Hi there everyone?
- 9 Jan 2012 by smileyhappy
- 20 February 2012
- thyroid disease, pain, cancer, thyroid cancer, surgery, thyroid
I'm having surgery for thyroid cancer and was wondering about pain management right after the surgery. I cannot take morphine because I react to it. I cannot take demerol because I take a MOAI (not sure of spelling) Manerix which is an anti depressant that would give me a bad interaction. I find Tylenol with codeine makes me nauseous.
I remember when I had another surgery in 2001 they gave me a drug intervenously for pain you give to dialysis patients. Does anyone know what it would be or another name of a pain management for a short period.
Thanks in advance my friends!
Dear smileyhappy,I wish I could answer your question as far as meds. but I can wish you luck and you are in my prayers,luv,c be well.
Hi there Lynne alias Smiley, best of luck to you! And I mean that. Haven't looked up a possible answer to your question only because its time for me to call it a day. One of the, group will most probably have it, meaning an answer. If not, tomorrows another day. Enjoy the weather in the great white north, its been warm out your way, and try and not worry to much, I'll, as the rest of the DC family will do that for you, bye bye then,pledge
A Fentanyl Patch will help. Good Luck!
Hi Smiley Sweetie. The only IV drugs narcs that r usually given are morphine, Demerol, Dilaudid, and Fentanyl. I would guess it was fentanyl that they used n dialysis. Dilaudid can be quite nauseating. Under anesthesia they will definitely give u fentanyl. Don't worry. Why can't u take morphine?
Thyroid surgery is not too painful post operatively... maybe for a few days to a week. Can u take Vicodin or percocet? Always ask for something for nausea as a script to take home to be filled also. A coomon thing done In post op Surgical patients is to take 400-800 mg ibuprofen 2 hrs after the pain pill. This helps a lot.
Make sure that your anesthesia provider gives you zofran during surgery so u won't be sick.
I think u should be fine. It is a quite easy surgery from which to recover.
Good luck. I shall remember you in my prayers. What day is your surgery?
I am so sorry. The first idea that came to mind was IV dilaudid. Maybe with a pump. Then maybe some form of oxycotin.But those are all related to morphine, I think. Could you use fentinyl? or Buprenorphine? May God Bless and keep you at this difficult time, and may your surgery get ALL the cancer and let you be done with this. Sincerely, Harmony
Hi Lynne, I think your doctor will probably have it all figured out for you. If they know about the MOAI, I'm sure they will find something you can take. Just be sure you tell the nursing staff about your reactions to the others so someone doesn't give you the wrong thing. Be safe & things will be fine... Mary
Smileyhappy; I wish to have responce to your answer but due you take MAO meds. the options should be consulted with your dc. because MAO interact with a lot of pain relieve meds. I am happy your surgery is already done. Good luck.,
Demerol is the only one about which u should b concerned with the MAOIs... but, like Mary said, your doc should have that all figured out for you. Why is is that you can't take Morphine? Morphine releases more histamine than other narcotics so you may experience a little more itching and a little bit more lowering of blood pressure... but not much about which to be concerned. Some people think they are allergic to morphine because of the extra itching but if you do not have hives or swelling of your tongue or airway it is doubtful you have an allergy to it.
Good luck again... I know you will be ok but will still remember you in my prayers... hugs... pup
Hi smiley! I know several people who react to morphine. My hubby had night terrors when he had open heart surgery & wasn't able to sleep properly until after switching to Demerol. I personally like morphine & didn't notice any constipation or bad side effects when I'd used it.
My sister had thyroid surgery last year & is doing very well now.
I wish you all the best, Lynne! Here's to a good & speedy recovery!
from Wendy :)
Hi! As already stated, it was probably fentanyl that was given in the past via IV, this is a good and effective analgesic for many people. Other things you may want to discuss with your doctor/surgeon are combination analgesia, which could include acetaminophen (aka tylenol), celecoxib (aka celebrex), ketamine (not sure if this one is suitable for you?) or gabapentin (Neurontin)...
You can also have local anesthetic injections, such as chloroprocaine hydrochloride (nesacaine) or bupivacaine (marcaine) which will numb the immediate area, and in some cases it is possible to go home with a catheter that delivers local anesthetics so you can medicate yourself.
Only other thing i can think of is a nerve block, but i don't know how suitable it would be in the area of which you are having your op'?
Maybe one of these may be suitable? Regardless though, i will be wishing you well and look forward to hearing from you when you are on the mend. Best wishes!
I also have no clue about the dialysis med, but can you take opiates, like oxycodone? They are decent pain meds.
Just want you to know that you will be in my prayers on the 19th and always!
I don't have much to add, but will pray that all goes well for you, and hope you find something that works. God Bless! Ruth
Hello. Am curious how it all turned out for you. I found the surgery to be pretty minimal. They dont cut through anything but skin so Tylenol was really all it took. I had micro cell thyroid cancer. Not a big deal. These don't spread. And believe me I asked a ton of questions.
Remember it Takes time to adjust the thyroid meds and do not forget your daily calcium.
The scar may be tight. Not the surgeons fault, just how your body heals. I develop lots of scar tissue. Oh, well. The worse is over.
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