Multi-Modal Therapy Medications
Tylenol Extra Strength (500mg) take 2 every 6 hours for 5 days
- Do not wait for pain. Tylenol makes up the foundation of your pain management and will decrease the number of narcotics needed.
Ibuprofen (600mg) take 1 every 6 hours scheduled for 3 days
- Do not wait for pain. Ibuprofen makes up the foundation of your pain management and will decrease the number of narcotics needed.
Gabapentin (100mg) take 1 every 8 hours for 14 days
- Do not wait for pain. Gabapentin makes up the foundation of your pain management and will decrease the number of narcotics needed.
Tramadol (50mg) take 1 every 6 hours as needed for pain for 3 days
- It is okay to wait until you have pain. Tramadol is a long-acting narcotic that will begin to work in about 30 minutes and can last up to 6 hours.
Oxycodone (5mg) take 1 every 4 hours as needed for pain for 3 days
- It is okay to wait until you have pain. Oxycodone is a long-acting narcotic that will begin to work in about 30 minutes and can last up to 4 hours.
Zofran (Ondansetron, 4mg) take 1 every 8 hrs
- The dissolvable tabs can be placed under your tongue if you are feeling nauseous from the anesthesia.
Scopolamine Patch (Transderm-Scop, 1mg)
- This patch is a preventative for nausea before surgery. You will place this patch behind your ear the night before surgery.
Acyclovir (400mg) take 1 tablet by mouth twice a day for 7 days
- You will begin taking this meditation 1 day before surgery.
Singulair (Capsular Contracture, 10mg) take 1 daily for 90 days
- A study was performed that showed a reduction in the already low-rate of capsular contracture in women that took Singulair daily for the first 90 days after surgery.
Doxycycline or Bactrium (Antibiotic, 100mg) take 1 twice a day for 7 days
- You will take an antibiotic for the first week after surgery.
Cyclobenzaprine (Muscle Relaxant, 10mg) take 1 every 8 hours PRN
- It is okay to wait until you have pain. The pressure you feel after surgery is due to the Pec Major muscle getting tight/stretched. This can lead to spasms and pain. A muscle relaxant will help to break that spasm and can help you sleep better.
Medication Schedule
A proposed schedule has been supplied in order to simplify the scheduling of medication. We understand there are a lot of medications to follow, but rest assured, we believe Multi-Modal therapy provides the greatest comfort and decreases post-operative nausea, drowsiness, and constipation. If your pain has become severe or additional recommendations are needed, do not hesitate to contact our office.
| Medication | Multi-Modal Therapy Schedule |
|---|---|
| Tylenol (1000mg) | 4AM, 10AM, 4PM, 10 PM |
| Ibuprofen (600mg) | 4AM, 10AM, 4PM, 10 PM |
| Gabapentin (100mg) | 6AM, 2PM, 10PM |
| Tramadol (50mg) | 4AM, 10AM, 4PM, 10PM |
| Oxycodone (5mg) | 4AM, 8AM, 12PM, 4PM, 8PM, 12AM |
| Singulair (10mg) | 4AM, 10AM, 4PM, 10PM |
| Cyclobenzaprine (10mg) | 4AM, 12PM, 8PM |
| Doxycycline (100mg) | 10AM, 10PM |
| Zofran (4mg) | 6AM, 2PM, 10PM |
Questions & Concerns
I am overjoyed and grateful to be part of your journey. I do not take this responsibility lightly. As questions and concerns arise, I expect you to contact me and my staff under any circumstances (925) 966-3920. This is a journey that is best done together. I look forward to caring for you and your family.
