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Painkillers and vomiting

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User
Posted 24 Oct 2024 at 14:23

Dear all,


My dad is on palliative treatment, with his chemo having failed to suppress the cancer, and he was told he wasn't a suitable candidate for Lu 177. He has lately been having bad pain in his pelvis and back, where the bone mets are. He was given Ultracet by his doctor - 1 pill 3 times a day to control the pain, but within a day of taking the medication, he started vomiting after a meal and felt nauseous for almost half a day afterwards. He is terrified of taking the pill again but tonight I persuaded him to take it along with an anti-emetic , but there is no guarantee that it will work.


Apparently vomiting is a common side effect of these types of painkillers. How has everyone else dealt with this side effect? It does seem like my dad is absolutely depressed at having to choose between pain and nausea/vomiting.


Any suggestions would be appreciated.....


Worriedwomble


 

User
Posted 24 Oct 2024 at 14:23

Dear all,


My dad is on palliative treatment, with his chemo having failed to suppress the cancer, and he was told he wasn't a suitable candidate for Lu 177. He has lately been having bad pain in his pelvis and back, where the bone mets are. He was given Ultracet by his doctor - 1 pill 3 times a day to control the pain, but within a day of taking the medication, he started vomiting after a meal and felt nauseous for almost half a day afterwards. He is terrified of taking the pill again but tonight I persuaded him to take it along with an anti-emetic , but there is no guarantee that it will work.


Apparently vomiting is a common side effect of these types of painkillers. How has everyone else dealt with this side effect? It does seem like my dad is absolutely depressed at having to choose between pain and nausea/vomiting.


Any suggestions would be appreciated.....


Worriedwomble


 

User
Posted 26 Oct 2024 at 03:04

Thanks for the reply.


A GP prescribed him Ultracet, and I went to see his oncologist and got a prescription for more Ultracet and Metoclopramide, which is an anti-emetic. So far, so good, no vomiting anymore. One Ultracet doesn't eliminate all the discomfort and pain, however it makes it much more bearable.


Still waiting to get hold of a palliative care doctor who will come and assess him. He is unbearably sleepy and tired, no doubt partly because of the medication... but he may also be badly anaemic.


I really fear for the coming days ahead. :( Keeps me awake at night.


 


 


 


 

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User
Posted 24 Oct 2024 at 20:08

This is a shame. When you say the painkiller was prescribed by his Dr was that GP or oncologist?
Was your Dad prescribed an antiemetic to take on a regular basis, for example Ondansetron three times daily?


It’s better to take painkillers on a regular basis as opposed to waiting until the pain is severe therefore take the anti emetic regularly too. Maybe he needs to change to a different analgesic if things don’t improve down the line.


If the prescription was from GP and not oncologist then you could ask for a palliative care nurse review of symptoms which would address pain, nausea etc. 


Hoping things improve soon.

User
Posted 26 Oct 2024 at 03:04

Thanks for the reply.


A GP prescribed him Ultracet, and I went to see his oncologist and got a prescription for more Ultracet and Metoclopramide, which is an anti-emetic. So far, so good, no vomiting anymore. One Ultracet doesn't eliminate all the discomfort and pain, however it makes it much more bearable.


Still waiting to get hold of a palliative care doctor who will come and assess him. He is unbearably sleepy and tired, no doubt partly because of the medication... but he may also be badly anaemic.


I really fear for the coming days ahead. :( Keeps me awake at night.


 


 


 


 

 
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