Post Operative Medication Info:

We will be giving you three (in most cases) prescriptions for after your surgery- we recommend getting these filled at your pharmacy before your procedure so they are ready for you. Most insurance drug plans will cover these. We also suggest filling pain medicine at a pharmacy located near our office, as Florida’s new regulations require certain prescriptions to be filled within a certain mile radius of the prescribing physician; or double check your pharmacies requirements as they’re all different.

FOR MILD TO MODERATE DISCOMFORT:

1. Ibuprofen*: (200mg): (Motrin, Advil – sold over the counter as 200mg tablets) Take 3 tablets

three times a day up to 1800mg per day as needed for pain. Take with meals. Do not start Ibuprofen for 24 hours post op unless directed to by Dr. Moffitt

2. Tylenol: 2 pills every 3 1/2 to 4 hours as needed.

* DO NOT TAKE IBUPROFEN IF YOU HAVE PROBLEMS WITH ASTHMA, ARE HYPERSENSITIVE TO ASPIRIN, OR HAVE PROBLEMS WITH NON-STEROIDALANTI-INFLAMMATORIES!

Ibuprofen is the drug of choice following surgery in that it is both a non-narcotic painkiller and an anti-inflammatory agent. It is taken differently than aspirin or Tylenol, in that aspirin and Tylenol are usually taken as needed for pain. In order for Ibuprofen to work postoperatively, one must maintain adequate blood levels by taking the medication continuously for two to three days. This will help with the immediate post-op discomfort and will also help with any discomfort arising from the massage in patients having augmentation mammaplasty. (which we will show you at your 1 week visit)

If there is stomach upset or gastric irritation from the Ibuprofen, then switch to the Tylenol or hydrocodone, or take an antacid before using Ibuprofen.

FOR MODERATE TO SEVERE DISCOMFORT:

1. Hydrocodone (Vicodin): Take 1-2 hydrocodone tablets every 4-6 hours. Hydrocodone taken

together with Ibuprofen (3 tablets of Ibuprofen 200 mg. each for a total of 600 mg) is especially helpful.

or

2. Oxycodone, Endocet, Roxicet (Percocet): Take 1-2 tablets every 4-6 hours. May cause nausea and

vomiting. Oxycodone may be taken together with Ibuprofen (3 tablets of Ibuprofen 200 mg. each for a total of 600 mg). This is a stronger pain killer than Hydrocodone.

**Keep in mind that these medications (Percocet, Vicodin) frequently cause constipation, especially when your level of activity will be less then usual for a few days after surgery- If you tend to become constipated, you may want to take an over-the-counter stool softener until you are back to normal activity.

FOR NAUSEA AND VOMITING:

1. Phenergan 25mg: Take 1 tablet every 6 hours, as needed for nausea/vomiting

AVOID ASPIRIN OR DRUGS THAT CONTAIN ASPIRIN:

These drugs may cause bleeding. Do not take aspirin (acetyl salicylic acid) or any product containing aspirin for 5-7 days after surgery. Aspirin interferes with normal blood clotting. If you are in doubt, check with your pharmacist.

TO PREVENT INFECTION:
  1. Cipro 500mg: Take one two times daily until gone. Start the evening of your surgery; you will receive a dose of antibiotics in your IV before it is removed after your surgery.

NOTE:You may resume taking your usual vitamins/supplements 1 week after surgery.

Moriah R. Moffitt, M.D.