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Prescribed 4 mg dilaudid for post op surgery pain SCS

I know nothing about this medication except it can work for pain in the correct dose. Some folks on this board are pretty good with the chemistry. I currently take Morphine ER 40 mg/2x a day. (Zip, Zilch, in relief). Then 15 mg (a 10 mg and a 5 mg) oxycodone every 4 hrs for breakthrough pain. Pain is not managed so Im getting the SCS Perm on Tues 9/3. My PM prescribed the dilaudid 4 mg every 4 hours for breakthrough pain POST OP INSTEAD of the oxy. With Toradol and soma. I know of no one who has had any relief with meds, post op Spinal Cord Stimulator. The good news Im getting Leads not paddles it's cervical.
I just want the honest truth of what to expect. Will this be a stronger than my PRE Op daily medication. My procedure is less invasive than paddles but I need to be prepared if I may be in for agony. Anybody think I might get a little coverage for pain??? Honest please!
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Comments

  • techgurl1988ttechgurl1988 Posts: 108
    edited 08/30/2013 - 10:05 AM
    TerriP said:
    I know nothing about this medication except it can work for pain in the correct dose. Some folks on this board are pretty good with the chemistry. I currently take Morphine ER 40 mg/2x a day. (Zip, Zilch, in relief). Then 15 mg (a 10 mg and a 5 mg) oxycodone every 4 hrs for breakthrough pain. Pain is not managed so Im getting the SCS Perm on Tues 9/3. My PM prescribed the dilaudid 4 mg every 4 hours for breakthrough pain POST OP INSTEAD of the oxy. With Toradol and soma. I know of no one who has had any relief with meds, post op Spinal Cord Stimulator. The good news Im getting Leads not paddles it's cervical.
    I just want the honest truth of what to expect. Will this be a stronger than my PRE Op daily medication. My procedure is less invasive than paddles but I need to be prepared if I may be in for agony. Anybody think I might get a little coverage for pain??? Honest please!
    EDITED TO REMOVE MEDICAL ADVICE. IT IS AGAINST THE FORUM RULES TO PROVIDE MEDICAL ADVICE, INCLUDING DOSAGE CONVERSIONS AND INFORMATION. ALL MEDICAL ADVICE AND DOSAGE QUESTIONS SHOULD BE ADDRESSED TO THE PATIENTS MEDICAL PROVIDER.
    Tracy,

    Grade 4 tear in l4/l5 was missed in first MRI so did injections for a year
    SI joints "messed up" not sure if I will get them fused at a later time
    Had Open PLIF L4/L5 5/28/13
    Woke up to permanent nerve damage in legs and feet.
  • remember I wont be taking percocette with Hydromprh. So I wont get 50% relief??? Its for 7 days but Im hoping to alternate back to my perco's before the week is up.
  • Please discuss your dosage concerns with your prescribing doctors, not on the internet. No ONE should be converting doses for another person on the forums. It is dangerous, and without the proper training and licensure, you don't know who is giving you this information.
    It is not wise, nor is it safe for any patient to be trying to convert their medication needs using a calculator, or conversion tool found on the internet.
  • TerriPTTerriP Posts: 303
    edited 08/30/2013 - 11:07 AM
    As I have never taken this before, IT HELPS to hear 2 people say they thought a week on it was a bit much. I have a weeks worth and will try to decrease before the week. That was helpful information from someone's previous experieance. I can only understand from my experience. I am taking 2 different medications. Not long ago I asked my PM Dr to give me an idea of how much medication I was taking if it was just percocette. He did the conversion or whatever and now I know about what Im taking in a 24 hour period. It's more than I've taken before and gave me the kick for the SCS. I know the post opp RX its a strong medication. Im not relying on anyone's tools or conversions from the internet. I wouldnt understand it. It was helpful to know 2 others felt they would try for the least amount of days. Thank you for that information whoever shared that with me.
  • Dilaudid is a great pain releiver, but it's short acting, unless you are prescribed exalgo, which is a time release version of the drug (like oxycodone is to oxycontin). I have been on narcotics for over 15 years, and have been on some hefty dosages of fentanyl, oxycontin, mscontin, and others. The drug the hospital "pumped" in me post-op was dilaudid, and it worked just fine. The anesthesiologist told me that it's one of the strongest painkillers available. She prescribes it post- operatively for people who need surgery, and have been on opiates such as oxycontin, mscontin, and fentanyl for an extended period of time. She said it's better to give a different drug than what the patient is usually prescribed post-op. i think you will be impressed with the dilaudid's pain relieving capabilities!
  • I have to be honest, I postponed this surgery for over a year. I had a lot of valid reasons and some not so much. The main reason was I was just so afraid of the added pain on top of what I have. I posted this thread as it appears Ive built up a pretty good tolerance to medication as its been a long long time. I wanted to go into the post opp pain with some realistic perspective of knowing relief will come or it really wont. I have on a heating pad on or near me 24/7. No heat after surgery. Right there my regular pain is thru the roof. Add surgery pain and I have been a chicken. So thank you, Im going to try and relax and have a little faith.
  • Post op restrictions and management of pain are both subjects that you need to discuss with your doctor. Once anesthesiology and your surgeon have your usual medication information, adjustments are made to either the meds that you are on already or by using a different med altogether. A good doctor is going to want to address your concerns before going ahead with surgery , otherwise, they may not be the right doctor.
    I'm sure that it will be fine, and again, I can not stress enough that you should contact the surgeon who is doing the implant to discuss your fears ahead of time.
  • Only one Dr can prescribe pain meds. The surgical center said they will give me Juice after surgery but bring my own meds. They wont give me a tylenol I asked. I believe Im comfortable with the info I have received from this thread. You may delete it if deem that appropriate. My questions have been answered
  • Bring your meds from your PM
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