I Am Allergic to Codeine. Any Suggestions for Pain Control After Mommy Makeover?
Doctor Answers 64
Non-Narcotic Medication following Mommy Makeover
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.
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.
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Post-Op Pain Management After Mommy Makeover
Other medications can work; sometimes variations on the brand or type of codeine can make a difference.
Your surgeon may have some favorites to suggest for you.
I have been using the local anesthetic infusion pain pump for thousands of patients with great success in reducing pain and need for narcotics.
There are some new long-acting injectable local anesthetics (Exparel) that can also be of help.
Allergy to codeine
Pain Medication for Boca Raton Mommy Makeover
Some patients find that discomfort is lessened by the following:
1. Getting enough rest. Rest is the primary treatment for surgical discomfort!
2. Absolutely avoid lifting anything over 15 lb. This includes taking young children in and out of the tub, the carseat and the highchair, as well as bags of groceries. Don't run the vac or do other strenuous household tasks and definitely avoid exercise until you're cleared to return to the gym.
3. Keeping things moving! Constipation is common after any surgery, especially abdominal surgery. Eat plenty of fruit and veggies and drink lots of water to avoid becoming constipated, which can increase abdominal discomfort.
4. Contact your surgeon if the discomfort is not controlled by pain meds.
To your health & beauty,
Jonathan Berman, MD, FACS
Double Board Certified Boca Raton Plastic Surgeon
Many options for pain control
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
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.