Tramadol for tkr pain?
Posted , 12 users are following.
If you were prescribed Tramadol for post tkr pain what was your dosage and experience? I had trouble with Percocet and was switched to 50 mg of Tramadol every four hours, it was not so effective.
0 likes, 35 replies
lyn32416 Ozziegee
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lyn32416
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denisek64 Ozziegee
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I have been on tramadol for 8 months and naproxen tramadol I take 8 a day still in a lot of pain and not even had op yet but my pre op is on the 22nd June so fingers crossed op won't be long
CHICO_MARX denisek64
Posted
Talk to your doc about your post-op meds. He should have you on a bigger opioid right after surgery like hydrocodone (Vicodin, Norco) or oxycodone (Percocet). We're all different but most of us need something stronger than Tramadol for the first 2-4 weeks after surgery.
davidjk22 Ozziegee
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denisek64 davidjk22
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Might ask doc about those as I don't think the tramadol do anything apart from stopping me sleeping
cc91807 Ozziegee
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I found after that two Tylenol with one benedryl was a charm. Best of luck.
Ozziegee cc91807
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What's the Benedryl for? Sleep?
CHICO_MARX Ozziegee
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Benedryl is the expensive brand name for cheap, generic diphenhydramine. It usually comes in 25 mg capsules...the dosage is two capsules or 50 mg. As a true antihistamine, it has a side effect of drowsiness. It is the additional content to all the "PM" products (like Tylenol PM) because you take it at bedtime to help you get to sleep. If you don't need the pain killing effects of acetaminophen or the anti-inflammatory properties of ibuprofen, just take straight diphenhydramine 1/2 hour before bed...turn off all electronics...read a book. It just makes you drowsy...it does not actually put you to sleep. You have to do that yourself by being ready for sleep.
PS: I was married to a pharmacist for 25 years...you pick up stuff...
CHICO_MARX Ozziegee
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Percocet is OXYcodone with acetaminophen. The same strength opioid would be Vicodin or Norco which is HYDROcodone plus acetaminophen. According to NIH, they are equivalent pain relievers at the same dosages. You may do better on the latter, although NIH found a higher occurrence of constipation with the hydrocodone. Tramadol, while technically an opioid, is way less powerful a painkiller. Docs will usually prescribe it after you don't need the heavy-duty stuff anymore. Think of it as a transition drug between oxy/hydro and straight-up ibuprofen.
PS: Hydromorpone (Dilaudid) is way more powerful than either hydrocodone or oxycodone. About 7X as powerful as morphine. Docs don't use it the US that often because of respiratory concerns and almost never let you take it home. I get it in the ER when I have a kidney stone...nothing else works on me for that problem. I would LOVED to have had Dilaudid during my first two weeks home...outta luck on that.
yasmin66402 CHICO_MARX
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I really don't know how I'd manage post op without reading your posts chico marx .you're definitely the definitive article ! Thank you!
CHICO_MARX yasmin66402
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donna31498 Ozziegee
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Ozziegee donna31498
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Duckfan Ozziegee
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I was given 50mg Tramadol to take every four hours then every 6 hours. Also Methocarbamol twice a day. It worked well for me. I'm at 14 weeks and take two Tylenol a day and one ibprophen. Ibprophen makes my heart skip beats so I'm careful about that. I'm doing well, only stiffness but not much pain.