Medication Guide. Biologic Response Modifiers... 4 DMARDS for Rheumatoid Arthritis... 4

Transcription

1 NEWPORT ORTHOPEDIC INSTITUTE Table of Contents Medication Guide Medications That Can Interfere With Bleeding... 2 Aspirin Containing Medications... 2 Combination medications... 2 Acetaminophen Containing Medicines... 3 Prescription Medicines That Contain Acetaminophen or Aspirin... 3 Herbal Supplements and Vitamins... 3 Biologic Response Modifiers... 4 DMARDS for Rheumatoid Arthritis... 4 Other medicines you may be prescribed... 5 Senokot S... 5 Iron: (325 mg daily, available over-the-counter)... 5 Celebrex: (Occasionally an issue with insurance coverage)... 5 Pain medications:... 5 Narcotic (Opioid) Safety... 6 Always follow these important safety tips Opioid medicines can have side effects Less common side effects:... 6 Take opioid pain relievers safely

2 Medications That Can Interfere With Bleeding Aspirin Containing Medications Acuprin Buffex Halfprin Anacin Easprin Magnaprin Ascriptin Ecotrin Miniprin Aspergum Empirin Minitabs Aspidrox Entaprin Sloprin Aspir-Mox Entercote Uni-Buff Aspirtab Fasprin Uni-Tren Aspir-trin Genacote Valomag Bayer Aspirin Gennin-FC Zorprin Bufferin Genprin Sloprin Combination medications Alka-Seltzer Endodan Panasal Alor Equagesic Percodan Anacin Excedrin Robaxisal Aspircaf Goody's Body Roxiprin Axotal Levacet Saleto Azdone Lortab ASA Soma Bayer Aspirin Micrainin Supac BC Headache Momentum Synalgos-DC Damason-P Norgesic Talwin Emagrin Orphengesic Vanquish 2

3 Acetaminophen Containing Medicines NEWPORT ORTHOPEDIC INSTITUTE Actifed Feverall Sinutab Alka-Seltzer Plus Liquid Gels Formula 44 Sudafed Anacin Goody s Powders Theraflu Cepacol Liquiprin Triaminic Contac Midol TYLENOL Brand Products Coricidin Nyquil Vanquish Dayquil Panadol Vicks Dimetapp Robitussin Zicam Dristan Saint Joseph Aspirin-Free And store brands Excedrin Singlet Prescription Medicines That Contain Acetaminophen or Aspirin Butalbital Lortab Tramadol Endocet Oxycodone Tylenol with Codeine Fioricet Percocet Tylox Hycotab Phenaphen Ultracet Hydrocet Sedapap Vicodin Hydrocodone Bitartrate Tapanol Zydone Herbal Supplements and Vitamins We recommend that you stop taking all herbal supplements and vitamins at least one week prior to your procedure. Some may cause serious interactions with blood thinners, or anesthesia. Below is a list of common herbal supplements and vitamins. It does not include all herbal and vitamin supplements. If you are not sure about a supplement or vitamin that you are taking please call our office. Ajoene Ginseng Onion Extract Birch Bark Goldenseal Pau D Arco Birch Leaf Grapeseed Extract St. John s Wort 3

4 Cascara Hawthorn Sarsaparilla Cayenne Horehound Saw Palmetto Chinese Black Tree Fungus Horse Chestnut Senna Cumin Hydrangea Tumeric Echinacea Kava-Kava Valerian Root Ephedra Kolanut (Kola) Vitamin C Evening Primrose Oil Licorice Vitamin E Feverfew Melatonin Willow Bark Fish oil Milk Thistle White Willow Flax Seed Morinda Citrifolia Yerba Mate Garlic Nettle Yohimbe Ginger Ginkgo Biloba Noni Omega 3 Fatty Acids Biologic Response Modifiers DMARDS for Rheumatoid Arthritis Abatacept (Orencia) Etanercept (Enbrel) Methotrexate (Rheumatrex) (Trexall) Adalimumab (Humira) Infliximab (Remicade) Tofacitinib (Xeljanz) Anakinra (Kineret) Rituximab (Rituxan) 4

5 NEWPORT ORTHOPEDIC INSTITUTE Other medicines you may be prescribed Senokot S Constipation is a common issue due to the use of your narcotic pain medication, iron and a decrease in your activity level after joint replacement. We may prescribe Colace to prevent significant problems with constipation, particularly if you are susceptible to this. Milk of magnesia, Miralax, or over-the-counter bowel medication can also be useful for this problem. Do not take these if you develop diarrhea. Iron: (325 mg daily, available over-the-counter) Iron (ferrous sulfate) may be prescribed as well. You will take Iron one time per day for four weeks after surgery. Iron may make your stool dark or black. This color may persist for several days after completing the course of iron. Celebrex: (Occasionally an issue with insurance coverage) Celebrex is a non-narcotic medication used to treat pain. It is similar to medication such as ibuprofen, however, it does not increase the chance of bleeding. You may take this prior to surgery when you are not able to take other anti-inflammatories. Celebrex may be continued one time per day after surgery for 2 to 4 weeks to attempt to decrease the need for narcotics. Patients with allergies to sulfa may not be prescribed this medication. Pain medications: We will provide you with a prescription for pain medications if you go home from hospital. If you go to a rehab facility, they will provide you with a prescription for pain medications when you go home. The goal of the pain medication is to manage your pain, however, it will not make the pain resolve completely. The pain medication will make you more comfortable with physical therapy and sleeping. It is often helpful to take pain medication about an hour prior to therapy. You may not drive while taking narcotics pain medications. We recommend that you begin to wean or stop taking pain medication by four weeks after your joint replacement. Although the pain will not be gone, you should transition to overthe-counter medications Tylenol/Aleve/ibuprofen. You should also try other methods of pain relief and reduction of swelling including ice and elevation. Other forms of distraction including hobbies or visitors may help with pain control. 5

6 Narcotic (Opioid) Safety Always follow these important safety tips. Never taken opiod pain reliever unless it is prescribed for you. Take opiods only as directed. Do not take more opioid or take it more often than is prescribed by your healthcare provider. Do not use opiods with alcohol or any other drugs unless approved by the opioid prescriber. Protect and lock up your opioids in a safe place at all times. Properly dispose of any leftover medicine. Never share opoids with another person. It is illegal and dangerous. Be prepared for opioid emergencies. Know the signs of trouble and what to do for hopefully avoid overmedication or overdose. Read the instructions that come with your opioid prescription. Contact your opioid prescriber or pharmacist with any questions. Opioid medicines can have side effects. The most common are: Constipation due to opioids. You should ask your opioid prescriber how to treat this. Nausea may last several days. There is medicine that can help with this. Sedation, a feeling of being mildly tired or groggy, the last a few days after starting opioids or when the dose is increased. Less common side effects: Itching, dry skin, confusion, muscle twitching, dry mouth, sweating, fatigue, weakness, mild headaches, and are usually temporary. Allergy and addiction occur rarely to opioids taken as prescribed for pain. Take opioid pain relievers safely. Never chew, cut, crush, or dissolve openly tablets. Never open opioid capsules unless you are specifically instructed to do so. Opioid patches must never be cut or folded. They should stick of the skin completely. Follow directions for use carefully. Do not drive or operate machinery until you know how opioids will affect you. 6

7 NEWPORT ORTHOPEDIC INSTITUTE BE ON THE ALERT FOR OPIOID OR MEDICATION OR OVERDOSE (share this with your family and caregivers) Overmedication Warning Call Healthcare Provider. US residents can also call the national poison hotline at at any time of day or night. Intoxicated behavior, confusion, slurred speech, and/or stumbling. Feeling dizzy or faint. Feeling or acting very drowsy or groggy. Nodding off to sleep. Unusual snoring, gasping, or snorting during sleep. Difficulty waking up from sleep and becoming alert or staying awake. CAUTION: A PERSON WHO AT FIRST ONLY SEEMS TO BE OVERMEDICATED MAKE IT MUCH WORSE. THEY SHOULD BE KEPT AWAKE AND WATCHED CLOSELY. 7