Pain meds 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?

@gailb

@aprilarlady, I had RnY gastric bypass surgery 7/8/14, with a weight loss of 85 pounds currently. Because of this I too am unable to take NSAIDS. I started taking Hydrocodone/acetaminophen 5/325 mg over a year ago to relieve my pain from herniated disks at L5-S1 and L4, as well as a compression fracture at C7 and stenosis, degenerative disk disease, and arthritis. The Hydrocodone did not work for me. Last summer, I began seeing a pain doctor who took me off the Hydrocodone and put me on Tramadol/acetaminophen 30/325 (as I remember). That was working great, still with pain, but tolerable.

Then I injured my back additionally through traveling and lugging my suitcases back and forth weekly between my home and a job site. I had sudden acute pain that ended p with me in a wheelchair after several days of trying massage, chiropractic and acupuncture (my first time ever). I then had an MRI that showed the problems I described at the beginning of this post. My pain doctor added Baclofen 10 mg and changed my Tramadol to 50 mg without the acetaminophen. He said I could add acetaminophen for breakthrough pain as needed. This has been working great for me. I had outpatient spinal surgery on my L5-S1 on 12/22/16. I have had complete relief from the pain on my left side since then. But the pain on my right side continued. My pain doctor added Gabapentin to my medications. 300 mg twice a day.

My spine surgeon put me on Physical Therapy in late February, with both our goals to improve my core muscles and avoid surgery on my L4, which is completely out of alignment with my spine. The PT seemed to be working until my 4th session, after which I was in excruciating pain the following day and for several days after. Then suddenly it felt much better. I waited 2 weeks before I had another PT session and after that very gentle session, again I had excruciating pain and ended up in bed for 5 days only walking to the bathroom, icing and changing position about every 30 to 45 minutes. That was 2 weeks ago and I am still in pain. My pain doctor then tried Hydrocodone again when I requested it. But when I had used it previously, I took it with the Tramadol and I had good pain relief. He told me I should never take the 2 medications together. On only the Hydrocodone I had very little relief and after 3 days, I began noticing withdrawal symptoms from stopping the Tramadol suddenly. I stopped taking the Hydrocodone and went back to the Tramadol.

I am doing ok currently, but my pain level is a constant 7. I can’t do much exercise like walking around more than half a block (yesterday), which was very hard to do. This morning I am very tired from my activities yesterday. I had bought tickets, 2 months ago, to take my granddaughter to see “An American in Paris,” live at the Pantages Theater in Hollywood. I was determined to go if at all possible. She drove and was helpful for me in walking. But I’m paying for my fun today. I’m also participating in a medical research study for Alzheimers at the University of California at Irvine. Today I am having a PET scan as part of the study. Thankfully, they are sending a cab to pick me up and bring me back. It will be another active day for me.

So, I can recommend Tramadol and Baclofen as having been very helpful for my pain. I would not take Gabapentin, and i have asked my doctor to withdraw me from it. I wish you luck in your search for pain relief. If you have any questions, please feel free to contact me. Gail B

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Tramadol is utter crap and your hydrocodone is WAY too low. It’s a joke!

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@brambo

Tramadol is utter crap and your hydrocodone is WAY too low. It’s a joke!

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@brambo What med works for one won't for another I've been on Tramadol since I fractured my back It's the only med that relieves the pain.Just because it doesn't work for you is no reason to tell others (it's a piece of crap) Walk in that persons shoes first .Each persons body is different.Have a good day

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@lioness

@brambo What med works for one won't for another I've been on Tramadol since I fractured my back It's the only med that relieves the pain.Just because it doesn't work for you is no reason to tell others (it's a piece of crap) Walk in that persons shoes first .Each persons body is different.Have a good day

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It does not even work for my dog! Great if u get relief, but read more extensively, join all the chronic pain, CRPS and fibromyalgia sites on FB. You will see pure misery for 99%. They are researching alternative herbs etc due to the sheer volume of non pain relieving drugs with side effects being given them. And most are still barely functional except those on opioid therapy! How did Tramadol “”suddenly” become an opioid or opiate? Lack of adequate pain relief is contributing to overdoses and suicides. It’s fact

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An herb in the coffee plant family. Legal most places but it’s under attack. Steep learning curve. May help some but don’t take pain meds. It is a powder I can put in s drink or capsule it. FB has the knowledge groups. Do not believe what u read because big pharma can’t make money on it. Read Dr Christopher McCurdy in FL? Leading researcher

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@brambo

Tramadol is utter crap and your hydrocodone is WAY too low. It’s a joke!

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@brambo As with @lioness, tramadol worked for me after a knee replacement and after a hip fracture. It didn't eliminate the pain totally but it sure made it a lot more bearable. We all react to drugs differently. Hydrocodone helped with the pain but it kept me awake at night so I can't take that — I literally lay in bed for hours staring at the ceiling.
JK

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@brambo

An herb in the coffee plant family. Legal most places but it’s under attack. Steep learning curve. May help some but don’t take pain meds. It is a powder I can put in s drink or capsule it. FB has the knowledge groups. Do not believe what u read because big pharma can’t make money on it. Read Dr Christopher McCurdy in FL? Leading researcher

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@brambo, As other members have pointed out, Mayo Clinic Connect is a welcoming support community where members treat each other with respect. It is okay that people have differ opinions, but at all times members are respectful. Please see point number 2 of the Community Guidelines (https://connect.mayoclinic.org/page/about-connect/tab/community-guidelines/), which state:
2. Remain respectful at all times.
– Exercise tolerance and respect toward other participants whose views may differ from your own. Disagreements are fine, but mutual respect is a must.
– Personal attacks against members or health care providers are not acceptable. Such posts will be removed.

Regarding Kratom
Indeed kratom is derived from a plant as are many supplements and drugs, including chemotherapy drugs that can be highly toxic. Being derived from a plant or natural does not mean without side effects. Kratom is an unregulated substance, so we consulted a Mayo Clinic pharmacist on the posts. She offered the following information.

Kratom is a natural product but it does have significant risks and side effects. Because of these risks the FDA banned import of Kratom in August 2016 and issued a notice of intent to classify 2 chemicals in Kratom as Schedule 1 drugs (the same category as heroin). There are no FDA-approved uses for kratom, and the agency has received concerning reports about the safety of kratom. FDA is actively evaluating all available scientific information on this issue. (2019) https://www.fda.gov/news-events/public-health-focus/fda-and-kratom

Kratom can cause dependence and withdrawal symptoms including aggression, anxiety and other negative psychiatric effects, muscle aches, spasms, tremors, insomnia, fever and upset stomach. It can also cause dangerous slowed breathing and seizures. It can worsen psychiatric disease and may increase the risk of suicide. Kratom can impair liver function. Kratom interacts with other herbal medications including Jimson Weed. It interacts with sedating medications. It has the potential for many other drug interactions because of the way it is metabolized.

For more information see:
– National Institute of Health: Drug Facts, Kratom https://www.drugabuse.gov/publications/drugfacts/kratom
– Center for Disease Control https://www.webmd.com/mental-health/addiction/news/20190411/cdc-americans-are-dying-from-kratom-overdoses#1

Here are additional articles from Mayo Clinic on Kratom:
– Kratom: Unsafe and ineffective https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/kratom/art-20402171
– Kratom for opioid withdrawal: Does it work? https://www.mayoclinic.org/diseases-conditions/prescription-drug-abuse/in-depth/kratom-opioid-withdrawal/art-20402170

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@brambo

Tramadol is utter crap and your hydrocodone is WAY too low. It’s a joke!

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Hi there everyone I’m from Australia and this is my first post so be gentle with me. I had a Gastric Sleeve 13 years worked really well till they put me on Lyrica I put on a truck load of weight thanks to that drug. I have chronic back pain like you all a couple in the the neck and then from the start of the Ts through Ls to S1. I really take ownership of my pain after the Lyrica debacle I’ve been through a pain management clinic and learnt everything I can. But now when 1 of the so Health Specialists recommends something I go home and research the hell out of it first. For Instant sake I am having revision surgery done in 4 weeks for my Sleeve and I’m upgrading it to the Bypass and I wanted to know how it was going to effect the pain medication I take Palexia (Tapentadol). Which I take it 12 hourly most likely the way you all take your drugs as well not surprisingly know one could give me an answer. Because of what they do to your insides in the operation it changes how your slow release pain drugs are being absorbed cause they pass through your system so much faster. I’m lucky the Palexia I take does come in a instant release tablet that I can take 6 hourly and what I found while researching was it’s better to take it with food.

Doctor and other Health Workers just annoy me that they just do there bit and don’t worry about the finer points or side effects.
Hope I haven’t bugged everyone to much I mite do this again some time.

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@lioness

@brambo What med works for one won't for another I've been on Tramadol since I fractured my back It's the only med that relieves the pain.Just because it doesn't work for you is no reason to tell others (it's a piece of crap) Walk in that persons shoes first .Each persons body is different.Have a good day

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👍

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@bigjas747

Hi there everyone I’m from Australia and this is my first post so be gentle with me. I had a Gastric Sleeve 13 years worked really well till they put me on Lyrica I put on a truck load of weight thanks to that drug. I have chronic back pain like you all a couple in the the neck and then from the start of the Ts through Ls to S1. I really take ownership of my pain after the Lyrica debacle I’ve been through a pain management clinic and learnt everything I can. But now when 1 of the so Health Specialists recommends something I go home and research the hell out of it first. For Instant sake I am having revision surgery done in 4 weeks for my Sleeve and I’m upgrading it to the Bypass and I wanted to know how it was going to effect the pain medication I take Palexia (Tapentadol). Which I take it 12 hourly most likely the way you all take your drugs as well not surprisingly know one could give me an answer. Because of what they do to your insides in the operation it changes how your slow release pain drugs are being absorbed cause they pass through your system so much faster. I’m lucky the Palexia I take does come in a instant release tablet that I can take 6 hourly and what I found while researching was it’s better to take it with food.

Doctor and other Health Workers just annoy me that they just do there bit and don’t worry about the finer points or side effects.
Hope I haven’t bugged everyone to much I mite do this again some time.

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Good Morning and Welcome @bigjas747! I am in Arkansas USA and the original poster on this thread in March 2017. In August my primary care doc switched me from Hydrocodone to Nucynta ER (Tapentadol). I started at 100 mg twice daily. It is extended release. It works much better than the Hydrocodone at relieving my pain, but I do still have a good bit of pain. My dosage has been raised twice and I am at 200 mg now. When I have surgeries they give me the acute pain, quick acting version of the Tapentadol but it's just for a few days or a couple of weeks depending on the surgery pain. I absorb it pretty well considering I am gastric bypass. I hope it continues to work well for you and you are successful at losing your regain. God bless.

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Did you ever get a reply on this ?

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I'm new to this site. Does anyone ever get an answer from The Mayo Clinic ? Isn't that what we're looking for ? → Professional answers fro Doctors….

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@laurie1l

I'm new to this site. Does anyone ever get an answer from The Mayo Clinic ? Isn't that what we're looking for ? → Professional answers fro Doctors….

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Hi @laurie1l welcome to Connect.
I thought I'd jump in and mention that Connect is a patient-to-patient community. The most important ingredient on here is its members, like you. It is not designed to be a community for medical experts to give advice, but it's a place to learn from all your shared experiences, insights, suggestions, and tips. If you'd like to learn more about Connect, here's the "About Connect: Who, What & Why" Page, https://connect.mayoclinic.org/page/about-connect/ It has some great information.

On the other hand, you can view Mayo Clinic experts talking about various health conditions, treatments, published studies, etc. by visiting the Connect Pages at https://connect.mayoclinic.org/pages/

Lauri, Have you had gastric bypass with chronic pain?

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