Tylenol 4 Vs Morphine 15

I have a spinal stimulate with two leads in my back for damaged nerves, mostly on the left side. During back surgery the left side lead was cut, which not only cause more pain for the recovery but was not discovered for 2 weeks. Because of Christmas nothing can be done until Jan.19,2017. Tylenol 4 does ok but it does not last very long, certainly not one every 8 hours. The doctor wants to switch me to morphine 15mg every 8 hours. I do not want to hurt from now until surgery, but I do to want to have a difficult time getting off meds after surgery. I am ready to be well, happy and back to my normal life. Could you detail the differences between the two drugs and the after effects that will have to be over come after surgery in Jan.

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Rose,

Happy New Years to you. It's very admirable that your ready to embark on this transition with a valid concern on pain control especially when it involves these very potent opiate narcotics. Although generalizations can be drawn about the effectiveness of formulation dosage and route of administration, individuality seems to be the biggest predictor of protocol effectiveness. Morphine is far more powerful than codeine ( dose specific ) as such produces far more side effects and tends to cause less ambulatory function. As a multiple back surgical survivor less is always preferable to more of any agent that contains a risk of habituation. MOST folks will not develop a tolerance when used for short term relief especially in this restrictive opiate climate but it mustn't be ruled out. My advice is to share your concerns with the surgical team ( anesthesiologist ) included and trust in their ability to transition you into a completely healthy person once again. God speed and best wishes....

P.S. Two rx's you may want to be extra cautious about taking are fentanyl and methadone. The reported side effects and inconsistent nature of these drugs have caused far too many adverse effects especially in the opiate naive patient.

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