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Old 11-09-2009, 05:29 PM
 
Location: A little suburb of Houston
3,702 posts, read 18,211,653 times
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I had darvocet after my mastectomy. No problem with it at all. I am allergic to codiene, hydrocodone and its cousins so the others were not really an option for me. Yes, real allergy doctors figured I was just having the typical bad reaction the first time they gave me codiene so they tried hydrocodone the next time and found out it actually was an allergy...no fun for me.
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Old 11-09-2009, 05:32 PM
 
5,644 posts, read 13,224,290 times
Reputation: 14170
Quote:
Originally Posted by pitt_transplant View Post
Say no to Celebrex.

Painkiller may prevent adhesions after surgery - The Boston Globe

I don't think it works very well at all for one. And hurt my chest when I took it. It has been linked to heart damage issues too as well as the adhesion problems linked.
Um,,


You do realize that preventing adhesions after surgery is a GOOD thing, right

The linked article PROMOTES the use of Celebrex, it doesn't discourage its use...

And for the record, Celebrex while linked to an increase in heart disease (not heart damage) is probably no worse than any other NSAID in that regard.
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Old 11-09-2009, 05:39 PM
 
Location: Austin, Texas
2,754 posts, read 6,100,163 times
Reputation: 4669
Quote:
Originally Posted by JaneyBlu View Post
Forgive me if this has been discussed recently. I only looked through the first few pages of threads...

I am having a procedure tomorrow that will be fairly invasive. My surgeon's nurse asked me last week if I would prefer a certain painkiller, but I am unfamiliar with painkillers that aren't over-the-counter.

I once had oral surgery and they gave me Demerol. I think it worked fine, but I have no idea where it is on the scale of painkillers.

Could anyone out there suggest painkillers to ask them about tomorrow? They will give me a prescription when I am out of surgery. I am hoping to find something that is very strong, but without codeine.

Also, if anyone has a sort of unofficial, even opinion-based, scale of the strength of post-surgery painkillers, I'd love to see it or hear more about what you think. Thanks!

Why in the world anyone would chose to pose this question to a bunch of anonymous, non-medically trained internet denizens on CD instead of sitting down and talking with their physician totally baffles me. And I'm a health professional.
Talk to your doctor or pharmacist.
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Old 11-09-2009, 05:42 PM
 
5,644 posts, read 13,224,290 times
Reputation: 14170
Quote:
Originally Posted by JaneyBlu View Post
Ok. This is good to know. I am actually not having laparoscopic surgery, but I will ask them about Percocet and Vicodin. The problem is that I don't know which is stronger or if one makes you feel differently than the other...and they are asking me to more or less name my painkiller of choice.

Also, as acetominophen is contained in the narcotics you named, do the same scary heart-failure issues related to Tylenol apply?

Plus, it seems so funny to me that my oral surgeon was quick to prescribe me 30 pills of Demerol/50mg if it is rarely prescribed on an outpatient basis. What I am having done tomorrow is much bigger than my oral surgery. In fact, I figured that Demerol must not be very potent since it was my oral surgeon who prescribed it for me. I figured that there are stronger painkillers that are better for people that are having surgeries.
Tylenol is not an antiflammatory drug, it is an analgesic...reduces pain.

It has its own problems, namely liver toxicity in high doses, but no cardiovascular risks.

Oral Demerol is rarely prescribed by surgeons, it has a host of side effects.

IV Demerol on the other hand is still used frequently immediately post op, but you obviously can't go home on it.

Most patients will receive Percocet, oxycodone or vicodin for post op pain management.

Percocet is oxycodone with acetaminophen, oxycodone is the narcotic without added acetaminophen, vicodin is hydrocodone with acetominophen.

Percocet and Vicodin are somewhat interchangeable.

Percocet is somewhat stronger and is a schedule II narcotic which means you need an original signed prescription to fill the medication and refill cannot be called in.

Vicodin is a schedule III narcotic which means it can be called in to the pharmacy which makes it easier to deal with refills if needed.
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Old 11-09-2009, 05:46 PM
 
Location: SE Florida
1,194 posts, read 4,126,340 times
Reputation: 758
I once was given Tramadol. How and what is the general opinion on how does this affect a person with pain?
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Old 11-09-2009, 05:47 PM
 
5,644 posts, read 13,224,290 times
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Quote:
Originally Posted by pitt_transplant View Post
Well with oral surgery I know you can risk nerve damage...Maybe thats why he just went with that? I think that would be extremely painful to deal with right in that area. I think percocets make you more out of it than vicodin ES. I tried those two. The percocets made me want to go to sleep but everyone has different reactions to meds. I forget if it was peach or pink (percocets) and I did notice that addictive feel to the percocet. (felt irritable slightly after not having it, like quitting caffine or ciggs)
Right....

Because no other surgery risks nerve damage....

Demerol po is no better than oxycodone.
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Old 11-09-2009, 05:49 PM
 
5,644 posts, read 13,224,290 times
Reputation: 14170
Quote:
Originally Posted by Synergy1 View Post
I once was given Tramadol. How and what is the general opinion on how does this affect a person with pain?
Tramadol is an analgesic that works on the same pain receptors as narcotics but it is not a narcotic...

Its not an anti inflammatory as many people mistakenly believe.

It is believed to have less potential for abuse than narcotics but there are some people who have become addicted to it.

On the relative strength scale, it is stronger than tylenol but not as strong as Vicodin or percocet.
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Old 11-09-2009, 06:23 PM
 
183 posts, read 801,537 times
Reputation: 148
Quote:
Originally Posted by DrummerBoy View Post
Why in the world anyone would chose to pose this question to a bunch of anonymous, non-medically trained internet denizens on CD instead of sitting down and talking with their physician totally baffles me. And I'm a health professional.
Talk to your doctor or pharmacist.
What baffles me is that you don't seem to think I plan to discuss this with my surgeon when the time comes.

I am just looking for the experience of real people who have had surgery and who have taken painkillers for it...people who have been the patient and who have experienced the pain. An internet forum dedicated to Health and Wellness seems to be the ideal place to do that. There are lots of people with experience and opinions on the subject.

I want to be informed. That doesn't seem strange to me.
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Old 11-09-2009, 08:29 PM
 
Location: ATL suburb
1,364 posts, read 4,146,258 times
Reputation: 1580
For me, it depended. Under normal circumstances, I prefer Vicodin to Percocet. Honestly, I felt much more relaxed on Vicodin, and less worried about, well, everything. However, after one particular surgery, in which I ended up with some nerve damage/inflammation, Tylenol 3 worked much better than Vicodin. Tramadol isn't as strong as Vicodin, and provides less of the feeling of "relaxation", but it a reasonable alternative. Lastly, any post-op in which breakthrough pain was occurring, or I needed 1500mg of Vicodin at a time, Fentanyl patches were lifesavers.
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Old 11-11-2009, 09:19 AM
 
183 posts, read 801,537 times
Reputation: 148
I just wanted to post an update for anyone who may be interested:

Surgery yesterday, home today. The surgeon prescribed 100mg of Demerol with the idea of scaling back to 50mg and then to Ibuprofen.

They also gave me oral Demerol in the hospital before I left and it seems to work well, but it made me a little high or loopy. I didn't remember this from my oral surgery, but I was also on a lower dosage.

We went with Demerol because it doesn't contain codeine or acetaminophen.
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