What pain meds work well for Gastric bypass patients?

Posted by aprilarlady @aprilarlady, Mar 24, 2017

Good Morning. I am a gastric bypass patient 13 years out from surgery and maintaining my 150 lb weight loss. I have chronic daily pain from arthritis, degenerative disc disease, cervical herniated disc(s), torn meniscus, labral tear in my hip and recurring tendonitis in various places. I take Hydrocodone/Apap 10mg/325 4 times daily for pain since as gastric bypass patients we are not supposed to take NSAIDS. I get very little relief from this. It is in pill form. Does anyone else that is a weight loss surgery patient have this issue and find that it is due to malabsorption and/or anyone taking pain meds in liquid form get better relief?

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Oh my you sound like me. It has been 13 years for me. Too. The pain I have is constant. I was taking norco 10 325 and switched to perocent 7.5. No help. It only last maybe 2 to 3 hours. With the opioids addiction in the news it is making it very hard for the folks that is living daily with pain. I wonder if the liquid would be better than the pills? I go back to the doctor on the 25 th. I will have to suggest that. I thought after losing the weight it was going to prevent issues when getting older. ☹️

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@layladixon

Hi! I would write more if I were at my laptop, however I just wanted to quickly get out the info to you. I have suffered similarly and the butrans pain patch has been a life saver. Oxycodone in low miligram dosage takes too long to be absorbed before it is bypassed in my system and given a full affect. I finally have a great doctor that gave me that bit of knowledge as to why I had no relief. Please look it up.

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@layladixon @nataliejo @lioness
I have been on the fentanyl patch in 2014-2015. It worked great as far as relieving pain. I never feel high from opioids so I wasn't walking around like a junkie.
Fast forward to 2017.. I live in a different area with a different Doctor. He offers me the fentanyl patch but I opt for Percoset so that I have"room" to go in the event Percoset no longer work. On my last visit I told my doc the Percoset isn't lasting as long. He prescribed a new drug with the Percoset call Xtampza. It's a specially formulated time release Oxycodone safe for those of us gastric bypass patients. It's also made to minimize the chance of abuse. I like it so far. I take 18 mg one every 12 hrs with food.
If you have any questions, let me know.

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@lioness Both Fibro and arthritis are wrecking havoc on my poor little body. I'm from Florida where we've been getting lots of rain. Hope you feel better.

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@nataliejo

Oh my you sound like me. It has been 13 years for me. Too. The pain I have is constant. I was taking norco 10 325 and switched to perocent 7.5. No help. It only last maybe 2 to 3 hours. With the opioids addiction in the news it is making it very hard for the folks that is living daily with pain. I wonder if the liquid would be better than the pills? I go back to the doctor on the 25 th. I will have to suggest that. I thought after losing the weight it was going to prevent issues when getting older. ☹️

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@nataliejo and others on this thread, it always works best to take a liquid pain killer. Extended release mess don't work for us because they pass through our systems too fast after the surgery. My surgeon and the training team all told us that. Liquid Norco should work.

I'm wondering why you're all having pain? Is it stomach pain from the surgery? I've had several endoscopes since I've had pain at times. I have been diagnosed with gastritis (inflammation), but I think I was having it before the surgery. I now take Pantaprozole periodically when I get that pain and it works. Also, I was taking Tramadol 50 mg for back pain and it worked great for me. Thing is, even though you may become dependent on it, you shouldn't feel the need to take higher and higher doses of it. You may want to try it. It's a synthetic opioid so it acts differently from others like hydro and percoset. Personally, I would want to determine why you are having so much pain.

GailB
Volunteer Mentor

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@nataliejo

Oh my you sound like me. It has been 13 years for me. Too. The pain I have is constant. I was taking norco 10 325 and switched to perocent 7.5. No help. It only last maybe 2 to 3 hours. With the opioids addiction in the news it is making it very hard for the folks that is living daily with pain. I wonder if the liquid would be better than the pills? I go back to the doctor on the 25 th. I will have to suggest that. I thought after losing the weight it was going to prevent issues when getting older. ☹️

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I absolutely agree that Tramadol and pantaprazole are fine.  I don’t agree that Tramadol and Meloxicam are addictive.  I never overstep my dosing instructions.  There’s just too much uneducated twaddle going on.  Would they rather we lurk on street corners to score Heroin?  Or simply shoot ourselves?  There is an important thing called quality of life.  Some people can be so ignorant.  MaryLou

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@nataliejo

Oh my you sound like me. It has been 13 years for me. Too. The pain I have is constant. I was taking norco 10 325 and switched to perocent 7.5. No help. It only last maybe 2 to 3 hours. With the opioids addiction in the news it is making it very hard for the folks that is living daily with pain. I wonder if the liquid would be better than the pills? I go back to the doctor on the 25 th. I will have to suggest that. I thought after losing the weight it was going to prevent issues when getting older. ☹️

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@gailb Yes, I agree that our pain meds should be liquid.I had my surgery done by a world class surgeon in Navy Medicine. He was on staff at Camp David.When my current non military doctor wanted to prescribe the extended release for me, I called him. He is very excited about this drug. I am one of those people that Tramadol has never .provided relief.

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@nataliejo

Oh my you sound like me. It has been 13 years for me. Too. The pain I have is constant. I was taking norco 10 325 and switched to perocent 7.5. No help. It only last maybe 2 to 3 hours. With the opioids addiction in the news it is making it very hard for the folks that is living daily with pain. I wonder if the liquid would be better than the pills? I go back to the doctor on the 25 th. I will have to suggest that. I thought after losing the weight it was going to prevent issues when getting older. ☹️

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Yes for my Infusions, they use high dose liquid.

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@sandytoes14 Thanks Jen I had to take 2,Tramadol spaceout, but still hurts I've noticed for a couple of weeks I was symptom free but the last 2days symptoms came back Wonder if there's a down time with this?anyone know?

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Hi!
I just found this article that came from a WLS website. Hope it helps!

http://www.obesityhelp.com/articles/can-patients-keep-taking-nsaids-after-bariatric-surgery

If you cannot open from here, just copy and paste.

Ronnie (GRANDMAr)

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At the risk of being scoffed at-the weather has been playing havoc with my body. Barometer all over the place and all I can do is roll with thus. Botox injections for TMJ did not help :(. Unsure as t whether to try another round. $360 out of pocket is a risk on a fixed income.

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