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Need to find new pain med before surgery in 6 days!

AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:40 AM in Pain Medications
I completely ruptured my L4 L5 disc. It crushed my nerve root so much that I had complete foot drop on my right side. I had a microdiscectomy, as well as a laminectomy to relieve the pressure on my nerve root. I have been dealing with severe nerve pain in that leg (mostly the lower leg/foot). My pain was not improving and I began to feel pain and grinding in my spine,which was then seem on new xrays, so I am going in for a anterior/posterior fusion in 6 days. I was originally on Norco 5/325, which never put me more than 50% out of pain. After ther spine pain started, my doctor increase it to Norco 10/325. I do NOT have a normal reaction to hydrocodone. I never feel any euphoria from it, it causes me to not be able to sleep, does not relive most of my pain, and most important, I pretty much will vomit the whole day unless I take some sort of antihistimine (which wont even stop the vomit if I take more than 15 mg of hydocodone).The fentyl and Diladid seem to work in the hospital, even though they still have to give me something for the vomiting. I have also tried Tramadol, whick makes me feel like I have the flu, not violent vomiting. I can;t sleep due to the hydocodone, which when I add the list of drug I am taking, seems almost impossible. I am getting really worn down and the consetent pain doesn't help that. If anyone has had a similar experiance and has any idea what pain killer might work better for me, I would really appreciate some input. Thanks, Kate


  • Sorry, I can't figure out how to change my signiture at the end of my post. I am also diagnosed bipolar, 10 years. I am 27.
    I take the following medications, not all of them all the time except the first 4.
    Norco 10-325 (take 1.5), Gabapentin 600 mg, Promethizine, Clonapin 1-2 mg. I take these at the listed dosage every 6 hours. Also taken as needed-
    Flexeril, Ativan.
    For Bipolar- Lithium.
  • Welcome to SH :H . I really feel that you should speak to your surgeon about this matter esp since your surgery is just a few days away. Just let him know how the Norco is affecting you and if there is a chance it might be interacting with the Lithium. I don't know if he will change you to another medication so close to your surgery date but you can discuss with him how your post op pain will be handled. Maybe your surgeon or family doctor can prescribe you a sleep aid such as Ambien or Lunesta because getting enough sleep is very important.

    The Fentanyl you were given at the hospital was probably in IV form and it works right away. I was on Fentanyl patches when I had my fusion done and my pain mgt doctor increased the dose for me after surgery. It also comes in an oral lollipop form called Actiq for breakthrough pain.

    I also ended up needing more surgery after my microdiscectomy because my L4-5 disc reherniated 1 month post op and I had nerve compression and instability as well. My former surgeon had sent me to a pain specialist and that is when I was put on Fentanyl patches and Norco 10/325 for breakthrough pain.

    I can't tell you which medication will help you since we're all different and can react differently to any meds. It is best to take it up with your surgeon and I'm sure he will try to help you so that you'll be kept more comfortable. Some surgeons will have their patients cut back or even stop taking narcotics because the more you take, the harder it is to control the pain right after surgery.

    Please keep us posted and I hope your surgery will bring you relief from your pain. Take care
  • Hi, they finally put me on oxymorphone but there is also hydromorphone, not as many doctors will go to these morphine pills but I like them better than codiene myself. You need a main management specialist as soon as possible, maybe someone younger that knows the new drugs out there, at least that is what worked for me. The drugs I'm on have been out for about 2 years. I also use Cymbalta, but some people like Lyrica for nerves, etc. Take care and good luck with surgery.
  • Also, (sorry for another question) with my nerve damage is it normal for me to fell like I have restless leg syndrome? I feel like I have to move or strech my legs constantly while laying down. This is also adding to my lack of sleep. I am worried about feeling so run down going into my surgery. I have both Lorazapam and Klonapin to help me sleep, but it is like I am an elephant or something, nothing puts me down. I am always on the manic side of my bipolar, so that doesn't help either.
  • My pain management Doctor had me on Avinza 30 Mg's after my 1st surgery. Avinza is Morphine Sulfate and it is an extended release medication. Currently I am on 80 Mg's of Methadone, but now my pain has change considerably, plus I've had 4 more spinal surgeries since my original one in 07. Good luck with you surgery!

  • best suggestion that anyone can make is for you to make sure that your surgeon and all of your doctors have a complete list of whatever medications you are taking, and how often. I wonder if you have some kind of interaction going on , especially since I see that you are taking at least two kinds of very similar type of medications. It would explain why you are vomiting from what appears to be one medication. I would suggest you go to one of the drug sites on the internet and check all of the medications, supplements, etc for any interactions.
    Your surgeon /doctor should be able to find a different medication for you that doesn't cause vomiting, better than anyone here can recommend for you, since what works for one may not work as well for you.
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