MORPHINE SULFATE (C-II) (ASTRAMORPH, DURAMORPH, ORAMORPH, ROXANOL, MS CONTIN)

Morphine sulfate (C-II)
(Astramorph, Duramorph, Oramorph, Roxanol, MS Contin); Opioid Narcotic ; Cap: 15, 30 mg
Cap SR: 20, 50, 100 mg
Inj per mL: 0.5, 1, 2, 4, 5, 8, 10, 15, 25, 50 mg
Soln: 10 mg/5 mL, 20 mg/5 mL, 20 mg/1 mL
Supp: 5, 10, 20, 30 mg
Tab: 15, 30 mg
Tab, ER: 15, 30, 60, 100, 200 mg
Tab, SR: 15, 30, 60, 100 mg; IV/IM/SC: 0.05-0.1 mg/kg/dose q2-4h prn (max 15 mg/dose)
IV infusion: Starting rate 0.01-0.05 mg/kg/hr; titrate to desired effect.
PCA (patient-controlled analgesia): 0.01-0.03 mg/kg/hr IV continuous infusion basal rate (max 2 mg/hr) and/or bolus doses 0.01-0.03 mg/kg IV q6-15
minutes. Delivery limit (basal rate and boluses): 10 mg/hr or 0.14 mg/kg/hr (whichever is smaller).
PO prompt release: 0.2-0.5 mg/kg/dose q4-6h prn (usual adult dose 30 mg).
PO sustained release: 0.3-0.6 mg/kg/dose bid prn
As tolerance develops, the dose should be titrated to desired effect. Reversible with naloxone.
Mumps vaccine (Mumpsvax); Vaccine; Inj: 0.5 mL; 0.5 mL SC
See Immunization Schedule in appendix for timing.
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