NSAIDS with surgery

purplestargazer

Hoping this is the right place to post. I'm scheduled for Mx next week and have been reading about using NSAIDS prophylactically to help prevent metasitsis surroounding the breast surgery:

http://news.mit.edu/2018/perioperative-nsaids-may-prevent-early-metastatic-relapse-in-post-surgical-breast-cancer-patients-0411

My question is, which NSAIDS are viable options. I'm allergic to Asprin and Ibuprofin. Does anyone know if this extends to *any* NSAID, such as Asprin specirficallly. Or if any NSAID might have protective capabilities.

ceanna

I don't have an answer for you, but am bumping this to the top again in hopes that someone answers

gb2115

I don't know either, but I thought they always want you to stop taking those things prior to surgery, because they make it easier for you to bleed....

MelissaDallas

Discuss intraoperative administration of ketorolac with your surgeon:

https://www.ncbi.nlm.nih.gov/pubmed/29718396

DebAL

melissa dallas is right!

DebAL

oh, and on a side note..some anesthesiologists write pre med orders ahead of time. That was the case with one of my surgeries. I took the pills the preop nurse gave me then realized one of them was mobic which is an antinflammatory. So, for that surgery, I was unable to get the toradol since I didnt see anesthesia until right before surgery. I just wasnt thinking. Hopefully the mobic helped anyway!

santabarbarian

Yes, Melissa Dallas, that's the one.

I phoned my anesthesiologist a week prior to surgery, and we talked over which anesthesia practices were the LEAST associated with metastases.

I got the feeling NOBODY EVER calls the anesthesiologist, because he was super kind and eager to talk to me.

CBK

OMG

Since my body does not react well to any narcotic; I was prescribed Torodol after my BMX. It worked like a charm and I wasn't doped out.

My next surgery, as you can see below that my dreaded ooph! When I requested Torodol my surgeon went BESERK on my telling me it was not safe and would cause bleeding spontaneous ulcers on me. Refused to give it to me in recovery room, rather pumped me with Diluadid that not only didn't relieve my recovery room excruciating pain, it made me so sick and dizzy. Not until they administered Torodol did I stop screaming in pain!

When I finally insisted on it to go home with she got on the phone with me and gave me another lambasting on the medication.

Thank you for this conversation because as I arrive home after my 4th breast reconstruction surgery I insisted on Torodol again in recovery and for at home care. I didn't need much after the last two surgeries, ( but insisted on it for reconstruction surgery 2 and 3) however, I think after this one I may need to rely on it a bit.

Thank you again for these thoughtful posts. So much to learn and learn from you all!

DebAL

CBK,

Wow. No patient deserves a lambasting. We give toradol often in preop. It's always worked well for me and my surgeries however if I recall there's a limit. I had a preop dose then it was scheduled every 8 hrs x 3 then no more. I remember PS saying that's it. I wish you a speedy recovery and hope you are feeling well!

CBK

Hey DebAl !!

Gyno surgeon a real jerk. I blame her tirade on her own personal mental issues which I no longer deal with or have energy for. Ha!

I have a short course of Toradol for at home pain, only five days worth. Besides a nipple reconstruction I had multiple revisions! Yeouch I was in surgery for 4 hours! I’m little upset about how long it took me to come out of anesthesia (2 hours to awake ). I’ve have 3 hour surgeries that I awoke from like in less than a half hour. I don’t understand why I was asleep for so long? And super unsteady still! Ugh

Do you have any idea when I can take off patch behind my ear for nausea?

DebAL

hey there! I'm guessing it's a scopalamine patch..also known for drying you out. That's great for surgery but it drove me nuts after I got home. It can stay on up to 72 hours. In my own experience it was the patch that made me feel goofy. I took mine off the next day because I wasnt nauseated ( if you are nauseated that's another story), was dry, and was feeling goofy. In all honesty the patch could be part of your unsteadiness. If you choose to take it off wipe it off your skin and wash your hands really good. Different anesthesiologists give different drugs so it's hard that's probably part of it. When I've had a particularly good anesthesia experience and I'm back at the same facility, i ask the anesthesiologist to look at my old record and try to duplicate. Hang in there!

CBK

DebAl

Thanks for the helpful reply as always. I had capsulectomy, downsized implants with pocket work, liposuction on my lat flap donor site, and nipple reconstruction. I think my PS sugar coated this surgery. I have a pretty good pain tolerance. I feel like I was run over by a Mack truck!

Taking off the patch helped with unsteadiness. Thank you again!

MelissaDallas

This thread has drifted a lot. The point is Nsaids as a mean of prevention of metastases, not pain relief..