Mommy Makeover: Q&A
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I Am Allergic to Codeine. Any Suggestions for Pain Control After Mommy Makeover?
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17 Doctor Answers |
Asked by
Omaha1470
in Omaha, NE
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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...
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Codiene allergy.
Many patients feel that they are allergic to codeine because they became nauseated when they took it once. This is not a true allergy to the medication and can be caused by almost any type of medication. Codeine is rarely prescribed today as the synthetic codeine derivatives, such as Vicodin, are usually used and generally have a better profile regarding side effects. If you do have a true allergy to codeine we previously used a drug called Darvocet which was a Davon compounded...
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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...
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Okay so I am scheduled for surgery on may 24. I am haveing a full tummy tuck with breast...
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Cosmetic Surgery is an Art and a Science
Pain relief after surgery is an integral part of the practice. Most patients don't understand the difference between an allergy and a side effect of medicine. A true allergy will make the patient break out in hives. Nausea, vomitting and irritable behavior are side effects. In my experience, change the medicine to another drug i.e. hydrocodone, where there a fewer side effects.All the best
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Pain control
I rarely use codeine for pain control. The patients have the option to use pain pumps and we use hydocodone or vicodin. I also use muscle relaxants in combination with anti inflammatories with very good success
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I Am Allergic to Codeine. Any Suggestions for Pain Control After Mommy Makeover?
Many patients get very nauseous after taking Codeine and feel that they have any allergy to it. Usually these reactions are just a bad side effect of the medication. An alternative would be Hydrocodone or Tramadol to control pain.
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Pain control after surgery
Many patients are either allergic to, or have bad side effects of Codeine. Reducing the amount of pain, and need for post operative narcotics, is the really the goal. Pain reduction should begin in the OR. Long acting numbing medicine can be used. Regional blocks can be performed. And pain pumps are available. Intravenous Ibuprofen and Tylenol can be given so that you are comfortable when you wake up. After surgery, NSAIDs should be started. Finally, low strength narcotics can be added as...
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Pain Control after Tummy Tuck?
Thank you for the question.
There are many alternatives for oral medications effective after tummy tuck surgery. It would be best to avoid confusion and discuss the issue with your plastic surgeon who may have his/her preferences. The use of a postoperative pain control pump (long-acting local anesthesia drip) may also be helpful.
Best wishes.
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Demerol is good for pain control after a procedure
Demerol is very good at controlling pain after a cosmetic procedure. Make sure your local pharmacy carries it before giving them your prescription.
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Post Op Pain Control
There is a big difference between a drug sensitivity and a drug allergy, with that being said, I would defer to your Board Certified Plastic Surgeon to prescribe you an alternative pain medication. Best wishes!
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Allergic to Codeine
Many people experience nausea or vomiting with codeine - this is not a true "allergy", but an unfortunate side effect. If you had a rash, or throat swelling or wheezing - those are true allergy reactions.
There are plenty of options for you, fortunately.
If you had a true allergy reaction, you want to select a medication that is unrelated to codeine. Demerol or Tramadol or Nucynta would be unlikely to give you a reaction, since they are structurally...
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Pain meds
Many patients mention this type of allergy. You need to discuss this with your board certified plastic surgeon because many carry issues with potential for bleeding. Don't figure this out with anyone other than your own surgeon as he will have a good suggestion in his armamentarium.
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Pain medication substitutes
This is something that you should review with your surgeon. I am not a big fan of the anti-inflammatories because they can cause bleeding.
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Codeine allergy or intolerance very common
Your reaction with codeine is common. Other alternative postoperative pain medications include hydrocodone products such as Vicodin; Ultram (tramadol); Toradol (NSAID). Talk to your plastic surgeon to see what she/he recommends for you.
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Pain management in patients allergic to codeine
In instances where patients are allergic to narcotic analgesics, we tend to use a combination of darvocet, ultram, and/or celebrex for pain management.
see video
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Pain Control with Mommy Makeover
There are many pain medication choices. Your surgeon will discuss his/her choice of pain medication base on the anticipated discomfort, your allergic reaction to codeine and the surgeon's preference for alternatives to codeine.
Dr. ES
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Mommy makeover
There are many medication and ways to control pain after any surgery. Discuss your specific situation with your doctor.
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