Medication

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Hi.I'm 8 weeks post op.I'm still in pain mainly when doing pt. I take 8 paracetamol and 8 tramodol painkillers plus inflammatory Med. Been told by doctor tramodol are addictive and need to cut down on painkillers.but worried that if I start to come of pain killers I will not be able to do pt.what are your experience with Meds. Cheers

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  • Posted

    Tramadol.is evil. Taper off it as soon as possible. It can have some nasty side effects when stopped. Even Vicodin is easier to stop than that stuff. Tramadol is a synthetic opioid. Wasn't a controlled substance for a long time. Then they found out it can be mean.

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  • Posted

    Hello. I'm at 7th week recovery. I am on Norco, taking 3 times a day. And Percocet only when I go to physical therapy, I take 1 after therapy, nothing else. That's way too much for you to take. Try break it down and ease off the meds. I am hoping to decrease the Norco when my knee gets to feeling better. The pain is not bad but when it comes to exercises and walking I take it.

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  • Posted

    Hi patch28

    I had fallen 3 years ago and as a result had two arthroscopys and my current tkr. Because my knee issues were not resolved from the arthroscopys I was in constant pain. The only way I could get through my day was by taking Tramadol I had taken them on and off for 3 years for months at a time and daily for the past year. I am in no way addicted to them. I could and have stopped at anytime without any adverse side effects

    But I am not predisposed to be addicted to anything. Of course I can only speak for myself and everyone is different. And people do become addicted

    Not sure if you know but Tramadol is a synthetic opioid that in the States was at one point a schedule V drug which meant it was not considered a controlled substance. However about 3 years ago it was changed to a schedule IV. I think (and know first hand because of a job I had several years ago) that because some doctors were prescribing them like candy and thus people were becoming addicted that their status was changed.

    Please don't take my experience with them as what you should do but wanted to give you a little insight.

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  • Posted

    IMHO, I don't see any reports of people becoming "addicted" to these drugs at these levels in 4-10 weeks.  Typically, you'll start off of something like Vicodin, Norco or Percocet (some on Codeine), taper off to Tramadol short term and then OTC meds.  That's a typical titration routine, although people are always different in their med needs.

    Everything has side effects; some people do better on one med vs. another.  Kind of trial and error.  Example: Hydrocodone (Vicodin/Norco) plus anything Codeine-based can have constipation side effects...Percocet (OXYcodone) typically doesn't.  Don't be afraid to work with your doc to find the best med for you.  A lot of people find Tramadol doesn't work at all; for others, it's a nightmare.  All individual.  Having problems?  Change your meds.  You will titrate down off everything over time.  I'm 15 months post-op...can't remember the last time I took anything...

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  • Posted

    Are you icing and elevating lots? Worth slowly reducing opiates gradually.
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  • Posted

    Check for interactions but Voltaren Gel (RX in the US) is a great topical anti-inflammatory.  Helps especially at bedtime.
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  • Posted

    It was explained to me that ppl with geniune pain become physically dependent upon these pain meds rather than addicted which is is when they are taken for their high effects.

    ​So, if you are to reduce them it should be done slowly and gradually, rather then cold turkey - although some do that, it can cause some bad effects, so gradual is safer.

    ​There is lots of advice on internet but you are better going to your dr or pharmacy for advice as the dr prescribed them and knows your case.

    ​I had tramadol and paracetamol only as other meds were not suiting me then at home, my GP insisted reducing the tramadol to night time only and would not prescribe more. It made exercise and sleep difficult but I was forced to get used to the pain and it did subside - used the rub on gel on knee instead of naproxen due to the effect of  the drug on stomach.

    ​Reducing the tramadol to night only was not too bad, I then would lie watching tv in the hope of falling to sleep and not needing it. In a week or so, I did not seem to need it often. I did have a  migraine headache after stopping it and when taking it, it made me feel chills, depression and dizzy at times. Good luck - you may find it easier than you think to cope.

     

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    • Posted

      While there may be exceptions, I really haven't heard anything about addiction or dependency on a long-term basis.  We're on and off these meds pretty quickly titrating down to OTCs within 90 days so I just don't see it as a major issue.  Most people, like you, report that the doc pulls them off the heavy duty opioids pretty quickly leaving us to deal with some pain we'd rather not have.  Tough in the US as docs are really scared of prescribing them even though most of us truly need them on that short-term basis.  My wife has a rubber mallet by the bed just in case she needs to use it on me...

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    • Posted

      I'm in the UK but my GP practice don't like prescribing. I don't think they have much of a clue about TKR, thinking you should be off meds in a week or so like some other ops. I think the addition dependency thing is what they fear but I have no idea of the extent of any problems in the UK. There are many scary tales on internet groups but who knows?

      ?Rubber mallet, LOL!

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    • Posted

      I was on 10/500 Percocet and 10mg Flexeril for about 45 days...no problem getting off it.  I have not heard of anyone on the forum saying they are having a problem titrating down from the opioids to OTC meds much less getting addicted to them.  You might want to start a new discussion on "TKR Opioid Addiction" and get some actual facts about it.  I suspect that most of the chatter is just fear.

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    • Posted

      Not a big deal because TKR patients are almost always off the opioids within 60 days.  Docs will give you a 30-day supply and no more than one refill in the US.  Not many people can get "addicted" in that timeframe.

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    • Posted

      Ha! Maybe most docs give a 30 day supply with one refill but as you know, mine must be super paranoid about the DEA crashing down his door at 3AM. I was given a scrip for 14 days then told "that's it". I had to grovel at his feet and beg for mercy and then was grudgingly given a 7 day refill. That 7 day refill ran out last Thursday. My PT emailed his office on Monday as I was in so much pain I could not do the majority of my exercises. And we are still waiting for a reply.......

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