• Non-Opioid Pain Meds

    Asked by penny364 on Sunday, May 26, 2013

    Non-Opioid Pain Meds

    I'll be going in for a mastectomy in June and developed a reaction to opioid painkillers last year when I broke both ankles. Has anyone had experience with other types of pain meds? I don't think Aleve and Tylenol will be enough.

    10 Answers from the Community

    10 answers
    • abrub's Avatar
      abrub

      I was sent home from one surgery with Voltaren (Diclofenac). Also, Utram (tramadol) is a bit different from the standard opioids. I have problems with most opioids (codeine, morphine, hydrocodone (lortab), oxycodone (percoset or oxycontin), hydromorphone (dilaudid)] However, I can take tramadol, and it doesn't mess with my head. However, it can be addictive. I did have to be weaned from it after 6 weeks on it religiously (in the hospital.)

      Side note: mine was purely a physical addiction. When I missed a dose of tramadol, I would get shaky and nauseous. Weaning myself over 3 weeks was easy. And now I can use it on an as-needed basis. I'm once again post-op, having had recent shoulder surgery.

      about 4 years ago
    • karen1956's Avatar
      karen1956

      I can't take any of the narcoic pain meds as they make me sick to my stomach and bind me up soooo bad that after one surgery I had to go to the ER.....I know they gave me narcotics after bilat but I didn't take them for very long.......At the last 2 recon surgeries, PS Rx Ultram and the first time it also made me sick so didn't take it the next time....My pain med of choice is ibuprofin.....I take 4 over the counter which is the Rx strength.....it helps and keeps me from getting so quesy and bound up....thats all I used for my last 3 wrist surgeries.....HOpe you find something that works for you....

      about 4 years ago
    • abrub's Avatar
      abrub

      An added note: I find that taking Atarax (Hydroxyzine HCl) with some of the pain meds helps avoid the nausea that is so common. Atarax is very closely related to Benadryl, which has similar anti-nausea properties (it is often used for motion sickness under another label.)

      about 4 years ago
    • carm's Avatar
      carm

      Penny,
      Hello, I am an oncology nurse and I can understand your plight. There is no true allergy to morphine but there is a hypersensitivity to it. I might suggest that you ask for Tramadol which is a synthetic opioid. It is combined with tylenol kind of like a vicoden but without the codiene. Many people like the results from it. Best of luck to you, Carm RN.

      about 4 years ago
    • CAL's Avatar
      CAL

      The answers above are very helpful. Having never really gotten relief from narcotics like Tylenol with codeine or Vicodin with other injuries/minor surgeries I had prior to my partial mastectomy and having seen many of my patients (I am an RN) just be flaky and nauseated and constipated with narcotics, I asked my surgeon if he would consider Tordal immediately post-op. He didn't commit to it but apparently decided to give it a try and gave me a 30mg dose right at the end of the surgery (on top of all the anesthetics which included some IV narcotics). I can honestly say I did not really have pain. I took one of the Norco (basically the same as Vicodin) the next day but more to make me relax and sleep that evening, but other than that an occasional Ibuprofen for a couple days was all I needed. When my mother-in-law had a mastectomy 5 years ago at age 83, she insisted she didn't need anything for pain. She had been taking an Aspirin once a day for minor arthritis pain so I told the nurses to just give it to her as usual as I didn't believe she didn't have pain. I hope your experience is a smooth as both mine and my mother-in-law's was.

      about 4 years ago
    • raysmom's Avatar
      raysmom

      I take hydroxyzine HCI for my panic attack/anxiety disorder. I did not know that is was also useful as an antinausea med. That's good to know. Also, you may be happy to find out about it's calming effect. It may be beneficial to you during your cancer battle.

      about 4 years ago
    • Nonnie917's Avatar
      Nonnie917

      I take straight oxycodone without Tylenol. Seems to work for me without any reactions. Have you tried that? If not, ask your doctor about trying those for pain and explain why you do not want the mixed pain killers. Something in those ingredients is causing the allergic reaction you are getting. Vicodin is a mixed pain killer because something in that drug wired me and Percocet has Tylenol in it and it can and does damage the liver with constant use over time so that is why I am on straight Oxycodone. I take 10mg for pain and it works wonders. Doesn't make me groggy either so check with your doctor if you haven't already tried it. You are going to need a strong pain killer after a double mastectomy believe me. Been there done that. It was horrible the first few days then after they got the pain killer down me it eased up to where I could go home. I was in the hospital 4 days. That is something else. DO NOT let the doctor or nurses push you to go home the next day if you are in pain. You stay! You can do that and insurance has to pay for it. You do not want to go home when you are in extreme or even slight pain. You want to be where you can get the help you need when you need it and to make sure you do not start running a fever. Just play it safe and be sure you stand strong for what you want. Don't let the medical personnel bully you into something you do not feel comfortable in doing. Also with my experience I wasn't prepared for what I was going to see in the mirror after surgery (I didn't have implants I had DIEP flap done later) so when I took my shower the next day all I could do was cry. If you are having implants put in right away then you will not face that same feeling. I wish you the best of luck and hope it goes easy for you.

      about 4 years ago
    • oceanblue24's Avatar
      oceanblue24

      They prescribed Tramadol for me but I never used it. I had 2 mastectomies at dif. times & an axilliary node dissection & never had any pain with any of the 3 operations. I didn't have reconstruction though. The hardest part for me was the nuisance of the tubes! God bless & I pray you are pain free too. I

      about 4 years ago
    • abrub's Avatar
      abrub

      @carm - plain Tramadol or Ultram does not have Tylenol, tho there is a combo form (Ultracet) that has Tylenol in it.

      With all pain meds, it is important to know exactly what you have, so that you don't double up inappropriately.

      about 4 years ago
    • jenniferk's Avatar
      jenniferk

      I wouldnt call the double mastectomy surgery painful. The drains are the worse part and they are just sore if you bump them or get the tubes hung up on something. I did immediate reconstruction and my body rejected expander and they were removed 3 months later. The only pain med I took was ibuprofun(motrin)

      almost 4 years ago

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