Pain Control After Mommy Makeover!
Alternative analgesics if you’re allergic to codeine, you may also be to oxycodone or hydrocodone.
Toradol is an alternative medication which is equally as potent as narcotics like codeine without the side effects from narcotics.
If you are allergic to ASA or ibuprofen, you wont be able to take Toradol as it is in the same class as aspirin/ ibuprofen. (Mel T. Ortega, MD, Miami Plastic Surgeon)
Medicine after surgery
A pain pump is a big help. Also Nucynta a newer narcotic has less nausea but is expensive. (Gregory T. Lynam, MD, Richmond Plastic Surgeon)
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. (Ricardo A. Meade, MD, Dallas Plastic Surgeon)
Pain Pump an Ultram
Many people have a problem with codeine and its derivatives because it makes them nauseated. Due to the limited alternatives I generally recommend a pain pump which secretes long acting local medication directly to the operating sight as well as Ultram.Ultram generally dose not have the side effects of the other opiods.
This is particularly important in someone undergoing a tummy tuck.
Because the last thing we want to happen is for you to retch and or vomit which could be extremely painful as well as counterproductive in healing after surgery. (Ritu Chopra, MD, Beverly Hills Plastic Surgeon)
Often when patients say they are “allergic” to codeine, they are really just remembering that they happen to be sensitive to the nausea side effect of narcotics.
If your allergy is nausea & vomiting, it is reasonable to try some other medication in the same family, as the side effect profile varies for each drug (and for every patient as an individual.)
You might do fine with oxycodone (Percocet) or hydrocodone (Norco). Compared to most other pain medications, the narcotic class is one of the most effective for pain relief, so don’t be too quick to discard them.
Additionally, if you did not use an anti-emetic, certainly add one to your postoperative regime. (Michael A. Bogdan, MD, FACS, Dallas Plastic Surgeon)
Pain Control After Tummy Tuck and Mommy Makeover
The best way of managing pain after surgery is to prevent it from happening using medication and techniques before and during surgery. For example, I routinely give my patients Celecoxib before surgery, which is a powerful anti-inflammatory medication; this continues for 1 week after surgery. During surgery I do injections with local anesthesia to freeze the nerves around the tummy muscles to prevent them from becoming sensitized and painful.
Also, I prefer to use a “Local Anesthesia Pump”, which slowly infuses a solution over the coming muscles that helps to prevent pain and stays in place for 2 days following surgery.
Through these techniques and others most of the pain after surgery can be avoided. However, with that I usually prescribe alternatives to codeine for those who are allergic. These alternatives include Morphine, Demeral, Tramacet, Tramadol, Fentanyl Patch, Percocet (Oxycocet). (Cory Goldberg, MD, Toronto Plastic Surgeon)
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. (Thomas A. Narsete, MD, Greenwood Village Plastic Surgeon)
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. Tramadol or Nucynta would be unlikely to give you a reaction, since they are structurally different drug molecules. Speak to your surgeon about your concerns.there are plenty of choices. All the best, (Thomas Fiala, MD, Orlando Plastic Surgeon)
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 (Norman Bakshandeh, MD, FACS, New York Plastic Surgeon)
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. (Thomas Guillot, MD, Baton Rouge Plastic Surgeon)
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 well. For those patients who can’t take Codeine, I generally use either Dilaudid or Demerol. If nausea develops there are other medications that can be used to treat the nausea. Let your surgeon help you. (Ronald Schuster, MD, Baltimore Plastic Surgeon)
Pain Control after Tummy Tuck?
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. (Tom J. Pousti, MD, FACS, San Diego Plastic Surgeon)
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. (Otto Joseph Placik, MD, Chicago Plastic Surgeon)
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. (Earl Stephenson, Jr., MD, DDS, FACS, Atlanta Plastic Surgeon)
There are many medication and ways to control pain after any surgery. Discuss your specific situation with your doctor. (Samir Shureih, MD, Baltimore Plastic Surgeon)
Demerol is very good at controlling pain after a cosmetic procedure. Make sure your local pharmacy carries it before giving them your prescription. (Jeffrey E. Schreiber, MD, FACS, Baltimore Plastic Surgeon)
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. (Christine Sullivan, MD, Columbus Plastic Surgeon)
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 with Tylenol, however this medication has been removed from the market as of this month by the FDA. We are currently using Ultram as an alternative. (Paul Vitenas, Jr., MD, Houston Plastic Surgeon)
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. (C. Bob Basu, MD, FACS, Houston Plastic Surgeon)
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. (Steven Wallach, MD, New York Plastic Surgeon)