Consumer Medicine Information (CMI) summary
The
full CMI on the next page has more details. If you are worried about using this medicine,
speak to your doctor or pharmacist.
WARNING: Important safety information is provided in a boxed warning in the
full CMI. Read before using this medicine.
Why am I using MORPHINE MR MYLAN tablets?
MORPHINE MR MYLAN tablets contain the active ingredient morphine sulfate pentahydrate.
MORPHINE MR MYLAN tablets are used for the management of pain severe enough to require
daily, long-term opioid treatment and for which other forms of treatment have failed
or are otherwise inappropriate to provide sufficient management of pain.
For more information, see Section 1. Why am I using MORPHINE MR MYLAN tablets? in
the full CMI.
What should I know before I use MORPHINE MR MYLAN tablets?
Do not use if you have ever had an allergic reaction to morphine or any of the ingredients
listed at the end of the CMI.
Talk to your doctor if you have any other medical conditions, take any other medicines,
or are pregnant or plan to become pregnant or are breastfeeding.
What if I am taking other medicines?
Some medicines may interfere with MORPHINE MR MYLAN tablets and affect how it works.
How do I use MORPHINE MR MYLAN tablets?
Your doctor will tell you exactly how much to take.
Follow the instructions given to you by your doctor or your pharmacist.
You must only take MORPHINE MR MYLAN tablets by mouth.
What should I know while using MORPHINE MR MYLAN tablets?
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Things you should do
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Remind any doctor or dentist you visit that you are using MORPHINE MR MYLAN tablets.
Tell your doctor or pharmacist if you are taking any other medicines that you use
to help you relax, anything that contains alcohol (like cough syrup) or other medicines
that treat pain.
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Things you should not do
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Do not stop using this medicine suddenly.
Do not take more than your doctor tells you to.
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Driving or using machines
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MORPHINE MR MYLAN tablets may cause drowsiness. If affected, do not drive a vehicle
or operate machinery.
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Drinking alcohol
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Avoid alcohol. Alcohol may make you feel more sleepy and could increase the risk of
serious side effects, such as shallow breathing with the risk of stopping breathing
and loss of consciousness.
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Looking after your medicine
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Store below 25°C.
Keep it where young children cannot reach it.
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Are there any side effects?
MORPHINE MR MYLAN tablets may cause constipation, nausea, vomiting, dizziness, drowsiness
and be habit forming if taken frequently or over long periods.
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WARNING:
Limitations of use
MORPHINE MR MYLAN tablets should only be used when your doctor decides that other
treatment options are not able to effectively manage your pain or you cannot tolerate
them.
Hazardous and harmful use
MORPHINE MR MYLAN tablets poses risks of abuse, misuse and addiction which can lead
to overdose and death. Your doctor will monitor you regularly during treatment.
Life threatening respiratory depression
MORPHINE MR MYLAN tablets can cause life-threatening or fatal breathing problems (slow,
shallow, unusual or no breathing) even when used as recommended. These problems can
occur at any time during use, but the risk is higher when first starting MORPHINE
MR MYLAN tablets and after a dose increase, if you are older, or have an existing
problem with your lungs. Your doctor will monitor you and change the dose as appropriate.
Use of other medicines while using MORPHINE MR MYLAN tablets
Using MORPHINE MR MYLAN tablets with other medicines that can make you feel drowsy such as sleeping tablets (e.g.
benzodiazepines), other pain relievers, antihistamines, antidepressants, antipsychotics,
gabapentinoids (e.g. gabapentin and pregabalin), cannabis and alcohol may result in
severe drowsiness, decreased awareness, breathing problems, coma and death. Your doctor will minimise the dose and duration of use; and monitor you for signs
and symptoms of breathing difficulties and sedation. You must not drink alcohol while
using MORPHINE MR MYLAN tablets.
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Active ingredient:
morphine sulfate pentahydrate
Consumer Medicine Information (CMI)
This leaflet provides important information about using MORPHINE MR MYLAN tablets.
You should also speak to your doctor or pharmacist if you would like further information
or if you have any concerns or questions about using MORPHINE MR MYLAN tablets.
Where to find information in this leaflet:
Why am I using MORPHINE MR MYLAN tablets?
MORPHINE MR MYLAN tablets contains the active ingredient morphine sulfate pentahydrate. Morphine belongs to a group of medicines called opioid analgesics.
MORPHINE MR MYLAN tablets are indicated for the management of severe pain where:
other treatment options have failed, are contraindicated, not tolerated or are otherwise
inappropriate to provide sufficient management of pain, and
the pain is opioid-responsive, and
requires daily, continuous, long-term treatment.
What should I know before I use MORPHINE MR MYLAN tablets?
Warnings
Do not use MORPHINE MR MYLAN tablets if:
you are allergic to morphine, or any of the ingredients listed at the end of this
leaflet. Always check the ingredients to make sure you can use this medicine.
you have acute breathing difficulties such as bronchitis or asthma
you have severe abdominal pain with bloating, cramps or vomiting
you have a condition where your small bowel does not work properly
you take medicine for depression called a 'monoamine oxidase inhibitor' or have taken
any in the last two weeks
you are pregnant or in labour.
Check with your doctor if you:
are severely drowsy, have a reduced level of consciousness or are feeling faint or
dizzy upon standing
have heart problems or heart disease
have low blood pressure
have chronic lung disease
suffer from sleep apnoea (temporarily stop breathing while you sleep)
have just drunk a large amount of alcohol, regularly drink large amounts of alcohol
or have confusion and shaking due to stopping drinking alcohol
suffer from convulsions, fits or seizures
have a head injury, brain tumour or increased pressure in your head
are about to have surgery, had recent gastrointestinal surgery or have had other surgery
in the last 24 hours
have chronic liver or kidney disease
have increased prostate size or difficulty passing urine
have problems with your gall bladder
have problems with or recent surgery of your bile duct
have inflammation of the pancreas
have adrenal glands which are not working properly
have an underactive thyroid gland
have a severe mental condition involving losing contact with reality or an inability
to think clearly
have an addiction or history of abuse of alcohol, opioids or other drugs.
During treatment, you may be at risk of developing certain side effects. It is important
you understand these risks and how to monitor for them. See additional information
under Section
6. Are there any side effects?
Pregnancy and breastfeeding
Check with your doctor if you are pregnant or intend to become pregnant.
MORPHINE MR MYLAN tablets given to the mother during labour can cause breathing problems
and signs of withdrawal in the newborn.
Talk to your doctor if you are breastfeeding or intend to breastfeed. Low levels of
opioid analgesics have been detected in human milk.
Addiction
You can become addicted to MORPHINE MR MYLAN tablets even if you take it exactly as
prescribed. MORPHINE MR MYLAN tablets may become habit forming causing mental and
physical dependence. If abused, it may become less able to reduce pain.
Dependence
As with all other opioid containing products, your body may become used to you taking
MORPHINE MR MYLAN tablets. Taking it may result in physical dependence. Physical dependence
means that you may experience withdrawal symptoms if you stop taking MORPHINE MR MYLAN
tablets suddenly, so it is important to take it exactly as directed by your doctor.
Tolerance
Tolerance to MORPHINE MR MYLAN tablets may develop, which means that the effect of
the medicine may decrease. If this happens, more may be needed to maintain the same
effect.
Withdrawal
Continue taking your medicine for as long as your doctor tells you. If you stop having
this medicine suddenly, your pain may worsen and you may experience some or all of
the following withdrawal symptoms:
nervousness, restlessness, agitation, trouble sleeping or anxiety
body aches, weakness or stomach cramps
loss of appetite, nausea, vomiting or diarrhoea
increased heart rate, breathing rate or pupil size
watery eyes, runny nose, chills or yawning
increased sweating.
What if I am taking other medicines?
Tell your doctor or pharmacist if you are taking any other medicines, including any
medicines, vitamins or supplements that you buy without a prescription from your pharmacy,
supermarket or health food shop.
Some medicines may interfere with MORPHINE MR MYLAN tablets and affect how it works.
Using MORPHINE MR MYLAN tablets with medicines that can make you feel drowsy may result
in severe drowsiness, decreased awareness, breathing problems, coma and death. These
medicines include:
sleeping tablets and other sedatives (including benzodiazepines and barbiturates)
gabapentinoids
cannabis
antihistamines
anxiolytics
general anaesthetics
antiemetics
antidepressants (including tricyclic antidepressants)
antipsychotics (including phenothiazines)
neuroleptics
beta-blockers (medicines used to treat high blood pressure)
other opioids
alcohol.
MORPHINE MR MYLAN tablets may enhance the action of neuromuscular blocking agents
(medicines used to relax muscles) and affect your breathing.
MORPHINE MR MYLAN tablets may increase the anticoagulant activity of coumarin and
other anticoagulants (medicines used to prevent blood clots).
MORPHINE MR MYLAN tablets should not be used if you are taking non- selective monoamine
oxidase inhibitors (MAOIs) or within 14 days of stopping such treatment.
Check with your doctor or pharmacist if you are not sure about what medicines, vitamins
or supplements you are taking and if these affect MORPHINE MR MYLAN tablets.
How do I use MORPHINE MR MYLAN tablets?
How much to take
Your doctor will tell you how much to take.
Follow the instructions provided and use MORPHINE MR MYLAN tablets until your doctor
tells you to stop.
When to take MORPHINE MR MYLAN tablets
Take MORPHINE MR MYLAN tablets every 12 hours or as directed by your doctor.
Take MORPHINE MR MYLAN tablets at about the same time each day.
How to take MORPHINE MR MYLAN tablets
Swallow MORPHINE MR MYLAN tablets whole and be careful not to break, chew, crush or
dissolve the tablets.
MORPHINE MR MYLAN tablets are only designed to work properly if swallowed whole. The
tablets may release all their contents at once if broken, chewed, crushed or dissolved,
which can be dangerous and cause serious problems, such as an overdose which may be
fatal.
If you have trouble swallowing your tablets whole, talk to your doctor.
If you begin to experience pain, tell your doctor as your dosage may have to be reviewed.
If you forget to use MORPHINE MR MYLAN tablets
You should take MORPHINE MR MYLAN tablets at the same time each day. If you miss your
dose at the usual time, you may take MORPHINE MR MYLAN tablets as soon as you remember.
If it is almost time for your next dose, skip the dose you missed and take your next
dose when you are meant to.
Do not take a double dose to make up for the dose you missed.
This may increase the chance of getting unwanted side effects including severe drowsiness,
decreased awareness, breathing problems, coma and death.
If you use too much MORPHINE MR MYLAN tablets (overdose)
If you or someone else receive too much (overdose), and experience one or more of
the symptoms below, call triple zero (000) for an ambulance. Keep the person awake
by talking to them or gently shaking them every now and then. You should follow the
above steps even if someone other than you have accidentally used MORPHINE MR MYLAN
tablets that was prescribed for you. If someone takes an overdose, they may experience
one or more of the following symptoms:
slow, unusual or difficult breathing
drowsiness, dizziness or unconsciousness
slow or weak heartbeat
nausea or vomiting
convulsions or fits.
If you think you or someone else may have used too much MORPHINE MR MYLAN tablets
you should immediately:
phone the Poisons Information Centre (by calling 13 11 26), or
contact your doctor, or
go to the Emergency Department at your nearest hospital.
You should do this even if there are no signs of discomfort or poisoning.
When seeking medical attention, take this leaflet and remaining medicine with you
to show the doctor. Also tell them about any other medicines or alcohol which have been taken.
What should I know while using MORPHINE MR MYLAN tablets?
Things you should do
Call your doctor straight away if you:
become pregnant
feel your pain is getting worse.
Remind any doctor, dentist or pharmacist you visit that you are using MORPHINE MR
MYLAN tablets.
If you are going to have surgery, tell the surgeon or anaesthetist that you are taking
this medicine.
Things you should not do
Do not stop using this medicine suddenly. If you stop taking MORPHINE MR MYLAN tablets
suddenly, your pain may worsen and you may experience withdrawal symptoms.
Do not take MORPHINE MR MYLAN tablets to treat any other complaint unless your doctor
tells you to.
Do not give this medicine to anyone else, even if they have the same condition as
you.
Driving or using machines
Be careful before you drive or use any machines or tools until you know how MORPHINE
MR MYLAN tablets affects you.
MORPHINE MR MYLAN tablets may cause drowsiness or impair mental and/or physical ability
in some people.
Drinking alcohol
Tell your doctor if you drink alcohol.
Alcohol may make you feel more sleepy, and could increase the risk of serious side
effects, such as shallow breathing with the risk of stopping breathing and loss of
consciousness.
Looking after your medicine
Store below 25°C.
Follow the instructions in the carton on how to take care of your medicine properly.
Store it in a cool dry place away from moisture, heat or sunlight; for example, do
not store it:
in the bathroom or near a sink, or
in the car or on window sills.
Keep it where young children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
Getting rid of any unwanted medicine
If the medicine is damaged, you no longer need to use this medicine or it is out of
date, take it to any pharmacy for safe disposal.
Do not use this medicine after the expiry date.
Are there any side effects?
All medicines can have side effects. If you do experience any side effects, most of
them are minor and temporary. However, some side effects may need medical attention.
See the information below and, if you need to, ask your doctor or pharmacist if you
have any further questions about side effects.
Less serious side effects
Serious side effects
Tell your doctor or pharmacist if you notice anything else that may be making you
feel unwell.
Other side effects not listed here may occur in some people.
Reporting side effects
After you have received medical advice for any side effects you experience, you can
report side effects to the Therapeutic Goods Administration online at
www.tga.gov.au/reporting-problems . By reporting side effects, you can help provide more information on the safety of
this medicine.
Always make sure you speak to your doctor or pharmacist before you decide to stop
taking any of your medicines.
Product details
This medicine is only available with a doctor's prescription.
What MORPHINE MR MYLAN tablets contains
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Active ingredient
(main ingredient)
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morphine sulfate pentahydrate
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Other ingredients
(inactive ingredients)
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Lactose monohydrate (except 100 mg)
Hyetellose
Povidone
Magnesium stearate
Purified talc
Hypromellose
Colorants in coating:
10 mg: Opadry buff OY-3607
30 mg: Opadry violet OY-6708
60 mg: Opadry orange OY-3533
100 mg: Opadry grey OY-8238
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Potential allergens
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10 mg, 30 mg and 60 mg tablets contain sugars (as lactose monohydrate).
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Do not take this medicine if you are allergic to any of these ingredients.
What MORPHINE MR MYLAN tablets look like
MORPHINE MR MYLAN modified release tablets are film-coated and biconvex in shape and
are available in four strengths packed in blister packs of 20, 28 or 60 tablets.
MORPHINE MR MYLAN tablets 10 mg - Buff coloured, biconvex, smooth, round, film coated
tablets with 10 on one face (AUST R 225421)
MORPHINE MR MYLAN tablets 30 mg - Violet coloured, biconvex, smooth, round, film coated
tablets with 30 on one face (AUST R 225422)
MORPHINE MR MYLAN tablets 60 mg - Orange coloured, biconvex, smooth, round, film coated
tablets with 60 on one face (AUST R 225423)
MORPHINE MR MYLAN tablets 100 mg - Grey coloured, biconvex, smooth, round, film coated
tablets with 100 on one face (AUST R 225424)
Who distributes MORPHINE MR MYLAN tablets
Alphapharm Pty Ltd
Level 1, 30 The Bond
30-34 Hickson Road
Millers Point NSW 2000
www.mylan.com.au
The sponsor is:
Southern Cross Pharma Pty Ltd
Suite 5/118 Church St
Hawthorn VIC 3122
This leaflet was prepared in December 2020.