Sublingual Semaglutide (generic Ozempic®) now available! Get Started
Dashboard
Formulas

Belladonna Extract 15 mg/Morphine Sulfate 7.5 mg Suppositories

Belladonna Extract 15 mg/Morphine Sulfate 7.5 mg Suppositories are a solid dosage form designed for insertion into a body cavity, typically the rectum, where they dissolve or melt to release medication for local or systemic absorption.

This formulation is used to treat severe pain and muscle spasms associated with conditions such as renal colic, biliary colic, and other types of visceral pain. The combination of belladonna extract and morphine sulfate provides both antispasmodic and analgesic effects, offering relief from discomfort and improving patient comfort.

Want a different strength?
Click the Text Us button below.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
Starting at
Must be E-Prescribed
Get Started
Generate LeafletShow Leaflet
This medication requires a prescription from your doctor
Trusted by 60,357 patients to date.
A group of faces of our past satisfied patients.
A svg symbol of a mortar and pestle with ingredients going in.
Custom made in our compounding labs.
Sliders that show the customization of ingredients.
Personalized treatment for better results.
User with a gear showing the personalization of the formulation.
All strengths and ingredients are tailored to your needs.
This medication is not available at retail pharmacies. It is compounded, and may be more effective at treating you or your patient.
Morphine Sulfate
Belladonna Leaf Extract
Suppository
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Dosing Calculator

Get general dosing information for a patient by using this calculator.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Formula Information

A small arrow pointing down

Belladonna Extract 15 mg/Morphine Sulfate 7.5 mg Suppositories are a compounded medication designed to provide relief from severe pain and spasms. This formulation combines the analgesic properties of morphine sulfate with the anticholinergic effects of belladonna alkaloids, offering a synergistic approach to pain management and muscle relaxation. The suppository form allows for direct delivery of the medication into the body cavity, enabling both local and systemic absorption, which can be particularly beneficial for patients who have difficulty swallowing oral medications or require rapid symptom relief.

Morphine sulfate is a potent opioid analgesic that works by binding to the mu-opioid receptors in the central nervous system, altering the perception of and response to pain. Its inclusion in this formulation is aimed at managing moderate to severe pain that is unresponsive to non-opioid analgesics. By providing sustained pain relief, morphine helps improve the quality of life for patients dealing with chronic pain conditions.

Belladonna extract contains alkaloids such as atropine and scopolamine, which exert anticholinergic effects by blocking the action of acetylcholine on muscarinic receptors. This leads to reduced smooth muscle spasms in the gastrointestinal and genitourinary tracts, decreased secretions, and relief from muscle cramps. The antispasmodic properties of belladonna complement the analgesic effects of morphine, making this combination effective for conditions involving both pain and muscle spasms.

The use of suppositories provides several advantages. It ensures that the medication bypasses the gastrointestinal tract, reducing the risk of gastric irritation and degradation by stomach acids. This route is particularly useful for patients experiencing nausea, vomiting, or those who cannot take oral medications. Additionally, rectal absorption can provide a more consistent and controlled release of the medication into the bloodstream.

Patients and prescribers should be aware of the potential side effects associated with this formulation. Common side effects may include drowsiness, dizziness, constipation, dry mouth, blurred vision, and urinary retention. Due to the central nervous system depression caused by morphine, there is a risk of respiratory depression, especially at higher doses or in vulnerable populations such as the elderly or those with compromised respiratory function. The anticholinergic effects of belladonna may exacerbate conditions like glaucoma, enlarged prostate, or certain heart disorders.

It is important to use this medication exactly as prescribed. Patients should not operate heavy machinery or drive until they know how the medication affects them. Alcohol and other central nervous system depressants should be avoided, as they can enhance the sedative effects of morphine. Regular monitoring by a healthcare provider is recommended to assess efficacy and adjust dosing as necessary.

Before starting this medication, patients should inform their healthcare provider of their full medical history, including any allergies, current medications, and underlying health conditions. This will help prevent potential drug interactions and contraindications. Prescribers should exercise caution when prescribing this formulation to patients with a history of substance abuse or addiction.

If you have any questions or need further information about Belladonna Extract 15 mg/Morphine Sulfate 7.5 mg Suppositories, please reach out to us. We are here to help both patients and healthcare professionals make informed decisions about compounded medications.

Drug Interactions

A small arrow pointing down

Belladonna Extract 15 mg/Morphine Sulfate 7.5 mg suppositories are a compounded formulation designed for insertion into a body cavity, typically the rectum or vagina, where they dissolve or melt to release medication for local or systemic absorption. This formulation is often used to manage pain and muscle spasms, leveraging the anticholinergic properties of belladonna and the analgesic effects of morphine sulfate. However, due to the potent nature of these active ingredients, it is crucial to be aware of potential drug interactions that may affect the safety and efficacy of this treatment.

Belladonna extract contains alkaloids such as atropine, scopolamine, and hyoscyamine, which exert anticholinergic effects. These effects can be potentiated when used concurrently with other anticholinergic medications, such as antihistamines, tricyclic antidepressants, and certain antipsychotics. This can lead to increased risk of side effects like dry mouth, constipation, urinary retention, and confusion. Patients and prescribers should exercise caution and consider dose adjustments or alternative therapies if necessary.

Morphine sulfate is an opioid analgesic that can interact with other central nervous system (CNS) depressants, including benzodiazepines, barbiturates, and alcohol. The concurrent use of these substances can enhance CNS depression, leading to profound sedation, respiratory depression, coma, or even death. It is imperative to monitor patients closely for signs of respiratory depression and sedation, and to adjust dosages accordingly. Patients should be advised to avoid alcohol and consult their healthcare provider before taking any new medications, including over-the-counter drugs and supplements.

Additionally, morphine sulfate is metabolized by the liver enzyme CYP2D6. Drugs that inhibit or induce this enzyme can alter morphine's metabolism, potentially leading to increased side effects or reduced efficacy. Inhibitors such as fluoxetine, paroxetine, and quinidine may increase morphine levels, while inducers like rifampin and dexamethasone may decrease its effectiveness. Prescribers should review the patient's medication regimen for potential CYP2D6 interactions and adjust the morphine dose as needed.

Patients with a history of substance abuse or addiction should be closely monitored due to the potential for misuse, abuse, and addiction associated with opioid medications. Prescribers should assess each patient's risk and employ strategies to mitigate these risks, such as prescribing the lowest effective dose for the shortest duration necessary.

For patients with gastrointestinal conditions, the anticholinergic effects of belladonna may exacerbate symptoms of conditions like gastroesophageal reflux disease (GERD) or paralytic ileus. Similarly, the constipating effects of morphine may worsen bowel obstruction or constipation. It is important to evaluate the risks and benefits in patients with these conditions and consider alternative treatments if appropriate.

In summary, while Belladonna Extract 15 mg/Morphine Sulfate 7.5 mg suppositories can be effective for managing pain and muscle spasms, careful consideration of potential drug interactions is essential to ensure patient safety. Both patients and prescribers should remain vigilant for signs of adverse interactions and communicate openly about all medications being taken. If you have any questions or concerns regarding this formulation, please reach out to us for further guidance.

How Does it Work

A small arrow pointing down

Belladonna Extract 15 mg/Morphine Sulfate 7.5 mg suppositories are a compounded medication designed to provide relief from pain and muscle spasms. This formulation is particularly useful for patients who require a combination of analgesic and antispasmodic effects, often indicated in conditions such as severe pain, muscle spasms, or certain gastrointestinal disorders. The suppository form allows for the medication to be inserted into a body cavity, typically the rectum, where it dissolves or melts to release the active ingredients for local or systemic absorption.

Belladonna extract is derived from the Atropa belladonna plant and contains alkaloids such as atropine, scopolamine, and hyoscyamine. These compounds exert anticholinergic effects, which help to relax smooth muscles and reduce spasms by blocking the action of acetylcholine, a neurotransmitter involved in muscle contraction. This action is beneficial in alleviating muscle spasms and providing relief from associated discomfort.

Morphine sulfate is a potent opioid analgesic that works by binding to opioid receptors in the central nervous system. This binding alters the perception of pain and emotional response to pain, providing significant analgesic effects. Morphine is particularly effective in managing moderate to severe pain, making it a critical component of this formulation for patients experiencing intense discomfort.

The combination of belladonna extract and morphine sulfate in a suppository form offers several advantages. The rectal administration bypasses the gastrointestinal tract, which can be beneficial for patients who have difficulty swallowing or have gastrointestinal issues that affect oral medication absorption. Additionally, this route can provide a more rapid onset of action compared to oral administration, as the medication is absorbed directly into the bloodstream through the rectal mucosa.

For prescribers, it is important to consider the individual patient's medical history, current medications, and specific needs when prescribing this formulation. The combination of an antispasmodic and an opioid analgesic can be highly effective, but it also requires careful monitoring for potential side effects, such as constipation, dry mouth, dizziness, or sedation, due to the anticholinergic and opioid components.

Patients using this formulation should follow the prescribed dosage and administration instructions carefully. It is essential to insert the suppository as directed, typically into the rectum, and to remain lying down for a few minutes to ensure proper absorption. Patients should be aware of potential side effects and report any adverse reactions to their healthcare provider promptly.

If you have any questions about this formulation or its use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to both patients and prescribers.

Other Uses

A small arrow pointing down

Belladonna Extract 15 mg/Morphine Sulfate 7.5 mg suppositories are primarily used for their analgesic and antispasmodic properties, often prescribed for conditions involving severe pain and muscle spasms. However, beyond these primary indications, this formulation may have other potential uses that could be considered by healthcare providers. The combination of belladonna and morphine in a suppository form allows for both local and systemic effects, which can be beneficial in managing pain and discomfort associated with certain gastrointestinal disorders, such as irritable bowel syndrome (IBS) or severe hemorrhoidal pain, where oral administration may not be feasible or effective.

Additionally, the anticholinergic properties of belladonna can help reduce secretions and relax smooth muscles, which might be useful in managing symptoms of bladder spasms or overactive bladder when other treatments are not suitable. The systemic absorption of morphine through rectal administration can provide effective pain relief for patients who are unable to take oral medications due to nausea, vomiting, or difficulty swallowing. This can be particularly advantageous in palliative care settings, where maintaining patient comfort is a priority.

It is important for prescribers to consider the individual patient's medical history, current medications, and overall treatment goals when contemplating the use of this formulation for off-label purposes. Patients should be informed about the potential side effects, such as drowsiness, dry mouth, constipation, and the risk of dependency associated with morphine use. As with any medication, the benefits must be weighed against the risks, and close monitoring is essential to ensure patient safety and efficacy of the treatment.

If you have any questions or need further information about the potential uses of Belladonna Extract 15 mg/Morphine Sulfate 7.5 mg suppositories, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Frequently Asked Questions

A small arrow pointing down

What are Belladonna Extract and Morphine Sulfate Suppositories used for?

Belladonna Extract and Morphine Sulfate Suppositories are used to relieve moderate to severe pain. The combination of these two medications can help manage pain by providing both antispasmodic and analgesic effects.

How do I use Belladonna Extract/Morphine Sulfate Suppositories?

To use the suppository, remove the wrapper and gently insert it into the rectum or vagina, depending on your doctor's instructions. It should be inserted far enough to ensure it stays in place. Wash your hands before and after use.

How often can I use these suppositories?

The frequency of use will be determined by your healthcare provider based on your specific condition and response to treatment. It is important to follow their instructions carefully and not exceed the recommended dosage.

What should I do if I miss a dose?

If you miss a dose, use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

What are the potential side effects of these suppositories?

Common side effects may include dizziness, drowsiness, constipation, dry mouth, and blurred vision. If you experience severe side effects such as difficulty breathing, severe constipation, or hallucinations, seek medical attention immediately.

Can I use these suppositories if I am pregnant or breastfeeding?

You should consult your healthcare provider before using these suppositories if you are pregnant or breastfeeding. They will weigh the potential benefits and risks to determine if this medication is appropriate for you.

Are there any interactions with other medications?

Yes, these suppositories can interact with other medications, including other pain relievers, sedatives, and certain antidepressants. It is important to inform your healthcare provider of all medications and supplements you are taking.

How should I store Belladonna Extract/Morphine Sulfate Suppositories?

Store the suppositories at room temperature, away from moisture and heat. Keep them out of reach of children and pets. Do not use them past the expiration date on the package.

What should I do in case of an overdose?

If you suspect an overdose, seek emergency medical attention immediately. Symptoms of overdose may include severe drowsiness, slow or shallow breathing, and loss of consciousness.

Can I drive or operate machinery while using these suppositories?

These suppositories may cause dizziness or drowsiness. It is advised to avoid driving or operating heavy machinery until you know how the medication affects you.

Related Formulas

Related Products
Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.