- Question from Lisa: What type of ceiling are you speaking of? How many mg., say, of MS Contin?
When I was referring to a ceiling, I was referring to a combined opiate and the amount of a combined acetaminophen that one can take in a 24-hour period of time. That amount is 4,000 mg of acetaminophen (brand name: Tylenol) in an otherwise healthy individual and someone without liver problems.
In a pure uncombined opiate, many have said there is no ceiling; that is, you can escalate the dose of the opiate until there are side effects that are present and intolerable. For example, one individual may tolerate 1,500-1,600 mg per day of an opiate and not have any side effects, and another individual on the same drug may only be able to tolerate 100 mg before they have intolerable side effects. So it's very individualized, and there isn't a certain amount that can be given. It depends entirely on the person and the response to the opiate.
The Ask-the-Expert Online Conference called Pain Management: Getting the Relief YOU Need featuerrd Neal Slatkin, M.D., Michelle Rhiner, N.P. and moderator Jennifer Griggs, M.D., M.P.H. answering your questions about the best ways to deal with the physical pain and discomforts associated with breast cancer and breast cancer treatment.
Editor's Note: This conference took place in January 2004.
The materials presented in these conferences do not necessarily reflect the views of Breastcancer.org. A qualified healthcare professional should be consulted before using any therapeutic product or regimen discussed. All readers should verify all information and data before employing any therapies described here.
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