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Common side effects of morphine include drowsiness, euphoria, nausea, dizziness, sweating, and constipation. [12] Potentially serious side effects of morphine include decreased respiratory effort, vomiting, and low blood pressure. [12] Morphine is highly addictive and prone to abuse. [12]
Alcohol can exacerbate the symptoms and may directly contribute to increased severity of symptoms. The reasons for toxicity vary depending on the mixture of drugs. Usually, most victims die after using two or more drugs in combination that suppress breathing, and the low blood oxygen level causes brain death. [6]
Nausea and vomiting are common side effects when first beginning therapy with apomorphine; [18] antiemetics such as trimethobenzamide or domperidone, dopamine antagonists, [19] are often used while first starting apomorphine. Around 50% of people grow tolerant enough to apomorphine's emetic effects that they can discontinue the antiemetic.
Users of hydromorphone may experience painful symptoms if the drug is suspended. [26] Some people cannot tolerate the symptoms, which results in continuous drug use. [26] Symptoms of opioid withdrawal are not easy to decipher, as there are differences between drug-seeking behaviors and true withdrawal effects. [27]
The severity of symptoms can be assessed by validated withdrawal scales, such as the Clinical Opiate Withdrawal Scale (COWS). [15] There is no test to diagnose for morphine withdrawal. [7] However, a toxicology test using urine is conducted to determine if withdrawal symptoms are caused by other non-opioid drugs or a combination of both. [7]
M3G does not act as an analgesic, has a low affinity for opioid receptors, and may possibly antagonize the therapeutic effects of morphine and M6G. Moreover, high doses of morphine, and thus M3G, are associated with neurotoxic side effects such as hyperalgesia, allodynia and myoclonus. [24]