I am currently in methadone treatment and coming up to have surgery which will require anesthesia as well as pain meds. Is there any pain meds that are effective while in methadone treatment? I have a list of pain meds not to take and that aren't generally effective while taking methadone. I know that
Darvocet was one that was effective but it has since been taken off of the market. What if any are other choices? Is there any anesthesia medication I should avoid?
Thanks
I am having surgery requiring anesthesia and pain meds. I am a methadone user. What is safe and eff?
Question posted by Jhall85 on 25 Jan 2012
Last updated on 6 December 2017
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Answers
Jhall85,
As a nurse, I would first suggest you taking a methadone vacation for two - three days prior to your surgery. Since I don't know what kind of surgery or how long your hospital stay will be, I also suggest you speaking to your surgeon and anesthesiologist prior to surgery about your methadone treatment. They will be able to come up with a plan of action that works best for you. Generally speaking though, your doctor will know ahead of time what pain medicines will be prescribed during your hospital stay and also for you to take home with you for a limited time. It really depends on what kind of surgery you will be having and how long of a recovery period it will be for you. Best of luck with both!! Please insist that anyone taking care of you in the hospital including all nurses and doctors wash their hands and put on gloves before any procedure. This should be automatic for them, but unfortunately it isn't always the case. I had a minor surgery a year ago which included the dreaded catheter. You wouldn't believe how many nurses I had to insist wash their hands and put on gloves before touching the catheter. It only takes one time, not washing hands, to pass along some really nasty germs that can cause life threatening infections. Some people are afraid to say anything to the nurses, but just consider what can happen to you if you don't!!! Good luck!! NIK
Nik Thanks so much for your reply. I am having my uterus removed, repair work done to my rectum which has prolapsed (as well as my uterus), repair to vaginal area due to the above and bladder repair. It requires 1 night in the hospital but it is considered out patient. I just am really concerned about pain control since methadone blocks any type of opiate medication per my understanding. I know that
Darvocet was effective in combination with methadone maintenance but as I state earlier it has been removed from the market. Do you have any other suggestions now that I have detailed the surgery procedures? I welcome any help!!
Jhall85,
With all due respect, would you mind telling me why you are taking methadone? I ask because it makes a difference when thinking of taking a methadone vacation . Can your body tolerate not taking it for a few days? I'll explain my own situation to you and maybe it will help you to understand what I'm trying to say. I've had migraine headaches for most of my life. For the past 15 years , minus the last two years, I was being prescribed some very strong narcotics for pain control. I did o.k. For the first few years, never taking more than prescribed and only taking them when needed for the migraines.
Sorry to step in on your conversation, I just wanted to let you know that I am sorry that you are having the issues you are having and to also let you know that I believe if you will do as Nicki said,be very honest with every1 concerned,but too,i feel you will be fine coming off the methadone for the 3 days prier to surgery,also that the sub&methadone are pretty much the same kind of medicine. They both are used to detox one off of opioids/opiates, and that one is used to take one off the other, meaning the methadone can take one off the suboxone and visa versa. I do pray that your not in pain when your surgery is over so maybe if that's the reason your taking the methadone you won't have to take anything afterwards, if you chose of course.But with you not being on the methadone I don't see any reason why any narcotic, be it Lorcet, Percocet,etc.any of them will help with the pain b/c like you said the methadone stops any action from the narcs. So that being said, I thank you will be fine. Wish you well.
Jhall85, if you will friend me I will be able to ask you private questions, but until then, how did your surgery go? Did you have it yet? I hope everything is going well for you. Let us know how things turned out, we care about you here on this site. There are a lot of really good people here that will talk to you and help give advice whenever you need it. Talk to you soon I hope. NIK
Thanks so much. I wish I had done this days ago. You have been very helpful
Related topics
anesthesia, opiate withdrawal, pain, methadone, surgery
Further information
- Methadone uses and safety info
- Methadone prescribing info & package insert (for Health Professionals)
- Side effects of Methadone (detailed)
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