I Am Allergic to Codeine. Any Suggestions for Pain Control After Mommy Makeover?
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Non-Narcotic Medication following Mommy Makeover
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Consider using a pain pump for post operative pain control
Alternatives to codeine include oral Demerol and synthetic forms of morphine. I usually place a pain pump and this greatly decreases post operative pain and discomfort.
Ultram & Double Strength Tylenol are Great Options
Pain control is extremely important following cosmetic surgery. Patients frequently report allergies to various pain medications and as a result, pain management may require adjustment in the postoperative period.
Most patients who say they are allergic to codeine don’t have a true allergy. They usually have severe nausea, which codeine is notorious for causing.
We typically use a synthetic codeine derivative called Hydrocodone, which has a decreased incidence of nausea compared to codeine.
Examples of prescription Hydrocodone commonly used include Vicodan and Lortab. When these don’t work or patients are allergic to them as well, we use Ultram. We replace narcotic pain relievers with double strength Tylenol as soon as possible following surgery to avoid the potential for drug problems.
Pain tolerance varies from patient to patient and with appropriate care can usually be managed without difficulty. When allergies to pain medications occur, multiple alternatives exist to deal with this problem.
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Allergic to Codeine Pain Medications
The allergy to codeine in pain medicines is so common that I rarely use these pain medications in my practice. Artificial codeine, hydrocodone, is more commonly prescribed and used in products like Vicodin and Lortab and these medications are surprisingly effective on many individuals who cannot tolerate codeine but can tolerate hydrocodone.
Even when I have prescribed the hydrocodone medications, I encourage my patients to as quickly as possible to convert to anti-inflammatory medications like Advil, Nuprin and Motrin which are Ibuprofen products and Alleve which is a different anti-inflammatory product. These medications actually effect the pain problem itself instead of hiding the symptoms in one's brain and have less side effects.
Never forget the use of ice and cold packs to reduce the amount of pain on almost all areas of the body following surgery.
A tummy tuck can be done as a solitary procedure. Many times the results are enhanced by adding liposuction to the hip and love handle area. A tummy tuck is also done in combination with a breast augmentation in a mommy makeover.
In breast augmentation I have chosen to spend time reviewing photographs with patients to fully understand their expectation of size and shape. Many times this simply raises more questions. I will make measurements and use the implant guides to allow the patient to understand exactly the sizes that are reasonable for their body type and measurements.
Please find an experienced Board Certified Plastic Surgeon and member of the Aesthetic Society using the Smart Beauty Guide. These Plastic Surgeons can guide you on all aspects of facial surgery, breast augmentation and body procedures including tummy tucks or mommy makeovers!
Options beyond codeine
Staying comfortable after a mommy makeover
I wouldn't worry about the allergy, you have lots of options.
Dr Rodger Shortt
Allergic to codeine, considering Mommy makeover
Pain after Mommy Makeover
Exparel has become a wonderful addition to procedures in appropriate patients and can provide some degree of pain relief for up to 72 hours if used at the time of the procedure.
There are many non-opioid alternatives to codeine and your plastic surgeon can evaluate your particular allergy and make recommendations.
As with any procedure there will be some discomfort after a mommy makeover, however, with appropriate steps this can be dramatically improved.
Pain Control After Mommy Makeover
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