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.

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  • Posted

    Reading the other replies I can see why I had so much pain post op as I had real problems with most meds and my GP would not write me up for much once home - I had tramadol 50 mg x 4 and paracetamol, but GP did not me having tramadol and wanted me to wean off right away. They gave naproxen but I have gastric issues and it made things worse.

    ?I am in the UK by the way so things may be quite different to elsewhere. I found the tramadol to only take the edge off pain but better than nothing as that was the alternative for me, everything else offered made me sick. The side effects of tramadol were feeling horrible shivers and chills,  had to go bathroom through the night  more, emotional wobbles and some dizziness.

    ?The first day I went without, had severe migraine headache and nausea, maybe just coincidence as I did not take it for that long and I am told 50mg is a low dose, many are on 100 mg?

    ?Anyway, i just have paracetamol and voltarol cream now as and when at 11 weeks but knee is very stiff maybe the poor pain control has set me back, I don't know for sure. Hope you get on OK.

     

    • Posted

      Cynthia, Tramadol had the same effect on me, took the edge off and better than nothing, but .............don't know if it's a coincidence or not but I had trouble getting my pain under control and now am way behind in ROM at 15 weeks. 

    • Posted

      Makes me cross now but if and when (heaven forbid!) I need another TKR, I would not feel happy with thislevel again. Just had manipulation and has put the pain back a few weeks,  it was not painful till 2 days after and after physio bootcamp.
  • Posted

    Seems as if everyone had a lot more pain control than I ever managed to get my hands on!  first two weeks, paracetamol only . .(acetominophen) until I was able to get to the doctor again and almost bludgeon him into giving me something else. . so I got twenty tablets of zaldiar, which is 37.5  tramadol, and 375 paracetamol.  It didn't do a lot of good, but I had to raton them as I knew getting any more was going to be very difficult, so only three a day . . lasted a week.  After that I was on to the black market basically . . .until fortunately I found a doctor who was pretty much on tramadol all the time, and he prescribed some more for me. never went above the 37.5 three times a day though, and it was still difficult to give them up. 

    • Posted

      Geez...  Only acetaminophen the first two weeks?  I would have jumped off a bridge!!!  I was on Percocet and Flexeril, and the combination barely touched my pain.  I can't imagine what you went through.  Geez...again...

    • Posted

      My GP was the same, would not write me up for more tramadol after coming home from hospital. The first nights home were hell as there was no more morphine suddenly for night pain.

      ?Husband nearly took me to A & E, it was only that the local one shuts at night that we did not go as I could not have stood the long journey. There needs to be more awareness for TKR patients.

    • Posted

      Can't even imagine the pain you must have gone though. Your story is very disturbing.

    • Posted

      It's typical here in tenerife unfortunately.  On day three they stopped all medication except paracetamol, and from then on I got the distinct feeling they thought I was an absolute wimp for wanting more pain control. If I have to have the other one done, I shall make sure I have enough gtramadol in stock before I leave for the hospital . . there are always some chemist shops prepared to sell it without a prescription, but they are few and far between.

    • Posted

      the worst thing was that I had cistitis so had to get up about seven or eight times during the night. . .Jeez I really do NOT want to go there again!!!  I think the cistitis is probably caused by them using a catheter during the operation . . he was a slow surgeon . .three and a half hours. 
    • Posted

      I  can't see why they are so mean with the painkillers!  There can't be a lot of things more painful than the after effects of this operation, so what do we need them for if not for a TKR!  

  • Posted

    I had codydramol 500/10mg which is a mix of codeine and paracetamol. I also had ibroprofen. It was a good mix, because the ibroprofen is an anti-inflammatory which made a difference with the swelling. That was enough, but I was sent home with a bottle of morphine, though I never cracked it open...it was good to know it was there if needed though! Between medications I often used a TENS machine, and of course, ice, ice, baby! I imagine tramadol must be similar to morphine?
    • Posted

      Not even close!!!  Tramadol (Ultram) is technically an opioid but it's so weak that no one thinks of it that way.  That's why docs here, at least in Texas, dish it out so liberally.  They don't want to get on some list of docs that prescribe Vicodin, Norco, Percocet and Oxycontin.  Those are the basic painkillers that TKR patients need short-term.  

      Then comes morphine and then Dilaudid (hydromorphone) at 7X morphine.  When you take 2 mg of Dilaudid orally, you get about half the effect because of the body's digestive system.  The same dose given IV is a WHOLE other story.  I get that when I'm in the ER for a kidney stone.  Nothing...absolutely nothing...kills pain like that.  Wait...except for Fentanyl.  That's Top of the Line...the Big Enchilada...the Whole Nine Yards of pain killing power.

    • Posted

      At hospital we got morphine regularly... the last day I was there I didn't really need it but had a little half dose to celebrate my last day. I attempted to play a game of scrabble in the afternoon but had to abandon it, as bit was taking me too long to count out the letters on my rack.... fond memories!

    • Posted

      You have memories of being on morphine?  Really?  Well, that makes one of us...
    • Posted

      There wasn't a case a few years ago in our local hospital where a patient, her caregiver, ambulance crew and nurses at the hospital all came down with the same symptoms.  Everyone was freaked out and it came out in the paper a few days later that it was from handling the patient who was using a Fentanyl patch.  I still think it's a strange story and no other explanation was given.  

    • Posted

      Wish I wish I could edit.  I mean there was a case.  

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