POST-OP DISCHARGE HOME INSTRUCTIONS

(multi-modal pain management involves taking medications together that target different pain receptors)

BASELINE PAIN MEDS (take these around the clock)

1. 1. Tylenol (acetaminophen) 1000mg by mouth every 6 hours
   2. Lyrica (Pregabalin) 75mg by mouth twice daily
   3. NSAID (Non-Steroidal Anti-Inflammatory Drug)

CHOOSE ONE (take with food):

1. 1. 1. Celebrex (celecoxib) 200mg by mouth twice daily
      2. Advil/Motrin (ibuprofen) 600mg by mouth every 6 hours
      3. Aleve (naproxen) 440mg by mouth twice daily
      4. Mobic (meloxicam) 7.5mg by mouth twice daily

BREAKTHROUGH NARCOTIC PAIN MEDS (take these every 4-6hours only as needed)

1. Oxycodone (same narcotic in Percocet) 5mg

½ – 4 tabs by mouth every 4-6hours as needed for pain

2. Tramadol 50mg

1-2 tabs by mouth every 4-6hours as needed for pain

 

WEANING/STOPPING INSTRUCTIONS: STOP NARCOTICS IF PAIN DOES NOT REQUIRE THEM OR IF YOU EXPERIENCE SIDE EFFECTS (NAUSEA/VOMITING/CONSTIPATION/FEELING ‘LOOPY’)

 

ORDER OF DISCONTINUATION: STOP OXYCODONE FIRST, TRAMADOL SECOND, LYRICA THIRD, TYLENOL FOURTH.  CONTINUE NSAID IF POSSIBLE FOR 6 WEEKS POSTOP.