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

question-icon

Why Am I Not Responding To Morphine For Pain Following A C Section?

default
Posted on Sat, 15 Feb 2014
Question: last night I asked why morphine didn't work for my pain after my csection. I was given 2 doses. One of your drs said must not have gotten full dose? I said I had gotten 2 doses.
doctor
Answered by Dr. Kerry Pottinger (49 minutes later)
Brief Answer: May be due to a number of factors. Detailed Answer: Hi, Thank you for using Healthcare Magic. I understand that you have had inadequate pain relief following your C-section. Morphine would be a common form of pain relief but would usually be part of a pain relief regimen that may include paracetamol and an anti-inflammatory such as ibuprofen. The beneficial effect of morphine does rely on being given in the correct dosage. Also, pain threshold vary between people and some people need more than others. It is important to become mobile after a C-section as early as reasonably possible. At this point when you start mobilising, pain can seem worse than shortly after delivery when you are resting in bed. Pain can be more of an issue after a C-section under general anesthesia than a spinal or epidural ie; the awake form of anesthesia. As you can see there are a number of factors that may have resulted in poor pain relief for you. I hope this is of help. If you have any further questions or you would like me to explain anything in more detail please contact me. Regards, Dr K A Pottinger, MBChB FRCA
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kerry Pottinger (4 minutes later)
Thank you. I was told they were unable to give me anymore med directly after my csection as they gave me two full doses. They then gave me Percocet which worked very well. I believe I am one of those people that don't have the enzyme to metabolize it. I was hoping that your docs would pick up on that. Thank you again.
doctor
Answered by Dr. Kerry Pottinger (10 minutes later)
Brief Answer: Consider ibuprofen. Detailed Answer: Hi, Thank you for this information. I note you have not mentioned an anti-inflammatory. I find ibuprofen works very well in combination with opiates after C-section. You could consider adding this. It is safe with breast feeding. Hope this helps you. Regards, Dr K A Pottinger
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. Kerry Pottinger

Pain Medicine & Palliative Care Specialist

Practicing since :1983

Answered : 1337 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
Why Am I Not Responding To Morphine For Pain Following A C Section?

Brief Answer: May be due to a number of factors. Detailed Answer: Hi, Thank you for using Healthcare Magic. I understand that you have had inadequate pain relief following your C-section. Morphine would be a common form of pain relief but would usually be part of a pain relief regimen that may include paracetamol and an anti-inflammatory such as ibuprofen. The beneficial effect of morphine does rely on being given in the correct dosage. Also, pain threshold vary between people and some people need more than others. It is important to become mobile after a C-section as early as reasonably possible. At this point when you start mobilising, pain can seem worse than shortly after delivery when you are resting in bed. Pain can be more of an issue after a C-section under general anesthesia than a spinal or epidural ie; the awake form of anesthesia. As you can see there are a number of factors that may have resulted in poor pain relief for you. I hope this is of help. If you have any further questions or you would like me to explain anything in more detail please contact me. Regards, Dr K A Pottinger, MBChB FRCA