Specifically I am looking for an answer as to why my prescribed pain medications (hydrocodone) only last 2-3 hours (prescribed 1 evry 6hrs).
I have woken up during surgery 3 times. Once as a child having my tonsils removed (I remember it still today) and a 2nd time during oral surgery (iv sedation-was told to never come back-I recall everything said/done when I woke up).
The 3rd time, I forwarned the oral surgeon and once again I woke up during surgery.
Not only do I wake up, but I am fully coherent and aware of what is going on (I dont wake up confused)
I told the oral surgeon, upon waking up during surgery, that if "I was going to be awake for half of my surgery then I wanted half my money back" LOL
When I went in the next day for a check up, he was completely astonished when he asked me if I recalled anything about my surgery and said to him "Yes, I woke up and I told you if I am going to be awake for half my surgery then I want half my money back".
He then said with large round eyes "We had to give you a lot of medication".
Well, I told you so...
So is this why pain medications arent very effective, nor last very long for me?
Is there any relation between how a person's body metabolizes anesthesia and pain medication?
Question posted by debymcw on 23 Jan 2014
Last updated on 25 January 2014 by SpineLady
The information on this page reflects personal experiences shared by our community members. It is not reviewed for medical accuracy and should not replace professional medical advice.
3 Answers
Well I've never woken up during any surgery, but I was completely awake for my foot surgery, they couldn't give me enough medication to knock me out without killing me. The problem you're having with the hydrocodone is most likely because it's not strong enough for your pain. I've taken quite a few medications and if they only last a couple hours and you can't take them for another 4-5, then the drug is not hitting your pain, or one other reason could be you're waiting until you're in bad pain to take it. You have to stay on top of your pain or you'll never catch up with it.
As for the anesthesia, well that's most likely due to the type of anesthetic used, the amount and your tolerance. Which I know as a child you didn't have, but they tend to go with less on children than normal, and perhaps your body takes more to knock you out. As for the oral surgeon, they say you're under a general anesthesia, but it's nothing like what you get in a hospital surgical setting. Otherwise, they'd have to have an anesthesiologist there monitoring your oxygen levels and you would have been given a paralytic, which cause you to become paralyzed during the surgery, in case you tend to move or thrash about while out. That's why they strap you on the bed, as well. I do know that if you have any kind of major surgery as an adult the anesthesiologist will talk to you about any problems you've had in the past with a general and you would be sure to bring up all of these instances, then they're aware of it and modify the medications as deemed necessary. As far as I know there is no correlation between the absorption of medication or anesthetic and your metabolism. Like I said I've had over 13 spinal surgeries, one shoulder surgery, one sinus surgery, my tonsils taken out, a hysterectomy and several trigger point injections all using general anesthetic and I've never woken up, and my tolerance is extremely high!
If you have more surgeroes in your future, I would suggest a one-on-one with the Anastesiologist(sp?), I have done this myself and their the gurus when it comes to keeping us down during a procedure. Their business, their responsibility.
Besides that, yikes! How frightful! Some folks opt to be away but I think they need to get the job done without us. Were you very frightened?
Do you have more surgeries in your future? Stand your ground you pay them, see the pros, all of them first especially now that it is noted into multiple charts!
It sounds like you metabolize really fast. If you are having surgery where there is an anesthesiologist there is no excuse for you waking up however. Docs get a little carried away when prescribing pain meds too. Hydrocodone is supposed to be effective for 4 hrs, but they stretch it to 6.
Related topics
anesthesia, pain, hydrocodone, surgery, prescription, medication, pain medication
Further information
- Hydrocodone uses and safety info
- Hydrocodone prescribing info & package insert (for Health Professionals)
- Side effects of Hydrocodone (detailed)
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