Geriatrician Questions Opioids

ā€œCan grandmother take opioids for acute pain?ā€

My grandmother was dealing with acute pain after having knee replacement surgery, and she was prescribed opioids for treatment. She's 70 years old. Is it safe for her to take opioids?

1 Answer

Opioids can be safe if monitored closely. Usually, a small prescription post op with regular f/u visits. Start low and go slow and manage expectations. Start w a non opioid med like acetaminophen and can consider layering small dose of tramadol ( renal adjust if needed) 25 mg every 6-8 hr or oxycodone ( 2.5 mg ) is every 4 hrs as needed. Anticipate side effects like constipation. About 30 % of people get nauseated. Always assess for history of any substance abuse -even managing serious pain can lead to addiction-but short term use is usually not a problem Theresa M. Redling DO, FACP Chief, Geriatric Health Cooperman Barnabas Medical Center Director, Maida Geriatric Institute Assistant Clinical Professor of Medicine Rutgers-New Jersey Medical School