Q. What drug can be administered through spinal catheter to control post-operative pain in spinal surgery?

Answered by
Dr. Prem
and medically reviewed by Dr. Hemalatha
This is a premium question & answer published on Feb 20, 2020

Hello doctor,

I am undergoing major spinal deformity surgery next month, anterior and posterior. I am 50 years old and this is my fourth scoliosis surgery. In recent years, I have developed a sensitivity to Morphine and I cannot take Dilaudid (Hydromorphone) because it gives me terrible headaches. What other options are available to put into my spinal catheter for post-operative pain control in the hospital? I know that Fentanyl is short-acting and they do not use Demerol any more in my place. What can be done for me? Also, I am currently on 50 mg Oxycodone per day and Zohydro 80 mg for pain so my tolerance for opiates has gone way up.



Welcome to icliniq.com.

From your brief history, I can sense that you have already become tolerant to opioids. Once tolerance develops to one group of opioids, simultaneously other opioids also develop the same way. I would suggest the addition of Clonidine, Dexmedetomidine through your spinal catheter since opioid-tolerant patients do have good postoperative pain relief with this drug. Multimodal analgesia with intravenous Ketorolac, Buprenorphine through the spinal route can be another option. But I do not know whether your anesthesiologist is comfortable with these drugs. Kindly have a discussion with your physician.

Was this answer helpful?


Related Questions:
Are pressure headaches symptom of taking different doses of Seroquel?

While reading your queries over the last one week, I feel you have high anxiety or fear of untoward events ...   Read full

What medicines can be taken for acute conjunctivitis?

.. that you are seeing is an infection. It has just some clotted blood which will go away in 15 days. Do you still have discharge from the right eye? I suggest you change your medication to Moxifloxacin plus Ketorolac Eye Drops twice daily for 10 da...   Read full

I get out of breath easily causing pressure to urinate or pass stools. Why?

Hello, Welcome back to icliniq ...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

What can be done for papillary hypertrophy in eye?

Query: Hello doctor, I have papillary hypertrophy in the eye. I get red eye, mild itching, and irritation. I am taking Olopatadine and KT eye drop and lubricating eye drop for five months. The symptoms are subsided but flare up sometime. It means I am fine until I take medication but symptoms come back if...  Read Full »

Do I have to stop taking MAO inhibitor before my L3, and L4 spinal surgery?

Query: Hello doctor, I am 79 years old. I am having spinal surgery on L4 and L3 next month. I have been on 90 mg of Nardil,an MAOI, for the last 32 years. Is there any general anesthesia that can be used so that I do not have to come off this medication, or do I have to be off it two weeks before surgery?  Read Full »

Till what age do vocal and motor tics usually continue?

Query: Hello doctor,I have vocal and motor tics. Is it Tourette's and if yes, till what age does it usually continue? Please help.  Read Full »

Also Read

Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask an Anesthesiologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.