Post Op pain in a patient on Naltrexone

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  • čas přidán 19. 12. 2018
  • In this video we will describe how to approach post operative pain in a patient taking naltrexone

Komentáře • 19

  • @sixfathomsdeep1942
    @sixfathomsdeep1942 Před 4 lety +3

    How does this channel and videos have so few views? I've watched all the videos in this channel, and think there's a lot of good, well presented information here.

  • @_RobBanks
    @_RobBanks Před 4 lety

    This guy sounds like he’d be a great Doctor.

  • @_RobBanks
    @_RobBanks Před 4 lety

    I wish they had more on me it took like 12 hours before I wasn’t balling my eyes out.

  • @RustinChole
    @RustinChole Před 3 lety

    I had a dental surgery - they had no idea what suboxone was. Woke up mid surgery. Totally sucked.

  • @kimbershark
    @kimbershark Před 3 lety

    I have a question that hopefully you can answer. I was recently prescribed buprenorphine for my chronic neck pain. After being on oxycodone for years I thought getting on buprenorphine would be better for treating my round the clock pain. Well fast forward 3 weeks and I go to my follow up and tell my Dr how I can barely talk due to all the sores inside my mouth and on the sides of my tongue :( I was also having horrible mood swings and severe short term memory loss. I told him I just don't feel right on this medication. Oh I forgot to mention the sweating... it was insane how much sweat my body produced while I was on buprenorphine. I would do the dishes for instance and my hair would be soaked in sweat! Absolutely disgusting. I also couldn't pee, which I did read was a common side effect. So my Dr had me stop taking the buprenorphine immediately. I was taking 16mg and when I saw him which was last Tuesday and it's Thursday I had taken 8mg and just quit cold Turkey. I'm going to go back to taking the oxycodone, but he is having me start the oxycodone slowly. For instance I was taking 10mg 4 times a day. But now he wants me to take 5mg for one week. Then after the weeks over go back to the 10mg 4 times a day. He prescribed me clonidine in case I get restless leg syndrome. So far I haven't had to take it as the withdrawals haven't been that bad. Tomorrow will be 3 days off the buprenorphine and I've heard that's when the withdrawals are at their worst 72 hours. Do you think the 5mg oxycodone that I'm taking 4 times a day is enough to keep the withdrawals at bay? If I would've know I'd have this kind of reaction to the buprenorphine I wouldn't have even touched it. Thanks in advance. Happy new years.

    • @nicod1886
      @nicod1886 Před 3 lety

      Hi Kim, I hope everything is working out okay? I have a similar situation / history and would love to ask you a couple questions somehow... if there’s even a way to send a message directly to you through CZcams 🤔.

  • @_RobBanks
    @_RobBanks Před 4 lety

    This is what I always worry about.
    I have had open heart surgery and I required ketamine because opiates weren’t available.
    I was in SO much pain.

    • @RebekahOMalley777
      @RebekahOMalley777 Před 4 lety +1

      They gave me the vivitrol shot before the suboxone was out of my system! It threw me into 100x withdrawal! I puked my guts out and was hospitalized! The side effects are horrible insomnia, severe nausea, abdominal cramping, whole body twitching, it's affected my taste and smell, I can still taste the vivitrol in my mouth and everything smells like it! I have a very high white blood cell count with no infection! I believe I have nerve damage from this shot! One doctor tells me it is the shot and I have to ride out the 30 days an then I'll be normal again! And the doctor that gave me the shot is denying it is the shot! Look at the side effects of vivitrol before you take it they are very real and I have had an adverse reaction!

    • @RustinChole
      @RustinChole Před 3 lety

      Ketamine?! Huh. Did you trip? I imagine that was the worst thing ever.

    • @RebekahOMalley777
      @RebekahOMalley777 Před 3 lety

      @@leecarcana1287 Yep, and I knew this....well had read it, heard it, but my dumb arse followed THEIR instructions, with only off sub's for 8 days..... I think it was a money making thing, they didnt really care what effect it would have on me. Worse experience of my life. Like I said couldnt do any thing but sit, spin, puke etc. Well its over, I made it through that..... NOW sub free for 6 months and what is said is also true, NO energy whatsoever. Praying that in time I may be me, again. Thanks for your concern and voice!

    • @RebekahOMalley777
      @RebekahOMalley777 Před 3 lety

      I should have listened to my mother. She warned me of the consequences of all my downfalls.....
      czcams.com/video/HXQUWmXzPeM/video.html&ab_channel=Termisium
      lol.....

    • @joanncoopertroupe3506
      @joanncoopertroupe3506 Před 2 lety

      @@RebekahOMalley777Ij am on pain mgmt. I takr 18 mgs every 12 hours X Xstapmza er... Hydrocodone 10-325 4 times a.. i wonder if i could be day. tried on this for my Chronic pain. I worry age 64.. beern on pain meds since early 40's..i always hate asking for med changes makes me feel like a Junkie sad as it Sounds!

  • @ethanboyd7843
    @ethanboyd7843 Před 3 lety

    After deleting previous comments, I realize I need to contact you on LinkedIn or somewhere more appropriate. I have anecdotal data, if there is such a thing, for dozens of these encounters. I'm a biologist and fellow ASAM member.

    • @ethanboyd7843
      @ethanboyd7843 Před 3 lety

      Add Heretic Benefactor to your credentials. But yes, short post-op prescriptions (even when just a few days of extended care would be better, and NMDA agonists with the regional anesthesia would be almost best practices. We're so far behind the Eight-Ball on this it's laughable when we know the physiology. There is a phenomenon of tolerance that grossly outlives our current physiological picture as well.

    • @ethanboyd7843
      @ethanboyd7843 Před 3 lety

      @Dude Sweet OK gotchya but is it not the gamma subtybe of the Alpha2-adrenergic delta ion gated channel that holds the pt+ action and regulates the Cl- influx and deranges the activation threshold? It's all or nothing we know this, help me out here, but don't just reiterate what you said.

    • @ethanboyd7843
      @ethanboyd7843 Před 3 lety

      @Dude Sweet Also just read what you misinterpreted. I'm a nonphysician publishing neurobiologist and idk if u had an idea of a question that was faulty, or if you are just kinda lacking the academic humility that is required to contribute somewhere other than here. Check my Brown-Alpert Grand Rounds introduction. You can take my CME course as well. (I just won't sell out to MedScape).

  • @westleybenson678
    @westleybenson678 Před 3 lety

    Don’t make their stress your stress. Haha. Don’t worry it will all be ok says the guy who’s not on MAT for OUD