Post Operative Medication Information Dr. Anand Vora, M.D Orthopaedic Surgeon Specializing in Disorders of the Foot and Ankle Illinois Bone and Joint Institute (847) 247-4000 www.ibji-drvora.com The following is a list of medications you MAY have received following surgery. If you have any allergies to these or other medications do NOT take them and notify Dr. Vora immediately. OxyContin (generic name- oxycodone controlled-release): This is an opioid for moderate-tosevere pain intended for use during the first days following surgery. You may take 1-2 tablets every 12 hours. You should start to feel pain relief in 1 hour and it will continue to be slowly released giving you pain relief usually lasting 12 hours. DO NOT break, crush, or chew the medication, as any of these will destroy the controlled-released delivery. This drug may impair mental and or physical abilities required for performance of potentially hazardous tasks such as driving a car. Other potential side effects are present and as noted in the information accompanying your prescription. This medication does not contain Tylenol (acetaminophen) or Motrin (ibuprofen), so you can take either of these medications as properly directed in addition to the OxyContin. Norco (generic name- hydrocodone/acetaminophen): This is another opioid pain medication but in a short-acting formulation. Sometimes, even when you are taking your scheduled doses of OxyContin every 12 hours, you may become uncomfortable. This is what is known as “breakthrough” pain. If this occurs, you can take 1-2 tablets every 4-6 hours as needed for pain. You should expect to feel pain relief within 60 minutes. This may be required on routinely for the first few days after surgery. As the postoperative pain decreases, Norco should be weaned completely for OxyContin. The side effects are similar to those mentioned for OxyContin. Senekot-S (generic name- senna & colace): Since constipation is a normal side effect of opioids, we recommend that you take a laxative and stool softener (such as Senokot-S or any other such medication) while using these medications. These are generally over the counter medications and can be obtained at most pharmacies and should be taken as directed. Vistaril (generic name- hydrooxyzine): This medication is used to counteract some of the potential side effects of the pain medications. It works to decrease nausea, vomiting, and itchiness. You may take 1-2 tablets every 4-6 hours with your pain medication. Additionally, this medication potentiates the side effects of the pain medications and can be used as an adjunct for pain relief. Side effects include dry mouth and sedation. Duricef (generic name- cefadroxil): This is an antibiotic to help prevent infection. You should take these pills as directed until completion. If you are allergic to cephalosporin antibiotics you will receive an alternative antibiotic such as clindamycin.