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Atropine Sulfate 0.25 mg/Morphine Sulfate 15 mg Rectal Suppository

The Atropine Sulfate 0.25 mg/Morphine Sulfate 15 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum. Upon insertion, the suppository dissolves or melts, releasing the active ingredients for local or systemic absorption. This formulation is primarily used for the treatment of severe pain, bowel motility issues, and palliative care in end-of-life situations. The combination of Atropine Sulfate and Morphine Sulfate provides both analgesic and antispasmodic effects, making it an effective choice for these disease states.

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Formula Information

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This formulation combines Atropine Sulfate and Morphine Sulfate in a rectal suppository dosage form. Atropine Sulfate is an antimuscarinic agent that works by blocking the action of acetylcholine, a neurotransmitter that transmits signals in the nervous system. This helps to reduce certain types of muscle spasms and secretions. Morphine Sulfate, on the other hand, is a potent opioid analgesic that works by binding to opioid receptors in the brain and spinal cord, thereby reducing the perception of pain.

The rectal suppository dosage form is a solid medication that is inserted into the rectum, where it dissolves or melts to release the medication. This allows for local or systemic absorption of the medication. The advantage of this dosage form is that it bypasses the first-pass metabolism in the liver, which can lead to a higher bioavailability of the medication. It is also a useful alternative for patients who have difficulty swallowing oral medications.

This formulation is typically used to manage severe pain and to reduce secretions in the airways, stomach, and intestines. The combination of Atropine Sulfate and Morphine Sulfate can provide effective pain relief and reduce discomfort associated with certain medical conditions or procedures. However, it is important to note that this medication should be used under the supervision of a healthcare provider due to the risk of serious side effects, including respiratory depression and addiction.

Patients using this formulation should follow the dosing instructions provided by their healthcare provider. The suppository should be inserted into the rectum as directed, and patients should avoid activities requiring mental alertness or coordination until they know how the medication affects them. Common side effects may include constipation, nausea, and dizziness. Patients should seek immediate medical attention if they experience difficulty breathing, severe drowsiness, or a slow heart rate.

Prescribers should consider the patient's overall health status, other medications, and individual response to treatment when deciding on the appropriate dose. Regular monitoring is recommended to assess the patient's response to treatment and to detect any adverse effects. It is also important to educate patients about the risks of opioid addiction and to implement strategies to prevent misuse and abuse.

If you have any questions about this formulation, please do not hesitate to reach out to us. Our team of compounding pharmacists at Bayview Pharmacy is always here to assist you.

Drug Interactions

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Atropine Sulfate and Morphine Sulfate are two potent medications that can interact with a variety of other drugs. It's crucial to understand these potential interactions to ensure safe and effective use of this rectal suppository formulation.

Atropine Sulfate can interact with drugs that affect the nervous system, including sedatives, tranquilizers, and medications for Parkinson's disease. It can also interact with certain heart medications, such as digoxin and quinidine. Concurrent use of these drugs can lead to increased side effects or decreased effectiveness of the medications.

Morphine Sulfate, an opioid analgesic, can interact with other central nervous system depressants like alcohol, antihistamines, barbiturates, benzodiazepines, and other opioids. This can lead to increased sedation, respiratory depression, and even coma. It can also interact with monoamine oxidase inhibitors (MAOIs), leading to severe reactions including high fever, muscle rigidity, and seizures. Morphine can also interact with certain heart medications, such as beta-blockers, leading to decreased effectiveness of these drugs.

This formulation is typically used to manage severe pain and to reduce secretions in the bronchi, salivary glands, and stomach before surgery or to control symptoms of certain medical conditions like irritable bowel syndrome. The Atropine Sulfate works by decreasing the activity of the digestive system and the secretions in the body, while the Morphine Sulfate works by changing the way the brain and nervous system respond to pain.

It's important to inform your healthcare provider of all the medications you are currently taking, including prescription and over-the-counter drugs, vitamins, and herbal supplements. This will help your healthcare provider to monitor for drug interactions and manage them appropriately.

Patients should also be aware of the potential for serious interactions and should seek immediate medical attention if they experience symptoms such as severe drowsiness, slow or shallow breathing, severe constipation, or a slow heart rate.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help ensure your safety and the effectiveness of your medication.

How Does it Work

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The Atropine Sulfate 0.25 mg/Morphine Sulfate 15 mg Rectal Suppository is a solid dosage form that is inserted into the rectum, where it dissolves or melts to release the medication. This formulation is designed for local or systemic absorption, depending on the specific needs of the patient.

Atropine Sulfate is an antimuscarinic agent that works by blocking the action of acetylcholine, a neurotransmitter that transmits signals in the nervous system. By blocking the action of acetylcholine, Atropine Sulfate can reduce the activity of the parasympathetic nervous system, which controls functions such as heart rate, digestion, and salivation. This can help to reduce symptoms such as excessive salivation or bronchial secretions.

Morphine Sulfate, on the other hand, is a powerful opioid analgesic that works by binding to opioid receptors in the brain and spinal cord. This can block the transmission of pain signals, providing relief from severe pain. Morphine Sulfate can also affect areas of the brain that control emotion, which can further help to reduce the perception of pain.

Together, Atropine Sulfate and Morphine Sulfate can provide effective relief from symptoms such as severe pain and excessive secretions. This can be particularly useful in the management of conditions such as terminal cancer, where patients may experience severe pain and other distressing symptoms.

It's important to note that this formulation should be used under the supervision of a healthcare professional, as both Atropine Sulfate and Morphine Sulfate can have serious side effects if not used correctly. These can include constipation, dry mouth, blurred vision, drowsiness, and addiction or dependence in the case of Morphine Sulfate.

If you have any questions about this formulation, or if you would like more information about how it works, please don't hesitate to reach out to us. We are here to help and provide you with the information you need to make informed decisions about your healthcare.

Other Uses

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Atropine Sulfate and Morphine Sulfate Rectal Suppository is a formulation often utilized for palliative care purposes, most importantly for the control of end-of-life symptoms such as excessive ventilation secretions and severe pain in patients with terminal illnesses, primarily cancer. However, this formulation could also be beneficial for other indications, driven by the characteristics of the active ingredients.

Atropine Sulfate is an anticholinergic agent, and it can be used to treat symptoms of Parkinson's disease, such as shakiness, salivation, and sweating. It can also be beneficial in treating nerve agent and pesticide poisonings by blocking the action of acetylcholine. Additionally, it may be used for pre-anesthesia to reduce salivation and bronchial secretions.

Morphine Sulfate, on the other hand, is an opioid analgesic. It is highly active against chronic and severe pain states that are not controlled by other less potent analgesics. It has been used with success to manage pain from surgical procedures, injuries, and chronic conditions such as cancer or arthritis. It may also be used to relieve shortness of breath at rest associated with advanced diseases.

While in combination, the two medications can potentially serve as an alternative choice for treating bladder spasms, ureteral spasms, or severe irritable bowel syndrome episodes. However, these off-label uses require a prescriber's discretion, and each patient's circumstances and potential risk for adverse effects must be taken into account.

It is essential for any prescriber considering this formulation for other uses to take into account potential adverse effects and general patient health. Adverse effects may include dry mouth and throat, blurred vision, sensitivity to light, and an increased heart rate associated with Atropine Sulfate, and drowsiness, constipation, nausea, and potential dependency with Morphine Sulfate. As with any medication, it's important for clinicians to monitor the patient's response and adjust treatment protocols as needed.

Patients should remember to use their medication strictly as directed by their prescriber, even if using the formulation for an off-label use. Any changes in the course of treatment should be done under the direct advice of a medical professional. Always consult your healthcare professional if you have any concerns or questions about your medication.

If you have questions concerning this formulation or any others, please reach out to us at Bayview Pharmacy. We are here to assist you with your medication-related needs and to ensure optimal treatment outcomes.

Frequently Asked Questions

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What is the Atropine Sulfate 0.25 mg/Morphine Sulfate 15 mg Rectal Suppository?

This is a solid dosage form that's inserted into a body cavity, typically the rectum, where it dissolves or melts to release the medication for either local or systemic absorption. It contains Atropine Sulfate and Morphine Sulfate as the active ingredients.

How is this rectal suppository used?

This suppository is typically inserted into the rectum where it melts at body temperature, releasing the medication for absorption into the body.

What are the active ingredients in this rectal suppository?

The main active ingredients in this compounded formulation are Morphine Sulfate at 15 mg for pain relief, and Atropine Sulfate at 0.25 mg, which has various uses including reducing salivary secretions and gastroduodenal motility.

Why is Atropine Sulfate used in this formulation?

Atropine Sulfate is used in this formulation to reduce certain types of gastrointestinal or urinary tract activity, as well as to reduce secretions in the throat, lungs, and nose. It also helps to relieve symptoms of nausea and vomiting.

Why is Morphine Sulfate used in this formulation?

Morphine Sulfate is used due to its effectiveness in relieving severe pain. It is a potent opioid agonist that works by acting directly on the central nervous system to decrease the feeling of pain.

Can anyone take this medication?

As with all medications, it is important that this medication is used under the supervision of a healthcare provider, who has deemed it appropriate for the individual's needs based on their medical history and circumstances.

Are there any side effects associated with this suppository?

As with any medication, there may be side effects. These can vary widely from person to person and may include gastrointestinal discomfort, constipation, flushing, and dry mouth. It's important to discuss potential side effects with a healthcare provider before starting any new medication regimen.

How long do the effects of this medication last?

Duration of the effect can vary largely depending on the individual's response to the medication. It's advised to discuss this with your healthcare provider for a better understanding of what to expect in your specific case.

Can this suppository be used with other medications?

It's essential to discuss with your healthcare provider about all the medications, supplements, or herbs you’re currently taking to avoid any potential drug interactions.

How should this medication be stored?

This medication should be kept in its original packaging and stored at room temperature, away from direct heat and light. Always keep medicines out of the reach of children and pets.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.
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