Norco dose frequency

[Jolly]

When the wife had kidney surgery, the Norco 10/325 rule was not to exceed six/day. At one point, she also received morphine, IV push in the ED, on a subsequent really bad day. Opioid on top of opioid.

I think I'd follow doc's advice and supplement with acetaminophen, being careful not to exceed max dosage. Liver toxicity ain't fun, either.

[Jolly]

Dumb question of the day...

Can you stack Ibuprofen and Norco? Aren't they different pathways?

[Horace]

@Jolly said in Norco dose frequency:

Dumb question of the day...

Can you stack Ibuprofen and Norco? Aren't they different pathways?

I hope so, because I just took some ibuprofen.

[Mik]

There has been considerable noise lately that ibuprofen and acetaminophen together is better than opiates. That may just be a reaction to all the hubub about opiates.

[Horace]

By state law, I was prescribed narcan to go along with my opioid pills.

[kluurs]

Day 1 is always ugly. I hope things back off by Day 3.

[Mik]

Really? For Norco?

Wow.

[George K]

Yeah, stack the ibuprofen alternating with the acetaminophen. Basically, take one dose every three hours.

Noon - Norco plus extra acetaminophen.
3 PM - ibuprofen (400-600) or naproxen - 400
6 PM - Norco plus extra acetaminophen

Etc.

[Horace]

Sounds like a plan. Thanks George.

[George K]

If you take the Norco every 6 hours, you'll have a week's worth - 4 pills a day. But don't prn it. Take it round the clock. Don't let the pain get ahead of you so you're playing catch-up.

[Jolly]

@Horace said in Norco dose frequency:

Sounds like a plan. Thanks George.

Don't worry, the bill is in the mail.

[Horace]

@Jolly said in Norco dose frequency:

@Horace said in Norco dose frequency:

Sounds like a plan. Thanks George.

Don't worry, the bill is in the mail.

They do bill separately. The surgery center bills, the surgeon bills, and the anesthesiologist bills. I paid for the surgery center when I got there yesterday, $1400 since my deductible hasn't been covered yet.

The anesthesiologist for my surgery called me the night before to make sure I was fully informed about everything, I appreciated that. But then at the surgery there was a last minute replacement and I had a different guy. I've had last minute replacements of anesthesiologists for two of my last three surgeries now.

[George K]

How are you doing this afternoon?

[Horace]

Norco works. I feel fine as long as I keep the leg elevated and don't move.

[George K]

@Horace I imagine, with a tendon repair, the surgeon wants the leg immobilized for quite a while to allow healing and scarring to set in.

[Horace]

@George-K said in Norco dose frequency:

@Horace I imagine, with a tendon repair, the surgeon wants the leg immobilized for quite a while to allow healing and scarring to set in.

yes, one month before I'm allowed to bend it.

[Mik]

Did they put a brace on it to keep it from bending?

[Horace]

@Mik said in Norco dose frequency:

Did they put a brace on it to keep it from bending?

Yes. Much better than my previous tendon repair where they used a cast. A full leg cast which pressed against the top of my foot whenever I stood up to walk and which became extremely painful over time. These things are apparently surgeons' preference, cast or brace. There's no reason to use a cast, other than not trusting the patient to keep the brace on, I suppose.

[Mik]

I'd scream bloody murder if they tried to put me in a cast for that. Glad you have the brace.

[Horace]

I was assertive on at least one thing for this surgery, no nerve block. They would have done one otherwise. Last time I had a nerve block, on my arm from the shoulder, the surgery failed (probably coincidence) and when the block wore off my shoulder was clicking in places it never clicked, and did not feel right.