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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by kerria on February 10, 2006, at 15:45:22
Today i had to have dental surgery. i delayed dental work that was in process too long and in retaliation i had to get an extraction and implant.
The dentist didn't give anything for pain because we already take pain med. Why doesn't oxycontin work for dental pain? It doesn't help migraine pain either.
The triazolam that i took for sedation still didn't wear off. It's makes me feel so strange. It was ok for the surgery- i wasn't too nervous, it was a small dose also, .25mg. i took it six hours ago and it still affects me. i'm falling asleep standing up and thinking that i'm at work when my eyes are closed. i thought that the phone rang at work- opened my eyes and i was home. It's so weird, it seems like i'm ok- but having so hard a time typing, keep falling asleep, thinking i'm somewhere else. when will it ever wear off?does anyone know?
thank you,
kerria
Posted by ed_uk on February 10, 2006, at 17:03:38
In reply to Triazolam for dental surgery- when will it wear of, posted by kerria on February 10, 2006, at 15:45:22
Hi K
>Why doesn't oxycontin work for dental pain? It doesn't help migraine pain either.
Opioids are not very effective for post-op dental pain. In general, NSAIDs such as ibuprofen are much more effective.
>when will it ever wear off?
By tomorrow, try to get some rest :)
Ed x
Posted by yxibow on February 11, 2006, at 6:40:28
In reply to Re: Triazolam for dental surgery- when will it wear of » kerria, posted by ed_uk on February 10, 2006, at 17:03:38
> Hi K
>
> >Why doesn't oxycontin work for dental pain? It doesn't help migraine pain either.
>
> Opioids are not very effective for post-op dental pain. In general, NSAIDs such as ibuprofen are much more effective.
>
> >when will it ever wear off?
>
> By tomorrow, try to get some rest :)
>
> Ed xIt has a half life of about up to 1-5 hours, its very short acting normally for sleep, Halcion should dissappear fairly shortly as Ed says.
But I disagree on opiods for dental pain. Percocet, or was it Percodan... oh my god was that stuff hilarious, and probably the only psychoactive drug I've ever taken in my life with the exception of my first experience with Ambien that I enjoyed. 4 wisdom teeth under local bupivocaine (remind me next time to actually have something to eat, I almost fainted from the blood... but back to something more pleasant...)... 50 minutes later and at home, for about 3-4 days, it was the ****, I tell ya! Cartoons were oh so funny before I passed out. No dental pain afterwards.
Some people don't respond to opiods, or certain opiods due to genetic reasons. And for small dental operations, 800mg of ibuprofen t.i.d. to q.i.d. is allright, but wisdom teeth -- give me percocet!
To good sportsmanship in Torino across the pond,
Jay :)
Posted by ed_uk on February 11, 2006, at 9:13:54
In reply to Re: Triazolam for dental surgery- when will it wea, posted by yxibow on February 11, 2006, at 6:40:28
Hi Yxi
Percodan contains aspirin which is an effective NSAID for dental pain. Opioids alone have shown poor efficacy in the treatment of post-op dental pain, but some patients do find them effective. NSAIDs are statistically the most effective treatment for dental pain.
Regards
Ed
Posted by valene on February 11, 2006, at 16:18:56
In reply to Triazolam for dental surgery- when will it wear of, posted by kerria on February 10, 2006, at 15:45:22
I am having the same dental surgery - extraction and implant, and the periodontist has given me a script for Tylenol #3 (if needed) and for Motrin 600mg.
Valene
Posted by Phillipa on February 11, 2006, at 19:14:14
In reply to Re: Triazolam for dental surgery- when will it wea, posted by valene on February 11, 2006, at 16:18:56
Why doesn't percocet work? Fondly, Phillipa
Posted by kerria on February 12, 2006, at 1:29:58
In reply to Re: Triazolam for dental surgery- when will it wea, posted by Phillipa on February 11, 2006, at 19:14:14
Thank you, Ed, yes- i tried taking ibuprofen and it made a big difference.
Hi Jay:) It must be because i'm so suseptable to dreaming maybe- the triazolam was with me all day. i wouldn't have been able to do anything like drive.
Hi Valene. That should be a good combination - i hope it goes well. What are you having for sedation?
Hi Phillipa. Percocet would have worked fine- my dentist wouldn't give it because i take oxycontin for severe pain. The Advil helps but i can't forget to take it.love,
kerria
Posted by ed_uk on February 12, 2006, at 4:21:30
In reply to Re: Triazolam for dental surgery- when will it wea, posted by Phillipa on February 11, 2006, at 19:14:14
Hi PJ
>Why doesn't percocet work?
Percocet does work for post-op dental pain but NSAIDs have shown better overall efficacy for this particular subtype of pain.
Percocet contains oxycodone and acetaminophen. Acetaminophen is somewhat effective for dental pain but less so than NSAIDs. Opioids alone eg. 60mg codeine are not very effective for post-op dental pain. 10mg IM morphine is effective but less so than NSAIDs.
Opioids are more effective than NSAIDs for certain types of pain wheareas NSAIDs are more effective for others. Post-op dental pain, headaches/migraine, acute gout, menstrual cramps, renal colic, pain due to rheumatoid arthritis, ankylosing spondylitis and pain due to bone metastases often respond best to NSAIDs. Opioids are most useful for severe visceral pain. Many forms of cancer pain respond well to opioids but a variety of drugs are often necessary to combat the severe pain of advanced cancer.
Love Ed xx
Posted by ed_uk on February 12, 2006, at 4:22:45
In reply to Re: Triazolam for dental surgery- when will it wea, posted by kerria on February 12, 2006, at 1:29:58
Hi K
Triazolam is an ultra-high potency benzodiazepine. Its effects can be quite dramatic.
Ed x
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