Morphine - Contraindications

Contraindications

The following conditions are relative contraindications for morphine:

  • acute respiratory depression
  • renal failure (due to accumulation of the metabolites morphine-3-glucuronide and morphine-6-glucuronide)
  • chemical toxicity (potentially lethal in low tolerance subjects)
  • raised intracranial pressure, including head injury (risk of worsening respiratory depression)
  • Biliary colic.

Although it has previously been thought that morphine was contraindicated in acute pancreatitis, a review of the literature shows no evidence for this.

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