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	<title>Comments on: Narcotic &#8220;Allergies&#8221;</title>
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	<link>http://www.epmonthly.com/whitecoat/2008/11/narcotic-allergies/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: Julie</title>
		<link>http://www.epmonthly.com/whitecoat/2008/11/narcotic-allergies/#comment-137282</link>
		<dc:creator>Julie</dc:creator>
		<pubDate>Fri, 17 May 2013 07:07:41 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=1433#comment-137282</guid>
		<description><![CDATA[Linda,
Thank you for saying this!]]></description>
		<content:encoded><![CDATA[<p>Linda,<br />
Thank you for saying this!</p>
]]></content:encoded>
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		<title>By: Marcia</title>
		<link>http://www.epmonthly.com/whitecoat/2008/11/narcotic-allergies/#comment-137084</link>
		<dc:creator>Marcia</dc:creator>
		<pubDate>Mon, 06 May 2013 17:17:52 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=1433#comment-137084</guid>
		<description><![CDATA[I am one of those persons who while not &quot;allergic&quot; to narcotics, nonetheless should never be given them. If I do not immediately begin vomiting, I experience delirium and suicidal depression with hallucinations. It is not fun in the slightest. Last May while in the recovery room post-op for a partial vulvectomy, I apparently grunted and the attending nurse pumped 3 types of narcotic pain meds into the IV. 4 days later, I was still feeling the effects and ended up sitting on the bed with my 9 mm, deciding which spot would be better - chest or headshot.

When a patient says they are &#039;allergic&#039; to a narcotic, while it is probably not a true allergy reaction, there can well be a very good reason indeed, they ought not be given opioids as analgesics. I am one of them. 

Also, Toradol creates a really distressing and painful abdominal/intestinal reaction for me - swelling of the abdomen, inability to evacuate the bowels for several days, bad stomach cramps. Much worse than the initial pain it was given for. Sometimes the &#039;cure&#039; is worse than the ailment.]]></description>
		<content:encoded><![CDATA[<p>I am one of those persons who while not &#8220;allergic&#8221; to narcotics, nonetheless should never be given them. If I do not immediately begin vomiting, I experience delirium and suicidal depression with hallucinations. It is not fun in the slightest. Last May while in the recovery room post-op for a partial vulvectomy, I apparently grunted and the attending nurse pumped 3 types of narcotic pain meds into the IV. 4 days later, I was still feeling the effects and ended up sitting on the bed with my 9 mm, deciding which spot would be better &#8211; chest or headshot.</p>
<p>When a patient says they are &#8216;allergic&#8217; to a narcotic, while it is probably not a true allergy reaction, there can well be a very good reason indeed, they ought not be given opioids as analgesics. I am one of them. </p>
<p>Also, Toradol creates a really distressing and painful abdominal/intestinal reaction for me &#8211; swelling of the abdomen, inability to evacuate the bowels for several days, bad stomach cramps. Much worse than the initial pain it was given for. Sometimes the &#8216;cure&#8217; is worse than the ailment.</p>
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		<title>By: Tina</title>
		<link>http://www.epmonthly.com/whitecoat/2008/11/narcotic-allergies/#comment-118672</link>
		<dc:creator>Tina</dc:creator>
		<pubDate>Fri, 01 Feb 2013 15:01:58 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=1433#comment-118672</guid>
		<description><![CDATA[You say you can&#039;t be &quot;allergic&quot; to narcotics ... bull ... you give me ANY narcotics and first i start  to itch and then my throat just closes right up... I have had EVERY drug out there for different surgeries over the years (i have had 12 surgeries because of PCOS/endometrosis, csect, gall bladder and Hysterectomy)  If i hear those words well we have to give you something for the pain ... last time i heard those words I went into anaphylactic shock and they had to give me so much stuff to counteract the ONE shot of demerol that i don&#039;t remember the 3 days I was in the hospital i was so out of it... NOT a good thing ... I can take Tylenol and Ibuprophen and that is IT!!  I went to an allergist and he told me it was all in my head that is was not a real allergy.. I think i am going to find a new allergist :)  I am also allergic to scents and latex.  I can&#039;t even go to the dentist and get work done because I am allergic to the lidocaine, carbocaine and novocaine!!  It royally sucks.. so please don&#039;t tell me you can&#039;t be allergic to these drugs .. i am proof that you can.. I have had major reactions to ALL of them .. they have tried them all and i have the same reaction to them all!!]]></description>
		<content:encoded><![CDATA[<p>You say you can&#8217;t be &#8220;allergic&#8221; to narcotics &#8230; bull &#8230; you give me ANY narcotics and first i start  to itch and then my throat just closes right up&#8230; I have had EVERY drug out there for different surgeries over the years (i have had 12 surgeries because of PCOS/endometrosis, csect, gall bladder and Hysterectomy)  If i hear those words well we have to give you something for the pain &#8230; last time i heard those words I went into anaphylactic shock and they had to give me so much stuff to counteract the ONE shot of demerol that i don&#8217;t remember the 3 days I was in the hospital i was so out of it&#8230; NOT a good thing &#8230; I can take Tylenol and Ibuprophen and that is IT!!  I went to an allergist and he told me it was all in my head that is was not a real allergy.. I think i am going to find a new allergist <img src='http://www.epmonthly.com/whitecoat/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' />   I am also allergic to scents and latex.  I can&#8217;t even go to the dentist and get work done because I am allergic to the lidocaine, carbocaine and novocaine!!  It royally sucks.. so please don&#8217;t tell me you can&#8217;t be allergic to these drugs .. i am proof that you can.. I have had major reactions to ALL of them .. they have tried them all and i have the same reaction to them all!!</p>
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		<title>By: Charles Burns</title>
		<link>http://www.epmonthly.com/whitecoat/2008/11/narcotic-allergies/#comment-117796</link>
		<dc:creator>Charles Burns</dc:creator>
		<pubDate>Mon, 28 Jan 2013 22:31:59 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=1433#comment-117796</guid>
		<description><![CDATA[Connie:

I agree completely. I have had severe anaphylactic reactions to both morphine and codeine. I have a very long list of tested food allergies also including soy, yet a number of doctors and anesthesiologists have scoffed at my &quot;so called allergies&quot;, demeaned me by insuinuating I&#039;m both stupid and a hypochondriac, etc. 

I have to have surgery soon for diverticulitis and it&#039;s been a complicated process to figure out how to anesthetize me without the use of propofol (contains a high concentration of soy oil) and opiates/opiods, as well as how to manage post operative pain. 

It&#039;s insulting to have a medical professional not take a situation that to you could be life-threatening, seriously. Worse, knowing that in a surgical setting, a doctor may &quot;override&quot; your allergies (and I&#039;m not talking about some redness and itching here, I&#039;m talking past demonstrated full anaphylaxis requiring emergency room visits) and choose to inject you with something that will likely kill you.

Another issue is that my allergist is perfectly willing to test me properly for alternative synthetic opioids like fentanyl or demerol, but it&#039;s nearly impossible to GET these substances outside a hospital even with a prescription, so testing (to be 100% sure) is often difficult.]]></description>
		<content:encoded><![CDATA[<p>Connie:</p>
<p>I agree completely. I have had severe anaphylactic reactions to both morphine and codeine. I have a very long list of tested food allergies also including soy, yet a number of doctors and anesthesiologists have scoffed at my &#8220;so called allergies&#8221;, demeaned me by insuinuating I&#8217;m both stupid and a hypochondriac, etc. </p>
<p>I have to have surgery soon for diverticulitis and it&#8217;s been a complicated process to figure out how to anesthetize me without the use of propofol (contains a high concentration of soy oil) and opiates/opiods, as well as how to manage post operative pain. </p>
<p>It&#8217;s insulting to have a medical professional not take a situation that to you could be life-threatening, seriously. Worse, knowing that in a surgical setting, a doctor may &#8220;override&#8221; your allergies (and I&#8217;m not talking about some redness and itching here, I&#8217;m talking past demonstrated full anaphylaxis requiring emergency room visits) and choose to inject you with something that will likely kill you.</p>
<p>Another issue is that my allergist is perfectly willing to test me properly for alternative synthetic opioids like fentanyl or demerol, but it&#8217;s nearly impossible to GET these substances outside a hospital even with a prescription, so testing (to be 100% sure) is often difficult.</p>
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		<title>By: Connie Skinner</title>
		<link>http://www.epmonthly.com/whitecoat/2008/11/narcotic-allergies/#comment-117732</link>
		<dc:creator>Connie Skinner</dc:creator>
		<pubDate>Mon, 28 Jan 2013 15:18:23 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=1433#comment-117732</guid>
		<description><![CDATA[My reactions to morphine, codeine and demerol include immediate extremely lowered blood  pressure, difficulty breathing, slowed heartbeat, confusion, dizziness.  Desert Springs hospital in Las Vegas gave me morphine twice following a head injury, despite my telling them I was allergic to these narcotics.  All my vital signs bottomed out and only the invention of my RN daughter saved my life.  I am also very sensitive to wine, liquor, etc. and antihistimines do not work on me, but hype me up.  At what point do doctors and nurses become gods and decide that what I know to be true, is not?]]></description>
		<content:encoded><![CDATA[<p>My reactions to morphine, codeine and demerol include immediate extremely lowered blood  pressure, difficulty breathing, slowed heartbeat, confusion, dizziness.  Desert Springs hospital in Las Vegas gave me morphine twice following a head injury, despite my telling them I was allergic to these narcotics.  All my vital signs bottomed out and only the invention of my RN daughter saved my life.  I am also very sensitive to wine, liquor, etc. and antihistimines do not work on me, but hype me up.  At what point do doctors and nurses become gods and decide that what I know to be true, is not?</p>
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		<title>By: Linda Brown</title>
		<link>http://www.epmonthly.com/whitecoat/2008/11/narcotic-allergies/#comment-108997</link>
		<dc:creator>Linda Brown</dc:creator>
		<pubDate>Wed, 05 Dec 2012 03:49:38 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=1433#comment-108997</guid>
		<description><![CDATA[At a way Helen!  I refused all medical care post-op until they appropriately treated my pain.  Patients beware!]]></description>
		<content:encoded><![CDATA[<p>At a way Helen!  I refused all medical care post-op until they appropriately treated my pain.  Patients beware!</p>
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		<title>By: Linda Brown</title>
		<link>http://www.epmonthly.com/whitecoat/2008/11/narcotic-allergies/#comment-108996</link>
		<dc:creator>Linda Brown</dc:creator>
		<pubDate>Wed, 05 Dec 2012 03:39:04 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=1433#comment-108996</guid>
		<description><![CDATA[From one nurse to another, I am a patient with chronic pain.  I have received all chemical interventions for my pain with disastrous results:peeling skin, skin blisters, seratonin syndrome (what fun that was), explosive migraine, itching so severe that bleeding is difficult.  As to the opioids, I experience such a massive release of histamine that all sites of injury make me feel I am literally on fire.  So have a little more compassion for folks like me who do suffer from true allergies, severe drug reaction, environmental toxins, and food into
Era cues.  Just lay back on a burning log and you will experience just one of my lovely days!]]></description>
		<content:encoded><![CDATA[<p>From one nurse to another, I am a patient with chronic pain.  I have received all chemical interventions for my pain with disastrous results:peeling skin, skin blisters, seratonin syndrome (what fun that was), explosive migraine, itching so severe that bleeding is difficult.  As to the opioids, I experience such a massive release of histamine that all sites of injury make me feel I am literally on fire.  So have a little more compassion for folks like me who do suffer from true allergies, severe drug reaction, environmental toxins, and food into<br />
Era cues.  Just lay back on a burning log and you will experience just one of my lovely days!</p>
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		<title>By: helen</title>
		<link>http://www.epmonthly.com/whitecoat/2008/11/narcotic-allergies/#comment-105477</link>
		<dc:creator>helen</dc:creator>
		<pubDate>Sun, 11 Nov 2012 03:57:21 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=1433#comment-105477</guid>
		<description><![CDATA[I have had a severe histamine mediated allergic reaction to Toradol; for any medical students or residents out there who don&#039;t understand what this means, it means that giving me toradol can easilly kill me!  I have hronic back ain (documented) and I generally refuse any medical teratment for pain, but after a recent car crash I ended up in the ER where a moralistic, immature resident told me that &quot;nobody is allergic to toradol, you must be drug-seeking&quot;..I refused to sign a  consent for any treatment and pushed this idiot resident out of my way.  The head of ortho met as I was dressing in the ER and told me that she was sorry for the way that I was treated&#039; she offered me narcotics and a nurse tried to give me demoral which I refused.  My x-rays became available and showed ignificant damage; the ortho doc (not a resident, a real physician) told me that I had spinal damage that required admission.  I asked the ortho doc if she would consent to admission after being treated th was I was; she hung her head without answering. I finally left the ER, basically crawling to my car.]]></description>
		<content:encoded><![CDATA[<p>I have had a severe histamine mediated allergic reaction to Toradol; for any medical students or residents out there who don&#8217;t understand what this means, it means that giving me toradol can easilly kill me!  I have hronic back ain (documented) and I generally refuse any medical teratment for pain, but after a recent car crash I ended up in the ER where a moralistic, immature resident told me that &#8220;nobody is allergic to toradol, you must be drug-seeking&#8221;..I refused to sign a  consent for any treatment and pushed this idiot resident out of my way.  The head of ortho met as I was dressing in the ER and told me that she was sorry for the way that I was treated&#8217; she offered me narcotics and a nurse tried to give me demoral which I refused.  My x-rays became available and showed ignificant damage; the ortho doc (not a resident, a real physician) told me that I had spinal damage that required admission.  I asked the ortho doc if she would consent to admission after being treated th was I was; she hung her head without answering. I finally left the ER, basically crawling to my car.</p>
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		<title>By: Holly</title>
		<link>http://www.epmonthly.com/whitecoat/2008/11/narcotic-allergies/#comment-99012</link>
		<dc:creator>Holly</dc:creator>
		<pubDate>Fri, 14 Sep 2012 03:25:55 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=1433#comment-99012</guid>
		<description><![CDATA[I have an aspirin allergy and had a reaction to Toradol after my c section. I do not test my luck but my symptoms have been swelling in face and neck and difficulty breathing. I feel that is a &quot;true&quot; allergic reaction. I have only taken Advil(as a teen) and Toradol (after cs) when I got those symptoms. I have had a &quot;sensitivity&quot; to hydrocodone once. Pretty much just itchy but worried me with my history of allergies so I add it to list of allergies with an explanation that it wasn&#039;t that bad. Worst part was I took it before bed and was worried it would turn into an actual reaction. I can handle itching but have struggled my whole life to find something with anti inflammatory properties without the swelling.]]></description>
		<content:encoded><![CDATA[<p>I have an aspirin allergy and had a reaction to Toradol after my c section. I do not test my luck but my symptoms have been swelling in face and neck and difficulty breathing. I feel that is a &#8220;true&#8221; allergic reaction. I have only taken Advil(as a teen) and Toradol (after cs) when I got those symptoms. I have had a &#8220;sensitivity&#8221; to hydrocodone once. Pretty much just itchy but worried me with my history of allergies so I add it to list of allergies with an explanation that it wasn&#8217;t that bad. Worst part was I took it before bed and was worried it would turn into an actual reaction. I can handle itching but have struggled my whole life to find something with anti inflammatory properties without the swelling.</p>
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		<title>By: Squeal</title>
		<link>http://www.epmonthly.com/whitecoat/2008/11/narcotic-allergies/#comment-97970</link>
		<dc:creator>Squeal</dc:creator>
		<pubDate>Sat, 01 Sep 2012 15:07:01 +0000</pubDate>
		<guid isPermaLink="false">http://whitecoatrants.wordpress.com/?p=1433#comment-97970</guid>
		<description><![CDATA[I have an allergic reaction when I have taken hydromorphone. I can hardly breath when I have done so. My chest becomes so congested and tight for over 24 hrs I don&#039;t think I ever want to try this opioid again. My question is: is it safe to try other opiates such as oxymorphone that are similar to hydromorphone because I am fine on oxycodone, hydrocodone and OxyContin? The problem has only occurred with hydromorphone and ms contin..
Please can someone tell me what options I have because I really don&#039;t want to have breathing problems when taking medication for pain.. Danger!
Thanks Squeal]]></description>
		<content:encoded><![CDATA[<p>I have an allergic reaction when I have taken hydromorphone. I can hardly breath when I have done so. My chest becomes so congested and tight for over 24 hrs I don&#8217;t think I ever want to try this opioid again. My question is: is it safe to try other opiates such as oxymorphone that are similar to hydromorphone because I am fine on oxycodone, hydrocodone and OxyContin? The problem has only occurred with hydromorphone and ms contin..<br />
Please can someone tell me what options I have because I really don&#8217;t want to have breathing problems when taking medication for pain.. Danger!<br />
Thanks Squeal</p>
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