|
There is always a potential for physiological dependence and psychological addiction when taking opiates. However, if you are in pain, these are considered to be acceptable risks, as you can be withdrawn from the medications. It is the inappropriate prescribing of the pain medications by multiple physicians which leads to the addiction problems you often hear about. It would be better if you could be managed on the 5/325 version of the hydrocodone/apap as there is an uneccessary amont of acetaminophen, for most patients, in the 5/500. Otherwise this is fine, as long as the plan is for temporary coverage, and you are not exceeding your prescription.
The medication if taken in excess, can lead to slowed breathing due to the opiate, decreased mental function due to the opiate and liver damage due to the acetaminophen, But taken as prescribed, there has been no evidence of problems in patients with normally functioning respiratory and hepatic systems.
At this point I would not worry about the medications. I would put forth every effort to optimize the function and decrease the pain, so you can decrease and then stop the medications in the future. With 8 surgical procedures, the use of the hydrocodone is not unexpected, however, the longer you are on the opiates, the greater the risk of physiologic dependence, and subsequent psychological addiction occuring.
As an additional note, for Terry L. Tramadol, or Ultram is a synthetic opiate and has the potential for addiction and physiological dependence. Recently, I have helped several patients with withdrawal from this medication, after they had been told they could take it freely, as it was not habit forming.
|