Oral-other forms of morphine sulfate, other that immediate release are available. Sublingual administration may be ordered. Measure oral solution with a tuberculin syringe. Administer the dose in a few drops at a time to allow maximum sublingual absorption. Seizures may occur with high doses.
Constipation is often severe with maintenance dosage.
The patient would report less pain. Also, during the first 2-3 days of effective pain relief, the patient may sleep for many hours. This can be misinterpreted as an effect of excessive analgesic dosaging rather that the first sign of relief in a pain exhausted patient. Maintain the dose 3 days before reduction of the drug if respiratory activity and other vital signs are adequate. Following successful relief of severe pain, periodic attempts to decrease the narcotic dose should be made.