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Morphine

Published: July 26, 2026Updated: July 26, 2026

Morphine is a potent opioid analgesic used to manage moderate to severe pain when other treatments are insufficient. It works by binding to mu-opioid receptors in the brain and nervous system to reduce the perception of pain. This medication is commonly used in hospital settings, for cancer-related pain, and for severe acute pain management.

Quick summary

Morphine is a strong opioid pain medication used for moderate to severe pain relief when other analgesics are inadequate.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy
BOXED WARNING

This medication carries a boxed (black box) warning — the strongest type of FDA warning. Review the full prescribing information before use.

Key facts at a glance

ATC
N02AA01
RxNorm
7052
Generic
Morphine
Class
atc-n02
Brands
Kadian, MS Contin, Duramorph, Infumorph, Mitigo
Availability
rx
Lactation
unknown
Routes
oral, rectal
Forms
injection, prefilled syringe, capsule, solution, tablet, suspension
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)extended-release tablet
Usual dose
15mg to 30mg every 12 hours
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)oral solution
Usual dose
0.1mg to 0.2mg/kg every 4 hours
Maximum
consult physician
Frequency
every 4 hours as needed
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)extended-release tablet
Usual dose
7.5mg to 15mg every 12 hours
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Doses above 200mg may cause serious toxicity or death in opioid-naive adults; lethal dose varies based on tolerance
Chronic overdose: cumulative CNS and respiratory depression from repeated supratherapeutic dosing
Immediate actions
secure airway and breathing, administer naloxone, consider activated charcoal if within 1 hour of ingestion
Antidote
Naloxone(highly effective at reversing opioid effects within minutes)
Poison Control: 1-800-222-1222

Special Populations

8 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks; opioids should not be used for pain in early pregnancy unless absolutely necessary

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

third trimester
unsafe
FDA Category
C
Dose Adjustment

avoid use near delivery

Key Recommendations

avoid chronic use in third trimester; if used, monitor for neonatal abstinence syndrome

Monitor

continuous fetal monitoring; neonatal assessment for withdrawal symptoms

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

lactation

breastfeeding
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

use with caution; monitor infant for excessive drowsiness or sedation

Monitor

observe infant for signs of opioid toxicity: excessive drowsiness, poor feeding, respiratory depression

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly
caution
FDA Category
C
Dose Adjustment

start with 25-50% of adult dose

Key Recommendations

initiate at lowest effective dose; increase slowly; monitor for respiratory depression and sedation

Monitor

close monitoring of respiratory status, sedation level, and bowel function

Use with caution and monitor for adverse effects.

✗

pediatric_age

neonates
unsafe
FDA Category
C
Dose Adjustment

avoid or use with extreme caution at reduced doses

Key Recommendations

avoid in neonates due to immature hepatic metabolism and blood-brain barrier; use only in monitored ICU setting for severe pain

Monitor

continuous respiratory monitoring; watch for respiratory depression and sedation

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

pediatric_age

infants children
caution
FDA Category
C
Dose Adjustment

use weight-based dosing with careful titration

Key Recommendations

use only when benefits outweigh risks; prefer alternative analgesics when possible; avoid high doses

Monitor

continuous respiratory monitoring especially in children under 2; monitor for respiratory depression, sedation, and constipation

Use with caution and monitor for adverse effects.

⚠

renal_impairment

severe renal impairment
caution
FDA Category
C
Dose Adjustment

reduce dose by 50-75% and extend dosing interval

Key Recommendations

use with extreme caution; consider alternative analgesics; monitor for accumulation of active metabolites

Monitor

frequent monitoring of renal function, respiratory status, and sedation levels

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

severe hepatic impairment
caution
FDA Category
C
Dose Adjustment

reduce dose by 50%

Key Recommendations

use with caution; impaired metabolism leads to prolonged half-life; monitor closely

Monitor

monitor for signs of toxicity, respiratory depression, and excessive sedation

Use with caution and monitor for adverse effects.

Statistics and clinical data

drug_classWHO
2023

Drug class

Value:Opioid analgesic

Morphine is classified as a strong opioid analgesic

mechanismFDA
2023

Mechanism of action

Value:Mu-opioid receptor agonist

Binds to mu-opioid receptors in the central nervous system

regulationDEA
2023

Controlled substance schedule

Value:Schedule II

High potential for abuse with severe psychological or physical dependence

usageCDC
2023

Common uses

Value:Severe pain management

Used for postoperative pain, cancer pain, and acute severe pain

Treatment of moderate to severe pain, including cancer pain, post-operative pain, and severe acute pain (such as from injury or myocardial infarction). Used when non-opioid analgesics or weaker opioids provide insufficient relief.

Morphine is a full agonist at mu-opioid receptors in the central nervous system. By binding to these receptors, it alters pain perception and response to pain stimuli, producing analgesia along with potential effects on mood, sedation, and respiratory function.

Schedule II controlled substance with high abuse potential and risk of dependence. Can cause respiratory depression, especially at high doses or when combined with other CNS depressants. Requires careful dose titration and monitoring. Contraindicated in patients with respiratory depression, acute asthma, or GI obstruction.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy