HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Brain Zap After Taking Vicodin. Taking Tramadol For Tail-bone Pain, Vicodin To Relieve Shot Site. Any Other Medicine In Place Of Vicodin?

default
Posted on Sat, 27 Apr 2013
Question: I am currently prescribed Tramadol for severe tailbone pain. I will be getting surgery and will be prescribed a narcotic. My pain management doctor prescribed Vicodin to relieve the shot site after getting a shot in my cocxxy for my nerve pain and it made my brain zap and did not feel well, it also did not block the pain...seemed as though the Tramadol blocked the effect of the Vicodin. What other pain medication can I take that will not cause brain zaps and block the pain meds from working, the post surgery is going to be very painful.

doctor
Answered by Dr. Jonas Sundarakumar (3 hours later)
Hello and welcome to Healthcare Magic. Thanks for your query.

Vicodine is a pain medication containing Hydrocodone, which is a opioid derivative. Tramadol is a narcotic-like pain medication which also acts on opiod receptors. So, it is possible that these two medication can interact and counter each others effect.

Some persons also report side effects such as drowsiness, impaired concentration or like you say, "brain zaps" after taking opioid analgesics.

I would suggest that you try NSAIDs like Diclofenac or Ibuprofen, which will not have such kind of side effects. But ensure that you take these medication after meals in order to prevent gastric irritation.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Jonas Sundarakumar (7 hours later)
I need to know what other opiates will help with post surgery pain that does not counter tramadol?
Obviously, I am not going to get the answer I am looking for...thanks for trying, but that was not the answer to my question.
doctor
Answered by Dr. Jonas Sundarakumar (14 hours later)
When any two opiates are given together, there is going to be a counter effect (what we call a competitive inhibition, where both drugs have to compete for the same opiod receptors and decrease each other's efficacy). So, it is not possible to have another opiod analgesic which will not counter the effects of Tramadol.

Usually in the post-operative period, stronger opiod analgesics, such as morphine or meperidine (demerol) may be given in the initial few days when the pain is severe, and subsequently, these may then be converted to milder ones. Also, a combination of opiod and non-opiod analgesics may also be used.

Regards,
Dr. Jonas Sundarakumar
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Jonas Sundarakumar

Psychiatrist

Practicing since :2003

Answered : 2190 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Brain Zap After Taking Vicodin. Taking Tramadol For Tail-bone Pain, Vicodin To Relieve Shot Site. Any Other Medicine In Place Of Vicodin?

Hello and welcome to Healthcare Magic. Thanks for your query.

Vicodine is a pain medication containing Hydrocodone, which is a opioid derivative. Tramadol is a narcotic-like pain medication which also acts on opiod receptors. So, it is possible that these two medication can interact and counter each others effect.

Some persons also report side effects such as drowsiness, impaired concentration or like you say, "brain zaps" after taking opioid analgesics.

I would suggest that you try NSAIDs like Diclofenac or Ibuprofen, which will not have such kind of side effects. But ensure that you take these medication after meals in order to prevent gastric irritation.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar