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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 21 of 21. This is the beginning of the thread.
Posted by gardenergirl on February 19, 2009, at 17:36:21
My doc gave me a scrip for Vicodin for post-surgery cramping/pain but cautioned me strongly not to take it with Nardil. I can't find anything that states the two are contraindicated. Sheesh, did she even look it up? She actually wrote on the scrip, "Do not take with Nardil", and that is typed on the label on the bottle.
I'm not going back on Nardil unless I feel I have to. So far so good on that. But boy does this irk me.
Okay, going back for another nap now...
gg
Posted by seldomseen on February 19, 2009, at 18:16:04
In reply to Post-surgery Vicodin and Nardil, posted by gardenergirl on February 19, 2009, at 17:36:21
There is a major drug/drug interaction between hydrocodone (the narcotic in vicodin) and nardil, at least according to my university's drug interaction checker. In fact, it recommends that these two drugs not be taken with in two weeks of each other.
The interaction is severe, though rare and involved respiratory depression, coma and death.
However, because of the rarity of the interaction, I think you feel you need the Nardil, then call your doc. It can be managed.Seldom.
Posted by mav27 on February 19, 2009, at 18:36:00
In reply to Re: Post-surgery Vicodin and Nardil » gardenergirl, posted by seldomseen on February 19, 2009, at 18:16:04
Well there you go, i guess that's why you should listen to doctors who have spent years being trained.. funnily enough they often know what they are talking about.
> There is a major drug/drug interaction between hydrocodone (the narcotic in vicodin) and nardil, at least according to my university's drug interaction checker. In fact, it recommends that these two drugs not be taken with in two weeks of each other.
>
> The interaction is severe, though rare and involved respiratory depression, coma and death.
> However, because of the rarity of the interaction, I think you feel you need the Nardil, then call your doc. It can be managed.
>
> Seldom.
Posted by Phillipa on February 19, 2009, at 21:32:20
In reply to Re: Post-surgery Vicodin and Nardil, posted by mav27 on February 19, 2009, at 18:36:00
Surgery must have gone well. Sleep well also and heal. Love Phillipa
Posted by gardenergirl on February 19, 2009, at 22:06:54
In reply to Re: Post-surgery Vicodin and Nardil » gardenergirl, posted by seldomseen on February 19, 2009, at 18:16:04
Huh. My Epocrates database doesn't list that interaction on either drug's record, nor does it show up when you run an interaction query. It also doesn't show up as a contraindication or even a "use with caution" from my online pharmacy. I've found some sites which say that Nardil is contraindicated with "certain narcotics" without going into specifics. I am aware of the problem with meperidine.
At any rate, I doubt I'll need the vic, since I'm feeling better already, and I don't plan to go back on Nardil.
Thanks for the info.
gg
Posted by gardenergirl on February 19, 2009, at 22:08:34
In reply to Re: Post-surgery Vicodin and Nardil, posted by mav27 on February 19, 2009, at 18:36:00
> Well there you go, i guess that's why you should listen to doctors who have spent years being trained.. funnily enough they often know what they are talking about.
More often than not as far as I'm concerned. I was speaking of this specific situation. But thanks for the tip.
gg
Posted by gardenergirl on February 19, 2009, at 22:10:17
In reply to Re: Post-surgery Vicodin and Nardil, posted by Phillipa on February 19, 2009, at 21:32:20
Thanks, yeah it seemed to be fine, though there were six of those suckers to remove, not just two as previously thought. Mostly just tired now.
'night,
gg
Posted by SLS on February 19, 2009, at 22:21:13
In reply to Re: Post-surgery Vicodin and Nardil » seldomseen, posted by gardenergirl on February 19, 2009, at 22:06:54
> At any rate, I doubt I'll need the vic, since I'm feeling better already, and I don't plan to go back on Nardil.
That sounds positive.
Wouldn't it be cool if you didn't need drugs anymore?
- Scott
Posted by Midnightblue on February 20, 2009, at 1:10:08
In reply to Re: Post-surgery Vicodin and Nardil » Phillipa, posted by gardenergirl on February 19, 2009, at 22:10:17
Take care GG!
I was wondering how you were doing and if you had had surgery yet. Rest is always good.
MB
Posted by seldomseen on February 20, 2009, at 6:25:51
In reply to Re: Post-surgery Vicodin and Nardil » seldomseen, posted by gardenergirl on February 19, 2009, at 22:06:54
In my experience, Vicodin is a pretty poor pain reliever anyway and I think acetominophen is one of the more dangerous drugs out there.
Anyway, I'm glad that you are feeling better.
Take good care and rest.
Seldom.
Posted by SLS on February 20, 2009, at 6:35:20
In reply to Re: Post-surgery Vicodin and Nardil » gardenergirl, posted by seldomseen on February 20, 2009, at 6:25:51
> In my experience, Vicodin is a pretty poor pain reliever anyway and I think acetominophen is one of the more dangerous drugs out there.
>
> Seldom.
What would you recommend in its place? Do you think hydromorphone is too strong? It's too bad Oxycontin has such a bad reputation. I don't understand why Percocet is more widely accepted by doctors - why add acetominophen or aspirin when you don't have to?
- Scott
Posted by seldomseen on February 20, 2009, at 8:52:37
In reply to Re: Post-surgery Vicodin and Nardil » seldomseen, posted by SLS on February 20, 2009, at 6:35:20
As I'm sure you know, the idea behind adding an anti-inflammatory with an opiate is that the pain will be targeted two different ways: one reduces the cause of pain, and one that interferes with our perception of it.
In theory its a good idea, but I'm just not a big advocate of acetominophen in general. It's a liver thing, plus the fact it just doesn't do much for me.
My personal preference for moderate pain management, when one can afford to sort of "check out" for a while is ibuprofen coupled with phenergan (promethazine). For severe pain that needs to be managed at home it's MS contin.
I work in tandem with a bunch of physicians studying sickle cell disease, so I am well versed in pain management strategies. Percocet is the drug of choice for most patients with this disorder. It seems to be really good for chronic ischemic pain (or soft tissue pain as we refer to it). During acute pain crisis, demerol/dilaudid/morphine PCA appears to be the way to go.
For other kinds of pain, there are very very few options.
Seldom.
Posted by rjlockhart04-08 on February 20, 2009, at 19:28:15
In reply to Re: Post-surgery Vicodin and Nardil, posted by mav27 on February 19, 2009, at 18:36:00
I dont argue with my doctor, but i have to stay, and agree with whatever he "says". But, also doctor's need to know indivduel's are not the same.
Psychiatrists arent around 24/7 and dont see everything. But just let that person have panic attack! go the emergency, i'll have a lovely large pay check for the hospital. "Stuff happens"
rj
Posted by Phillipa on February 20, 2009, at 20:04:21
In reply to Re: Post-surgery Vicodin and Nardil » Phillipa, posted by gardenergirl on February 19, 2009, at 22:10:17
GG good you had the surgery. Hope you slept well. Agree with Scott would be great if didn't need meds anymore!!!! Love Phillipa
Posted by gardenergirl on February 22, 2009, at 20:19:50
In reply to Re: Post-surgery Vicodin and Nardil, posted by SLS on February 19, 2009, at 22:21:13
> > At any rate, I doubt I'll need the vic, since I'm feeling better already, and I don't plan to go back on Nardil.
>
> That sounds positive.
>
> Wouldn't it be cool if you didn't need drugs anymore?
Oh it so would, but it's not looking likely. I'm not feeling my best. Not horrible, but definitely room for improvement. Trying to get up the oomph to try exercise and other behavioral tacks, but not quite there yet...Thanks,
gg
>
> - Scott
Posted by gardenergirl on February 22, 2009, at 20:21:54
In reply to Re: Post-surgery Vicodin and Nardil » gardenergirl, posted by Midnightblue on February 20, 2009, at 1:10:08
Thanks! Boy howdy, the surgery was a lot easier than the diagnostics.
Hope you're doing well.
gg
Posted by gardenergirl on February 22, 2009, at 20:23:02
In reply to Re: Post-surgery Vicodin and Nardil » gardenergirl, posted by seldomseen on February 20, 2009, at 6:25:51
Thanks seldomseen,
Mostly I think it just put me to sleep. Fortunately, the pain wasn't all that bad.gg
Posted by gardenergirl on February 22, 2009, at 20:24:23
In reply to Re: Post-surgery Vicodin and Nardil » gardenergirl, posted by Phillipa on February 20, 2009, at 20:04:21
Thanks!
Posted by Phillipa on February 22, 2009, at 23:55:33
In reply to Re: Post-surgery Vicodin and Nardil » Phillipa, posted by gardenergirl on February 22, 2009, at 20:24:23
gg so are you thinking now you may go back on nardil? Love Phillipa
Posted by gardenergirl on February 23, 2009, at 13:12:06
In reply to Re: Post-surgery Vicodin and Nardil » gardenergirl, posted by Phillipa on February 22, 2009, at 23:55:33
I'm thinking I am having depression symptoms again, and they are not going away on their own, so I probably need to do something about it. I'm not automatically planning on going back on Nardil, but I don't have any specific ideas about alternatives at this point. I think I see my pdoc again in a couple of weeks.
gg
Posted by Phillipa on February 23, 2009, at 20:14:44
In reply to Re: Post-surgery Vicodin and Nardil, posted by gardenergirl on February 23, 2009, at 13:12:06
gg I sure hope not. Love Phillipa
This is the end of the thread.
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