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Patient Education - Medications

Commonly Prescribed Medications after Surgery

Thank you for choosing Augusta University Medical Center and the Minimally Invasive and Digestive Diseases Surgery Section at the Medical College of Georgia for your healthcare needs. This information is to help answer come common questions you may have about your operation and provide instructions to follow during your recovery period.

  • Click here for more detailed information on commonly prescribed medications.

Avoid driving until you no longer need narcotic pain medication and you feel you can make rapid movements unimpaired by pain. Driving while taking narcotics can impair your ability to drive safely.

It is very important to us that your pain be well controlled. Your pain should be controlled well enough for you to begin getting out of bed the morning after surgery and for you to perform deep breathing exercises. If you have pain that is not well enough controlled to allow you to walk or breathe deeply, talk to your surgery team. You may need to have your pain medications changed or increased.

Pain Medications

Percocet:
percocet

(oxycodone/acetaminophen)
Dosing: 5/7.5/10mg with 325mg acetaminophen (Tylenol)
Side Effects:

Constipation - Take any prescribed stool softeners or laxatives as directed
Drowsiness - Do not drive or use heavy machinery while taking oxycodone
Nausea - Take with food to decrease nausea, vomiting and upset stomach
Liver toxicity - Do not take other Tylenol (acetaminophen)-containing drugs
Respiratory depression

Do not take more than prescribed. Overdose could cause you to stop breathing.

Lortab, Vicodin:
vicoden
(hydrocodone bitartrate/acetaminophen)
Dosing: 5/7.5/10mg with 325mg acetaminophen.
Note: Vicoden contains more acetaminophen than Lortab so be sure to read the label on the drug bottle to check the exact amount of acetaminophen.
Side Effects: Constipation - Take any prescribed stool softeners or laxatives as directed
Drowsiness - Do not drive or use heavy machinery while taking hydrocodone
Nausea - Take with food to decrease nausea, vomiting and upset stomach
Liver toxicity Do not take other Tylenol (acetaminophen)-containing drugs
Respiratory depression
Do not take more than prescribed. Overdose could cause you to stop breathing.
Tylenol with Codeine:
tylenol with codeine
(acetaminophen/codeine) Typically referred to as T3.
Dosing: Each tablet contains 300mg of acetaminophen and 30mg of codeine.
Side Effects: Constipation - Take any prescribed stool softeners or laxatives as directed
Drowsiness - Do not drive or use heavy machinery while taking T3
Nausea - Take with food to decrease nausea, vomiting and upset stomach
Liver toxicity - Do not take other Tylenol (acetaminophen)-containing drugs
Dilaudid:
dilaudid
(hydromorphone)
Dosing: 1mg, 2mg, 3mg, 4mg, 8mg tablets
Side Effects: Constipation - Take any prescribed stool softeners or laxatives as directed
Drowsiness - Do not drive or use heavy machinery while taking hydromorphone
Nausea - Take with food to decrease nausea, vomiting and upset stomach
Respiratory depression
Do not take more than prescribed. Overdose could cause you to stop breathing.
Toradol:
toradol
(ketoralac)
Dosing: 10mg tablet
Side Effects: Kidney injury Usually only taken for 3 to 5 days
Upset stomach Can cause gastritis (inflammation of the stomach lining) or ulcers
Nausea
Take with food to decrease nausea, vomiting and upset stomach

Ultram:
ultram

(tramadol)
Dosing: 50mg tablet, 100mg in extended release tablet only
Side Effects: Nausea - Take with food to decrease nausea, vomiting and upset stomach
Diarrhea
Dry mouth
Constipation - Take any prescribed stool softeners or laxatives as directed
Drowsiness - Do not drive or use heavy machinery while taking tramadol

Anti-nausea Medications (Antiemetics)

Phenergan:
phenergan
(promethazine)
Dosing: 12.5mg, 25mg, 50mg tablets, 12.5mg, 25mg, 50mg suppositories
Side Effects: Drowsiness - Do not drive or use heavy machinery while taking promethazine
Dry mouth
Blurred vision
Zofran:
zofran
(odansetron)
Dosing: 4mg, 8mg tablets
Side Effects: Dizziness
Upset stomach Constipation, diarrhea, and/or cramping
Dry mouth
Reglan:
reglan
(metaclopromide)
Dosing: 5mg, 10mg tablets
Side Effects: Drowsiness Do not drive or use heavy machinery while taking metoclopramide
Diahhrea
Skin rash
Tardive dyskinesia - A rare side effect causing repetitive lip-smacking movements

Bowel Care - Constipation

Colace:
colace
(docusate) Stool Softener
Dosing: 50mg, 100mg, 240mg, 250mg capsules
Side Effects: Abdominal cramping
Diarrhea
Bitter taste
Dulcolax:
dulcolax
(bisacodyl) Stimulant Laxative
Dosing: 5mg, 10mg tablets
Side Effects: Cramping abdominal pain
Diarrhea
Nausea
Dependence if used for long periods of time
Senokot-S:
senokot-s
(senna) Stimulant Laxative
Dosing: 8.6mg, 17.2mg tablets
Side Effects: Cramping abdominal pain
Diarrhea
Dehydration
Dependence if used for long periods of time
Miralax:
miralax
(polyethylene glycol 3350) Osmotic Laxative
Dosing: 17 gram packet dissolved in 8 ounces of beverage such as juice or water
Side Effects: Cramping abdominal pain
Diarrhea
Dehydration
Dependence if used for long periods of time
Constilac, Cholac:
constilac, cholac
(lactulose)
Dosing: 10-20 grams or 15-30mL (1-2 tablespoons) per day
Side Effects: Cramping abdominal pain
Diarrhea
Nausea
Excess gas
Dependence if used for long periods of time
AVOID if you are lactose intolerant

Diarrhea

Imodium:
imodium
(loperamide)
Dosing: 2mg tablets or capsules
Side Effects: Dry mouth
Abdominal bloating
Nausea
Constipation
Urinary retention
Lomotil:
lomotil
(diphenoxylate hydrochloride/atropine sulfate)
Dosing: 2.5/0.025mg
Side Effects: Dizziness
Drowsiness Do not drive or use heavy machinery while taking lomotil
Dry mouth
Upset stomach
Bloating

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