Question:
Allergic to every pain medication I have ever taken

I've figured out after four major surgeries that I am allergic to any of the good heavy duty pain medications that I hear are used for post-op pain. Morphine, Darvocet, Vicodan, Lortab, Soma, Codeine - I can't take any of it without nausea and vomiting. I didn't use any pain meds when I had my c-section because of this, but I'm not sure if the pain from the open RNY will be as manageable as the c-section. What do I do if I can't have post-op pain relievers?    — Gretchen M. (posted on April 4, 2003)


April 4, 2003
Have them get in advance the reports from your previous surgeries. Get this info to your surgeon in advance and get them to consult with anestalogy. Previousa surgeries made me vomit terribly but there is great anti nausea meds availble today. With some planning you should do fine. Talk to everyone before surgery!
   — bob-haller

April 4, 2003
You are probobly not "allergic" to these medications. Nausea is an expected side effect to narcotics. Taking an anti-nausea medication along with the narcotic works well, sometimes visteriol not only helps the nausea but potentiates the pain releiving effects of narcotics.
   — DrQ

April 4, 2003
You didn't mention "Demerol". I chose Demerol over Morphine for my post-op pain as Morphine has always made me very sick. It works great and nooooo nausea. If this medication cannot be used either, you may want to check with Anesthesiology in that hospital and your doctor to see if they use spinal blocks to control post-op pain. Works fantastic and you won't get sick. Good luck!!
   — thumpiez

April 4, 2003
I think Demerol is Morphine mixed with phenagren to control the nausea. I always get nauseated too on pain pills, but I'd prefer nausea to intense pain. Ask your surgeon about that, there has to be some drug out there that won't make you sick. Joy
   — kjonhjk

April 4, 2003
Bob's advice is excellent, the anesthesiologists like to see your prior surgery records and to be made aware of your prior experiences. Add my vote to the Demerol fans, too -- after my RNY, morphine gave me some dry heave problems (and I just found morphine made me too "out of it"). For me, demerol was a vast improvement.
   — Suzy C.

April 4, 2003
I didn't use any pain meds for either of my surgeries and really didn't need them. I know that everyone's pain tolerance is different, but I think if you got through the post-op period of a c-section, you may be OK. I never even had a pain pump either time.
   — garw

April 4, 2003
I'll chime in and say that I didn't need any pain medication either. It wasn't a walk in the park, but I wasn't in excrutiating pain either. I've had two c-sections myself, and I think that the c-sections were more painful. After my initial surgery, I honestly believed that my surgeon had not performed my surgery, because I was expecting to be doubled over in pain. There's no guarantee that your experience will be the same, but hopefully you have a high pain threshold.
   — Melissa B.

April 4, 2003
Hi - I'm an RN and I work in surgery. I just wanted to chime in with an observation. Nausea and vomiting are not generally considered "true allergies".... not that it doesn't make you miserable. But my point is - If you tell your doctor and anesthesia doc early enough, then they can hep you plan for either alternative pain relief or for anti-nausea meds to take in conjunction with your pain meds. Just don't wait till the last minute to let them know! Good luck on your surgery. :)
   — Anne R.

April 4, 2003
Hi - I'm an RN and I work in surgery. I just wanted to chime in with an observation. Nausea and vomiting are not generally considered "true allergies".... not that it doesn't make you miserable. But my point is - If you tell your doctor and anesthesia doc early enough, then they can hep you plan for either alternative pain relief or for anti-nausea meds to take in conjunction with your pain meds. Just don't wait till the last minute to let them know! Good luck on your surgery. :)
   — Anne R.

April 4, 2003
I have allergic reactions to narcotic based pain killers. But I can tolerate dilaudid, which from my understanding is a synthetic form of morphine. This pain killers was used for me when I had a series of debraidment surgeries following a post-op staph infection when I had back surgery. I was on for 12 days. I did have withdrawl symptoms though, so when I had my open RNY I opted to not have any pain medication. The first 24 hrs were really rough but everything was pretty tolerable after that inial period. Talk to your doctor about your concerns maybe there's a medication out there that will work for you or possibly they can combine your pain medication with something for nausea. Good luck on your journey.(open, distal, non-transected RNY on 05/07/02, pre-op 263lbs 5'6'', now 153lbs, 11 lbs to goal)
   — Kelly S.

April 5, 2003
i am allergic to percoset and would not advise demorol either, when i took demerol after my c-section i had heavy duty hallucinations. i actually used my teeth to tear up hospital sheets because i thought they needed them for bandages down the hall, i also thought people werehiding in the closet and that my husband was cheating on me! Its funny now, but pretty scary at the time.
   — s H.

April 6, 2003
I am also allergic to more stuff than I can list. What a pain. My biggest problem is making people listen. So many nurses have tried to tell me that my symptoms are common until you insist on the words severe and accute. I just had my surgery on the 1st of April and it went fantastic. I made sure that my surgeon had lots of back up information from previous surgeries. I provided the anesthesia (sp?) reports. If you ask former doctors you can get them sent to your surgeon. Then they have records of your reactions to prior drugs. DO NOT BE AFRAID TO INSIST THAT THEY LISTEN...the only time I didnt (allegy to reglan) I ended up with chewed up cheeks, tongue and chipped teeth (the nurse did not appologise by the way). : ) Best Wishes!
   — K P.




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