What Kind Of Pain Killer Can I Take If I Am Allergic To Percocet, Vicodin, Aspirin, Motrin, &Codene?

Question

Asked by nevaknevil

What Kind Of Pain Killer Can I Take If I Am Allergic To Percocet, Vicodin, Aspirin, Motrin, &Codene?

I have pretty severe asthma. If I take aspirin or motrin, my eyes swell shut and I break out in hives. I recently (over past year) developed a severe itching reaction to vicodin, acetomenophine III/Codene, and percocet. I hallucinate from darvocet. I seemed to be okay when I took the 5mg of oxycodone (generic for percocet) but when my dosage was increased to 10mg, I started getting a severe itching reaction.

With all of these reactions, what type of pain killer (post surgery/injury pain management) options do I have that I might not react to?

Answer

There are three different chemical classes of opioids:

  1. Phenanthrenes (codeine, hydromorphone, levorphanol, morphine, oxycodone, hydrocodone, and pentazocine)
  2. Phenylpiperidine (meperidine and fentanyl)
  3. Phenylheptane (methadone and propoxyphene)

Often, a patient who is allergic to an opioid from one class may be able to take something from another class.   You have had reactions to opioids in both the first and third classes (Darvocet contains propoxphene), but perhaps you will be able to take something in the second class.

If that doesn't work, as Cort said, you may need to look into some alternative methods of pain relief.   Acupuncture can be amazingly effective at controlling pain.   Some people have actually had surgery with no anesthesia - just acupuncture.   I don't know that I'd go that far, but you might want to check into it for normal pain control.

Here are some other articles about pain management that you may find useful:

The consequence of long-term opioid use

How to take Tylenol responsibly