Post-op pain meds with least amount of nausea and dizziness?
I am scheduled for a tummy tuck with muscle tightening next Tuesday. One of my biggest concerns is that I have a lot of nausea from anesthesia (several days). In addition, the pain meds (pills) that I have tried so far from other surgeries, ie. vicodin (hydrocodone) and percoset, also make me extremely nauseous and dizzy. For me, the nausea and dizziness is almost worse than the pain.
Have you had the same effects from these medications? Is there a better alternative for pain relief that does not cause nausea and dizziness? I have had gastric bypass, so not sure if this has something to do with it?
Thanks!
Lynn
on 11/23/10 2:09 am
I've had the RNY, and I found that Vicodin (hydrocodone) gave me severe stomach pains, but Percoset (oxycodone) didn't, though all pain meds make me dizzy. I did take my complete prescription of Percoset and then switched to Tylenol but I probably could have gotten by on just Tylenol after the first couple of days.
I don't get nausea after anesthesia, but a lot of people do. You should discuss this with the anesthesiologist and/or your PS, there are meds they can give you to control the nausea (phenergan for one).
RNY 9/07
TT/BA 3/09
LBL 4/10
My doc gave me a script for both percocet and vicoden. I found the percocet to be a little better for me. I also asked her to give me a script for an anti nausua drug and that has helped a lot. I am also making sure that I eat something before each pain pill and that has made a big big difference as well.
Mom to Emily Quinn, Born 7-16-2010
Orginal Weight 258 / Orginal Goal 145 / Revised Goal 135/ Current 124
Orginal Weight 258/ Pre- Baby Weight 125 / Post Baby 124
My doctor prescribed Nucynta at first for pain, and boy does it make me LOOPY. I'm now taking percoset, which just makes me a little dizzy/drowsy. Pain meds do nauseate me, so I have a Transderm Scop (scopalimine) patch for behind my ear that I change every couple of days. He also gave me phenergan for nausea, which I haven't had to use yet.
In the hospital, I was given Protonix (for nausea, acid reflux) and didn't have any problem with nausea on that.
Codeine makes me vomit profusely and Lortab elixir gave me hives after my RNY.
I'm three weeks out tomorrow (with complications) and am taking about 2-3 percocets each day. I do have the option of taking 12, but I don't need that many and never really did.
In addition, my past three surgeries I've told (and made a big deal) the anaesthesiologists that I usually vomit a lot after surgery. Every time I've told them, they added something to the mix that made me NOT nauseated afterwards.
So let them know that you do get sick and they might be able to add something that will help you after.
I LOVED my OnQ Pain Blocker- numb core for 5 days without the grogginess, constipation, driving restrictions , addictive problems associated with narcotics. I wanted my doc to refill the vessel when it ran out, but FDA only approves the use for 5 days. Never had a problem with slippage of the catheter ( you can anchor the distal end with an anchoring suture- then it doesn't move around). We even use a similar apparatus on our canine limb amputations, and it makes a BIG difference in those pets' recoveries.
Multi -modal pain relief should be the standard of care- using a combination of chemical ( narcotics, NSAIDs, local anesthetics) and physical ( cool pack, support pillows, wraps) pain relief means you are less dependent on any one drug.
Good luck- XOXOLori