• question-icon

    Can Hydromorphone be taken when on antibiotics for suspected sepsis?

default
Posted on Wed, 13 Aug 2014 in Medicines and Side Effects
Question: Dear Doctor, (1) If a patient is on antibiotics for suspected sepsis and probable pneumonia is it ever justified not to use hydromorphone for pain relief on the ground that the analgesia could affect a pt's symptoms in such a way as to mask the person's recovery or decline? (2) Would morphine be less likely to affect the symptoms in this way?
doctor
Answered by Dr. Ram Choudhary 4 hours later
Brief Answer:
both drugs affect same way

Detailed Answer:
Hi,
Welcome to healthcare Magic!
The hydromorphone and morphine both are good pain killers but tend to suppress sputum raising which is so important in presence of pneumonia.
The two drugs can suppress the finding apart from suppressed of respiratory efforts.
It is highly advisable that she should receive painkillers of different class.
I hope the advise would be informative and useful for you.
Take Care!
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
default
Follow up: Dr. Ram Choudhary 9 minutes later
Thank you Dr Choudary. The pt is nil by mouth. Could you tell me what different types of IV analgesics could be used in place of hydromorphone or morphine for pain relief which would not affect the signs of recovery or decline quite as much? As well as pneumonia, pt does have COPD?
doctor
Answered by Dr. Ram Choudhary 27 hours later
Brief Answer:
these are the options

Detailed Answer:
Hi
Welcome back.

The options are tramadol and paracetamol.

If kidney functions are okay then diclofenac can also be used.

She seems pretty sick, your local physician will know exactly suiting analgesic for her.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Ram Choudhary

Internal Medicine Specialist

Practicing since :2001

Answered : 2270 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Sepsis

doctor1 MD

my father is 69. has been in and out of hospital for last 4 weeks.
started with a cut in the foot..then blood infection from the cut..same time...

doctor1 MD

hi doctor, in October 2008 I was in my colonoscopy and bowel perforated sigmoid affected in such equipment. for 7 days taken any action in the...

doctor1 MD

PLEASE HELP!!! Freedom, and Freedom From the PAIN!!! Please Help!!! I have been diagnosed, (at U.C.D.M.C. Sutter Coast Hospital, Mad River...

doctor1 MD

Hi, my mother had sepsis and she had ARF, had to undergo dialysis thrice . her creatinine level was brought back to normal about 1.6. She is...

doctor1 MD

I have had a couple of incidents where skin protrudes from my anus after having a bowel movement. I have spoken with my P.C.P. about it. She called...

doctor1 MD

Hi, yesterday I found green pus at my anus and 2 cavities. Also there was a 3rd bump that looked like a boil that was not broken and still had pus...

doctor1 MD

My wife went t the ER with severe abdominal pain 5 days ago. She had a ct, blood work, ultrasound , and scope into the abdomin. All test came back...

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

139 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Ram Choudhary
  • Q - Frequent leg and back pain in different parts of body with swelling....

  • Q - Tested positive for HSV-2. Trying for weight gain. Will ensure plus have...

  • Q - Do you think taking poly iron will help heart racing? Is oxygen...

  • Q - Tiny itchy bumps that blanch when pressed randomly appeared on arms,...

  • Q - Abdominal pain which moves to testicle. CT, Urine test and USG scan said...

  • Q - Having severe back pain while sleeping. History of bladder and kidney...

  • Q - Bruise on back that pained. Pleurisy? Why did my nasal cavity start to...

  • Q - Jaw pain, bruises, lump under left jaw, stuffiness, facial pressure....

  • Q - Giraffe skin pattern by drying. Applying creams and exfoliation. What...

  • Q - Painful bump on buttocks, itches. Appears and clears. Whats this?

backtotop2