You have something called ‘phaeochromocytoma’. This is a rare
tumour which is not malignant
• You have fits (convulsions) or increased pressure inside your skull
• The person taking the medicine is in a deep and prolonged
unconscious state (coma)
• You are addicted to alcohol or have recently consumed large
amounts of alcohol
• You are taking or have in the last two weeks taken medication to
treat depression such as monoamine-oxidase inhibitors (MAOIs)
• You have paralytic ileus (loss of intestinal movement)
Do not take this medicine if any of the above apply to you. If you
are not sure, talk to your doctor or pharmacist.
Take special care with ORAMORPH
Check with your doctor or pharmacist before taking your medicine if:
• You are pregnant, trying to become pregnant or if you are
• You have had an operation within the last 24 hours
• You have a particular lung problem that causes shortness of breath
called emphysema or you have heart failure
• You have shock (circulatory failure)
• You have asthma
• You have gall bladder problems
• You have long term (chronic) liver or kidney problems
• You are a man who has prostate problems
• You have an under-active thyroid gland or swelling of your skin
• Your spine is unusually curved (kyphoscoliosis)
• You have bowel problems
• You have an under-active adrenal gland (adrenocortical
• You are very overweight
If you are not sure if any of the above apply to you, talk to your
doctor or pharmacist before taking ORAMORPH.

Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently
taken any other medicines. This includes medicines that you buy
without a prescription and herbal medicines. This is because
ORAMORPH can affect the way some other medicines work. Also
some other medicines can affect the way ORAMORPH works.
In particular tell your doctor or pharmacist if you are taking any of the
following medicines:
• Medicines to help you sleep, make you feel less anxious or calm you
down such as tranquilisers, hypnotics, sedatives, antipsychotics or
tricyclic antidepressants
• Anaesthetics – used during operations
• Domperidone, metoclopramide or phenothiazine – medicines for
feeling sick (nausea) and being sick (vomiting)
• Mexiletine and esmolol – for controlling heart rhythm
• Ritonavir – for HIV infections
• Cimetidine – for stomach ulcers, indigestion or heartburn
• Monoamine oxidase inhibitors (MAOIs) – for depression
• Rifampicin – used to treat tuberculosis and other infections
• Gabapentin – for epilepsy and long lasting pain caused by damage to
the nerves
Taking ORAMORPH with food and drink
You should avoid alcohol whilst taking this medicine.
Pregnancy and breast-feeding
Talk to your doctor before taking this medicine if you are pregnant,
trying to become pregnant or if you are breast-feeding. If you take this
medicine during pregnancy or while breast-feeding, it may slow down
the baby’s breathing. If you take this medicine for a long time whilst
pregnant, it may mean that the baby will be born showing signs of
Operations and anaesthetics
Tell your doctor or pharmacist if you are due to have an operation
or an anaesthetic or if you have had an operation or an anaesthetic
within the last 24 hours.
Driving and using machines
You may feel drowsy while taking this medicine. If this happens,
do not drive or use any tools or machines.
Additional information for patients in the UK:
• Do not drive while taking this medicine until you know how it
affects you.
• It is an offence to drive if this medicine affects your ability to drive.
• However, you would not be committing an offence if:
– The medicine has been prescribed to treat a medical or dental
problem and
– You have taken it according to the instructions given by the
prescriber or in the information provided with the medicine and
– It was not affecting your ability to drive safely
Talk to your doctor or pharmacist if you are not sure whether it is safe
for you to drive while taking this medicine.
Important information about some of the ingredients of ORAMORPH
This medicine contains:
• Ethanol (Alcohol): This product contains 10 volume % ethanol
(alcohol). Each dose contains up to 0.81 g of alcohol which is
equivalent to 20 ml beer or 8.3 ml wine. This medicine is harmful if
you are addicted to alcohol. The amount of alcohol should also be
considered if you are pregnant or breast-feeding, have long term
(chronic) liver problems or epilepsy, or you are a child
• Sucrose: This product contains 30 g of sucrose in the 100 ml bottle,
90 g of sucrose in the 300 ml bottle, and 150 g of sucrose in the
500 ml bottle. When taken according to the dosage recommendations
each dose supplies up to 3 g of sucrose. You should not take this
product if you have a bowel condition that makes you intolerant to
some sugars such as fructose, glucose, galactose or sucrose
• Methyl parahydroxybenzoate (E218) and propyl
parahydroxybenzoate (E216) – These may cause allergic reactions in
some people that could occur some time after taking this medicine.
The signs may include swelling of the mouth and face, sudden
breathing difficulties and your blood pressure being lower than
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