Doctors Lounge - Neurology Answers
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Forum Name: Neurology Topics
|ginsue1 - Mon Jan 19, 2009 10:04 am||
Please help! My type 1 diabetic husband has had chronic pain for 4 months now. He has a degenerative C7 that is causing severe pain in his arms/hands. He's on 150 mg. of Tramadol per day and 60 mg. of Lortab per day. I notice that 3-4 days out of the week, he wants to have a couple of Margaritas--because it increases the affectiveness of his pain meds. I'm very concerned about how this is affecting his body! Please advise as to what the dangers are in doing this. I don't want to enable him. We have had an MRI recently--and they are looking into an epidural specialist to address this pain.
A very concerned wife
|John Kenyon, CNA - Thu Feb 05, 2009 10:35 pm||
Hi there -
While some people do tolerate the milder opiods potentiated by alcohol, it is still definitely medically contraindicated and I certainly cannot advocate the practice because of the potential for dangerous interactions, such as respiratory arrest. While the Lortab is less of an immediate problem, even it poses some risk of liver injury when combined with alcohol, but tramadol and alcohol are a very real danger to some patients, mainly due to the possibility of depressing the respiratory center.
You're to be commended for asking about this and for your concern. Drinking with these drugs poses at least two potentially life-threatening risks that just aren't worth it (and yes, chronic pain is a terrible thing, no question, but it's not worth the risks being entertained by your husband).
Epidural steroid injections (ESI), usually in a series of three, often will greatly improve the situation. I hope this will be pursued with all deliberate speed. Meanwhile, please pass along to your husband your concerns as confirmed here, by medical personnel, regarding his mixing of alcohol with both the pain meds, but especially tramadol.
Best of luck to you both. Please follow up with us here as necessary and keep us updated as well.
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