Wednesday, January 27, 2010

Morphine Sulfate oral solution is now FDA approved


Morphine sulfate oral solution is now FDA approved thanks to a concerted effort by many in the hospice and palliative care community. To give a little history, in March the FDA issued warning letters to nine companies telling them to stop manufacturing (within 60 days) 14 unapproved 'narcotics' that are used to treat pain, including morphine oral solution. As you can imagine this created quite a little stir in the palliative care community and in our blogosphere.

AAHPM, NHPCO, and the HPNA leaders came together, as well as online social networks that included blogs like Pallimed and networks like facebook. They expressed strong concern that taking liquid morphine off the market would result in hardship for terminally ill patients and their caregivers. Within 9 days of the announcement the FDA reversed their decision. At that point the FDA agreed to allow companies making and distributing the unapproved drugs to continue, until 180 days after any company receives approval to manufacture a new morphine replacement drug of the same dosage.

Yesterday a company finally did get approval. The FDA approved Roxane Laboratories' Morphine Sulfate oral solution for relief of moderate to severe, acute and chronic pain in opioid-tolerant patients. The approved concentrations are available in 100 milligrams per 5 mL or 20 milligrams per 1 mL. This news does give me some pause as this is now the only FDA approved morphine sulfate oral solution available at this concentration. I worry that in 180 days we may be facing manufacturing shortages of liquid morphine.  Hopefully another press release will come soon addressing these concerns.

Thanks to everyone for putting up a united front on this matter. It shows that a group of people can come together and make a difference!

9 comments:

Namita Kansal said...

This is great news- I see it being a panacea for many conditions esp in CHF associated dyspnea in the dying patient-
Happy for all of us!

Anonymous said...

Good post and this fill someone in on helped me alot in my college assignement. Thanks you on your information.

Anonymous said...

[center][url=http://www.viagra-billig.medsjoy.biz][img]http://www.viagrakaufen.enjoymeds.biz/kaufen_cialis.jpg[/img][/url][url=http://www.viagra-billig.medsjoy.biz][img]http://www.viagrakaufen.enjoymeds.biz/kaufen_levitra.jpg[/img][/url][url=http://www.viagra-billig.medsjoy.biz][img]http://www.viagrakaufen.enjoymeds.biz/kaufen_viagra.jpg[/img][/url][/center]
[b]CIALIS KAUFEN EUR 1.10 pro pille >>> Jetzt Kaufen! <<< CIALIS OHNE REZEPT CIALIS Holland[/b]
[b]CIALIS KAUFEN CIALIS BILLIG KAUFEN PFIZER CIALIS[/b]
http://www.seopt.de/seoforum/members/billigcialis.html
[u][b]CIALIS ONLINE KAUFEN OHNE REZEPT[/b][/u]
[url=http://www.sman1-semitau.sch.id/forum/viewtopic.php?f=2&t=29]CIALIS im Internet BESTELLEN[/url] - Kaufen Preiswerten CIALIS
[b]CIALIS KAUFEN CIALIS KAUFEN ONLINE CIALIS Germany[/b]
[url=http://rainedrop.com/community/viewtopic.php?f=2&t=138]KAUFEN CIALIS OHNE REZEPT[/url] - BILLIG CIALIS Rezeptfrei
[b]CIALIS KAUFEN CIALIS KAUFEN OHNE REZEPT CIALIS prices[/b]
[url=http://www.claninabox.net/viewtopic.php?f=2&t=499]REZEPTFREI KAUFEN CIALIS[/url] - CIALIS im Internet Kaufen BILLIG
[b]CIALIS KAUFEN BILLIG CIALIS KAUFEN CIALIS Holland[/b]

Anonymous said...

[center][url=http://www.viagra-billig.medsjoy.biz][img]http://www.viagrakaufen.enjoymeds.biz/kaufen_cialis.jpg[/img][/url][url=http://www.viagra-billig.medsjoy.biz][img]http://www.viagrakaufen.enjoymeds.biz/kaufen_levitra.jpg[/img][/url][url=http://www.viagra-billig.medsjoy.biz][img]http://www.viagrakaufen.enjoymeds.biz/kaufen_viagra.jpg[/img][/url][/center]
[b]CIALIS KAUFEN EUR 1.10 pro pille >>> Jetzt Kaufen! <<< REZEPTFREI CIALIS KAUFEN CIALIS preis[/b]
[b]CIALIS KAUFEN CIALIS BILLIG KAUFEN OHNE REZEPT CIALIS on line[/b]
http://borngaming.com/forums/showthread.php?p=2523
[u][b]CIALIS ONLINE KAUFEN OHNE REZEPT[/b][/u]
[url=http://www.elitegurke.de/phpbb2/profile.php?mode=viewprofile&u=41&sid=48a3b2af759bb6d6af52b85971c6fc79]CIALIS BILLIG[/url] - CIALIS im Internet BESTELLEN
[b]CIALIS KAUFEN CIALIS Online Billig Kaufen CIALIS online kaufen[/b]
[url=http://www.trimtabdigest.net/crewlounge/viewtopic.php?f=2&t=220&start=10]REZEPTFREI CIALIS KAUF[/url] - CIALIS KAUFEN ONLINE
[b]CIALIS KAUFEN CIALIS OHNE REZEPT BESTELLEN CIALIS preis[/b]
[url=http://www.mowaterfowl.com/fourmhtml/viewtopic.php?f=2&t=6270&start=200]CIALIS ONLINE KAUFEN[/url] - BESTELLEN CIALIS im Internet
[b]CIALIS KAUFEN CIALIS BILLIG KAUFEN CIALIS on line[/b]

Anonymous said...

[center][url=http://www.viagra-billig.medsjoy.biz][img]http://www.viagrakaufen.enjoymeds.biz/kaufen_cialis.jpg[/img][/url][url=http://www.viagra-billig.medsjoy.biz][img]http://www.viagrakaufen.enjoymeds.biz/kaufen_levitra.jpg[/img][/url][url=http://www.viagra-billig.medsjoy.biz][img]http://www.viagrakaufen.enjoymeds.biz/kaufen_viagra.jpg[/img][/url][/center]
[b]CIALIS KAUFEN EUR 1.10 pro pille >>> Jetzt Kaufen! <<< PREISVERGLEICH CIALIS CIALIS Oesterreich[/b]
[b]CIALIS KAUFEN REZEPTFREI CIALIS BESTELLEN CIALIS bestellen[/b]
http://www.halfmoondeli.com/forum/viewtopic.php?f=2&t=14&st=0&sk=t&sd=a&start=570
[u][b]KAUFEN CIALIS OHNE REZEPT[/b][/u]
[url=http://www.sman1-semitau.sch.id/forum/viewtopic.php?f=2&t=21&start=20]CIALIS OHNE REZEPT[/url] - KAUF REZEPTFREI CIALIS
[b]CIALIS KAUFEN CIALIS REZEPTFREI KAUFEN CIALIS erection[/b]
[url=http://bluemarula.com/forum/viewtopic.php?f=3&t=101&start=10]CIALIS BILLIG[/url] - BILLIG CIALIS im Internet Kaufen
[b]CIALIS KAUFEN BILLIG CIALIS im Internet Kaufen CIALIS® kaufen[/b]
[url=http://www.minergynews.com/forum/viewtopic.php?f=2&t=62352]CIALIS REZEPTFREI KAUFEN[/url] - BILLIG CIALIS Rezeptfrei
[b]CIALIS KAUFEN CIALIS KAUFEN alternativ zu CIALIS[/b]

Anonymous said...

[center][url=http://www.viagra-billig.medsjoy.biz][img]http://www.viagrakaufen.enjoymeds.biz/kaufen_cialis.jpg[/img][/url][url=http://www.viagra-billig.medsjoy.biz][img]http://www.viagrakaufen.enjoymeds.biz/kaufen_levitra.jpg[/img][/url][url=http://www.viagra-billig.medsjoy.biz][img]http://www.viagrakaufen.enjoymeds.biz/kaufen_viagra.jpg[/img][/url][/center]
[b]CIALIS KAUFEN EUR 1.10 pro pille >>> Jetzt Kaufen! <<< CIALIS REZEPTFREI KAUFEN CIALIS Suisse[/b]
[b]CIALIS KAUFEN CIALIS BILLIG ONLINE CIALIS Nederland[/b]
http://us.nalanda.sch.lk/forum/index.php?topic=41271.0
[u][b]KAUFEN CIALIS OHNE REZEPT[/b][/u]
[url=http://techjoomla.com/component/option,com_kunena/Itemid,44/catid,4/func,view/id,74/]ONLINE KAUF CIALIS[/url] - KAUF BILLIG CIALIS
[b]CIALIS KAUFEN CIALIS OHNE REZEPT BESTELLEN CIALIS fuer frau[/b]
[url=http://forum.afges.org/viewtopic.php?f=35&t=2167&view=next]KAUF CIALIS OHNE REZEPT[/url] - CIALIS KAUF ONLINE
[b]CIALIS KAUFEN CIALIS KAUFEN ONLINE CIALIS online kaufen[/b]
[url=http://www.803trader.com/forum/viewtopic.php?f=2&t=501]CIALIS KAUFEN BILLIG[/url] - KAUFIN BILLIG CIALIS ONLINE
[b]CIALIS KAUFEN KAUF BILLIG CIALIS CIALIS rezeptfrei[/b]

Anonymous said...

Well I to but I dream the list inform should prepare more info then it has.

Anonymous said...

I have a Dell Latitude Laptop using Windows XP. I took it to Geek Squad because it was skipping and the freezing up when I played DVDs or any kind of audio. When it freezes I have to turn it off witut shutting it down. It also wouldn't freeze right away..it freezes into about 10 minutes of playing the DVD. It was also making weird noises when it froze. Best Buy informed me that the noise wasn't any hardware issue, but the kind of noise the computer makes when it's frozen. They said nothing was wrong hardware wise, and that I had 6 viruses on the laptop. Well now, all those viruses are removed, and my laptop is still skipping and freezing when I play DVDs..to the point where I have to turn off the computer without shutting it down. Also, now it freezes and makes a weird noises when I'm not playing any audio. If it's not viruses, and geek squad said everything is fine with the computer physically, then what is it? [url=http://gordoarsnaui.com]santoramaa[/url]

Anonymous said...

Hello, I think this is the coollest wordpress powered blog I`ve seen. I really like your theme