Pain Medicine Side Effects

  1. Hey all,

    As some of you know, I went to the oral surgeon yesterday to finish preparation for a denture. Anyway, I am curious as to why the pain medicine he gave me makes me sleepy. He gave me lortab 7.5, and said I could take two if pain was bad. I took 2 within 45 minutes of each other yesterday and it flat out knocked me out. Just curious.

    Nick


    thanks.
    •  
  2. 18 Comments

  3. by   OBNURSEHEATHER
    You took 2, then waited 45 minutes and took 2 more? Or 1, then another in 45 minutes?

    They have narcotics in them Nick, and sleepiness/drowsiness is a common side effect. Don't operate any machinery, drive a vehicle, or solve any complicated math problems while under the influence!

    Hope you feel better Nick!

    Heather
  4. by   nrw350
    1, and then another about 30 minutes later
  5. by   OBNURSEHEATHER
    And on a side note, anyone notice how generous dentists are with narcotics? Almost half of the stories I heard when I worked rehab were "it all started when I had this root canal..."

    I tried repeatedly to refuse Vicodin when I had 2 wisdom teeth pulled, the dds insisted. I never took them, made it through with Motrin 800's.

    Just thinking out loud here on your thread Nick!

    Heather
  6. by   nrw350
    that is ok, at least i have been getting some good naps today lol.

    Nick

    PS: I wonder what this has done to my bp lol
  7. by   OBNURSEHEATHER
    WOW! Lortab 7.5. Let me break it down for ya Nick.

    Each one of those tablets has 500mg acetominophen (Tylenol) and 7.5mg hydrocodone (that's the narcotic part). In comparison, Vicodin has only 5mg of hydrocodone!

    I'd just curl up under the covers if I was you hun!

    Heather
  8. by   ageless
    "If you've ever seen "The Wizard of Oz," then you've seen the poppy plant -- the source of a type of drug called opiates. When Dorothy lies down in a field of poppies, she falls into a deep sleep.

    Opiates are made from opium, a white liquid in the poppy plant. They're also referred to as narcotics. Maybe you've heard of drugs called heroin, morphine or codeine. These are examples of opiates."
  9. by   nrw350
    hmm, what is it about opiates that makes people sleepy? I mean, i thought that they only affected a person's brain.

    nick
  10. by   kmchugh
    First

    I have to disagree with Heather. If you are hurting, by all means, take the Lortab. Generally, it is a great drug, and works well for most people in relieving pain. Unrelieved pain becomes a cycle, leading (at least for a while) to worse and worse pain. Once it becomes unbearable, lortab won't work. If two knock you out, try one, or one and a half tablets. NEVER EXCEED THE RECOMMENDED 24 HOUR DOSAGE!! Overdose of acetominophen is absolutely lethal to your liver. As time goes on (within a day or two) you will find yourself needing less tablets, less frequently, to control your pain. Taper off, and stop using the tablets when a simple anti-inflammatory (Motrin, etc) is sufficient to keep you relatively comfortable. You probably won't need the tablets for more than two or three days. People do become addicted to hydrocodone, but not generally when they are taken to relieve pain. If you stop taking them when they are no longer needed to control pain, then addiction is not a problem. I've used Lortab for pain as diverse as major ankle/foot surgery, knee surgery, and severe headache. It has worked well every time, and I stop when it is no longer needed to control pain.

    "hmm, what is it about opiates that makes people sleepy? I mean, i thought that they only affected a person's brain. "

    Where do you think the sleep centers are?

    That's kind of a complicated question, but here's the short version. There are a number of receptors in the body for opioids. The two we are concerned with are the mu and kappa receptors, both in the CNS. Both are sensitive to natural body endorphins, which opioids mimic. Both are involved in analgesia and sedation, though mu seems to be more responsible for analgesia (and respiratory depression), while kappa seems to be more responsible for sedation. By stimulating these receptors, the opioid functions to provide analgesia, and cause sedation. Nutshell version.

    Kevin McHugh
    Last edit by kmchugh on Jun 19, '02
  11. by   nrw350
    All I know is this med helps me get good naps lol. I have not been getting enough sleep lately as it is now anyway. So it is a good chance to catch up.

    Nick
  12. by   OBNURSEHEATHER
    Originally posted by kmchugh
    I have to disagree with Heather. If you are hurting, by all means, take the Lortab.
    Hmmm Kevin. Perhaps you misunderstood me, or perhaps something I said didn't come out as I had planned it to. I NEVER implied Nick shouldn't take the Lortab if he was in pain. I simply said that it was indeed a strong narcotic, and that he should be under the covers recuperating, and not doing anything complicated (or instead of farting around this BB).

    Just wanted to clarify that, because Nick is a good bud, and it was important to me that HE didn't read this and think I was misleading him. But I hope this clears it up with you too Kevin. I'm all too aware that it's usually UNDERMANAGEMENT of pain that leads to abuse, so that wasn't my intention if that's the way it sounded.

    Heather
  13. by   nrw350
    The computer for me is a means of pain management and escape. When I use the computer, it takes my mind off things that bother me. I know not to disobey my doctor's orders for the use of this medicine. I do not wish to jepordize my life by abusing medicine. I see this drug's effects on me, and want to do nothing that would incur harm to myself. With that said, I am going to bed.

    Nick
  14. by   nrw350
    Thanks heather. That last post of mine is not remembered by me. I am just coming off the lortab enough to start to feel pain again. I hope I am not a complaining patient by wanting pain med at the first feeling of any pain. I am sorry, I just can not handle pain. Thanks for careing about me.

    Nick

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