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Tooth Extractions & Painkillers
Hello all, this is my first post.
I am sitting here with bloody gauze in my mouth, 3 hours after having my abscessed, broken tooth pulled.
I was prescribed Hydrocodone (generic for Norco 10-325 (10 mg?))
plus 800 mg of Motrin and an antibiotic.
They gave me 12. Only 12 painkillers!!!!!!!!!! Weak ones at that. I am really frustrated. I am screwed.
I can't come off like a needy addict or they won't help me at all, but this is such a paltry amount for such a weak drug.
So the bottle instructs me to have 1 every 4-6 hours and I have had 4 so far. No 'funny feeling' like some people get with painkillers. It is okay so far but the pain is going to be much worse tonight after novocain is totally gone.
The point of this rant is to complain, but also ask you,
"How do you talk to a healthcare professional about needing a high dose of narcotics without sounding like an addict?"
and "What should I do when I run out?"
Do they understand that some people have high metabolizing livers?
thanks for reading (sorry it is so lengthy), I appreciate any insight you may have.
Originally Posted by happy-valerie
I think you answered your own question. No health care professional that is legitimate is going to give out scripts for pain meds when they already gave you some and you are requesting more. Put yourself in their position and see it from there. A patient comes in and you perform dental work. I just had an extraction myself the other week and just this past Monday he sliced open my gums and drilled into my jaw bone to put 2 implants into it along with a bone graft. They gave me vicodins which I refuse to take so Advil it is for me but that is my decision being a formerly addicted to all sorts of pain meds person. Anyway say you are a dentist and did what they did to you to a patient. You have done this already hundreds if not thousands of times. You know without thinking about it about how much pain med is needed and for how long based on the average reasonable patient. Give or take a few here and there. They gave you actually what sounds like a stronger dosing as usually the ones I see are 5/325 or 5/500 of Vicoden or sometimes the 7.5/750 size. If the instructions on the bottle say to take 1 tablet every 4 to 6 hours that is what they will base the request for refills at. Abuse of narcotic pain meds is rampant and one of if not the leading abused substance that is scripted out. They are cracking down so no scripter is going to want to take a chance. They are responsible and liable for many things and it is not uncommon for them to be taken to court because a patient misused a substance. Even though they have no control over what a patient does it is the time, money, hassle they have to go through. The pain meds are scripted for pain not for recreation or to get a buzz off of.
10mg of narcotic is a potent amount. The effects of all narcotic pain meds are supplemented and the actions enhanced by adding acetaminophen or ibuprofen. It actually works better that way.
Let me ask you something.
Why do you need more pain meds? Three days of dosing is reasonable.
Why do you need a higher strength or more potent pain med?
You sound like an addict that is in frenzy because you can't get your fix or the one you want.
You stated: "The point of this rant is to complain, but also ask you,
How do you talk to a healthcare professional about needing a high dose of narcotics without sounding like an addict?"
The answer to this is no normal or reasonable person that is not addicted would request what you are complaining about.
Your question of: "What should I do when I run out?"
If you are truly in pain and you run out you call your prescriber and work it out with them. In this case your dentist or whomever did the extraction.
Lastly: "Do they understand that some people have high metabolizing livers?"
Your dentist is not a GI Specialist. They did not run any liver function tests on you. They pulled a tooth out. How would they know that anyone has a liver that metabolizes faster? The opiate receptors in your brain can only take so much. The answer is like drinking water. If you drink a glass of water slowly verses fast you still have one glass of water in your system. Putting more water into your system is not going to change the fact that you put one glass of water in your system no matter how fast you drank it. If you quickly drink it then down another glass of water that means you consumed more. It won't soak in any faster than it is going to. Too much water is not good for you. Same with opiates.
Not trying to argue but you posted and you asked so I am just saying is all.
Hope you feel better.
I had all of my top teeth pulled for a partial plate and all I used was Ibuprofen. I would never use narcotics for teeth extractions. The dr was doing you a favor. It will hurt a couple days and you'll be fine. You don't need hardcore narcotics for teeth extractions.
I am not a dr. My statements are based on years of experience and related education. Consult with the professional of your choice regarding matters of concern.
I do appreciate the input...I may be a nut, but I think that patients should be given the gift of no pain & a weee bit of euphoria, after they spent money they never had on their failing body.
Also, I have been tested because of my inability to 'hold' medicine. in the past, I had weekly blood tests to measure it, and the docs had to put me on a unusually large dose (an anti-convulsant) to appear in my blood as a normal level. they said I metabolize it too quickly. Even as a kid I would take doses larger than my mom.
I'm hurting, and delerious, disregard the entire thread. I'm going to make out with an ice pack.
You are probably not going to believe this but I had SEVERAL teeth pulled at tthe same ttime. I was given a script for tylenol w/codiene. Weak stuff. Needless to say it did not help the pain. When I called the dentist for sometthing more, he said take FOUR motrin which is equal to perscription strength motrin. I was really p.o'd being the long time addict that I was and looking for something to give me a buzz while it killed the pain. Well, surprise, surprise. I took the motrin, 4 at a time, and it killed the pain to a great extent. Sometimes we tthink we need a narcotic but it's nott necessarily the case.
you are all right. I didn't want to settle for 'uncomfortable mild pain' but 'no pain and happy as a loon'.
why wouldn't I want to have the better experience? it is not a moral issue.
It's the difference between addict thinking and non addict thinking. My mom had surgery, was given one dose of morphine after, hated the feeling and refused it after that. I had surgery, had a self controlled pump of dilaudid, and I was a happy camper, pumping away non stop and I never would have turned down a narcotic. I was in true pain but I'm sure a non addict would have pumped less lol. (even though, of course I knew the amount was limited).
I cannot understand it when people are completely indifferent to it, even as a child I always knew that you get as much as you can while you can. as if we were born with
a pleasure-seeking chip.
I realize this is an old post, and what I'm writing pertains mostly to future folks who might come across this post while doing a search for tooth extraction.
As a former addict I always sought narcotic pain pills after any dental procedure. A dozen (12) pills was usually the max the script was written for. I could usually get a second script if I called in a couple days later, which I always did.
But that's old news. What I want to say is that the pain from a tooth extraction comes from the swelling that results as the swollen tissue presses against nerves and this causes the actual pain. The very best med I have found, to really take care of the pain, is ibuprofen. Ibuprofen relieves pain my reducing swelling at the pain site, and since swelling is what causes the pain..............well, you get the picture! OTC Ibuprofen comes in 200mg tablets and I have been told by different drs. that I can take 4 of the 200mg tabs and that it is equal to a prescription 800mg Motrin. It can also be taken every 6 hours, with the 24 hour max dosage is 3200mg's.
Pain from most extractions is usually gone in 2 or 3 days, so a large supply of narcotics is not needed. If pain gets worse, it is usually from a dry socket, and can be taken care of a drop of Oil of Clove on a tiny cotton ball and placed in the tooth hole.
Just some life experiences I thought I would relate!
I would actually think that is fine. That is 3 days after that you can start taking OTC. When I got my wisdom teeth pulled they gave me 4 days. And actually when I got a molar pulled (cracked in on a tootsie pop) I don't remember getting anything.
Last edited by nobby02; 05-05-2011 at 01:53 PM.
If you want more painkillers & are afraid to get them from your Dr./ Dentist go to the ER after business hrs or even better on a Fri night, they know you will have to wait til office opens on next business day & will prescribe accordingly. I LOATHE oral pain so I get it! Good luck!