MACS Lift 4 days ago. I was discharged after 2 days with voltaren and panadol as well as antibiotics. Any suggestions?

Dr. Dean Kane Q & A Q. I was surprised to be prescribed the anti-inflammatory voltaren tablets 50 mg 3 times a day when I was discharged two days ago. I checked with the nurse but she said it is ok. I was also given panadol but find it is not necessary as there is no pain. I have great confidence in my doctor but everything I have read says to avoid diclofenac so I am confused. Thanks for your comments. A. ​The use of medications for post-operative discomfort and / or pain is as much an art and science as the surgeon and surgery itself. ​Panadol (acetaminophen, tylenol) is a mainstay for all discomfort. Voltaren (diclofenac) is a nonsteroidal anti-inflammatory drug (NSAID. Like aspirin, naprosyn or ibuprofen, it may increase the potential for bruising and bleeding. ​ ​I prefer the use of:
  • ​acetaminophen for mild to moderate discomfort
  • ​narcotic such as hydrocodone, oxycodone, hydromorphone for moderate to severe pain
  • ​anti-histamine for histamine induced swelling reduction and sedation such as Vistaril (hydroxyzine)
  • ​benzodiazepine such as Valium (diazepam) for longer term sedation.
Each medication and combination of medications use has its benefits and shortcomings. Medication selection and their usage must be weighed individually for the patient by the physician. Please consult with your operating surgeon directly with your concerns. ​All the best!
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