Concerns about opiates: Information for patients and carers

Concerns about opiates (such as Morphine, Oxycodone and Fentanyl) are common.

Addiction is rare when a strong painkiller is used in the right dose to relieve pain. 

Morphine and related drugs, when used in the right dose, do not shorten life but can actually enhance quality of life. If pain is controlled, appetite is better, and life will feel more worthwhile.

Side effects such as nausea and drowsiness are common when strong painkillers are started, or when the dose is increased - but these side effects wear off after a day or two.

People worry that if morphine is used early in an illness, then it may not work if the pain gets worse. This isn't true. The dose can be increased or switched to another strong painkiller. 

You can legally drive when on opiates if your driving is not impaired. It is best to avoid driving when first starting opioids or if the dose has just gone up. Do carry a copy of the prescription in your car. Please review the leaflet Harlington Hospice: Guidelines for driving if taking strong medications which gives more information (see Downloads).

The 4 minute video below from Dr Pete Nightingale explains the different types of drugs to treat pain effectively at the end of life. He also discusses common myths about morphine.

Recommended Resources

Marie Curie - Pain relief and common side effects

Published 13th May 2021

Macmillan - Managing cancer pain

Published 1st August 2022

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Community Palliative Care Team - based at Meadow House Hospice
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Community Palliative Care Team - based at Meadow House Hospice

T. 020 8967 5179

W. http://meadowhouse.lnwh.nhs.uk/our-services/community-team/

The Community Specialist Palliative Care Nurse Team provides advice and visiting to palliative care patients in Ealing and Hounslow. The team are based at Meadow House Hospice.

The team will visit patients with progressive life limiting illness in their own homes. They provide specialist advice around pain and symptom control and support for patients, their families, and carers during the last stages of illness. They also support patients wishing to die at home through coordination with GPs and hospital teams.

The team is comprised of medical consultants, specialist nurses, physiotherapists, occupational therapists, social workers, a bereavement support officer and a patient and carer advocacy worker

The team can be contacted for referrals Monday to Friday 9.00am to 5.00pm.

Between Monday to Friday 5.00pm and 8.30am, the Out of Hours Telephone Advice line 020 8102 5000 takes calls. Weekends and Bank Holidays 5.00pm to 9.00am.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4 (DOCX)

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