Tuesday, July 12, 2016

Opioid Prescriptions and Pain Following Surgery.


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Over the last few years the state and federal governments have been making it harder for doctors to prescribe opioid pain medications outside of the hospital, even after surgery. After my initial panic response I found alternatives in the medical literature. Since then I have been prescribing a Tylenol Motrin mix that has worked well in my mostly healthy patient population after surgery. In fact some patients have told me they prefer this approach to the standard opioid prescriptions because of the nausea, constipation, loss of concentration etc. associated with opioids. Now researchers from Stanford University School of Medicine published a review of the records of more than 641,000 patients who underwent one of 11 common operations and were not taking opioid pain medication during the year prior to surgery. They found that some patients were 1.5 to 5 times more likely at risk for chronic opioid use/abuse following surgery depending on the procedure. Males, the elderly, patients with a history of drug or alcohol abuse and those taking Valium like medications prior to surgery were at higher risk though the overall risk was low at about 1%. Now if the hospitals and surgery centers carried Exparel life would be much easier.
video


Controlling Pain After Cosmetic Surgery

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