Suggest Treatment For Stomach Discomfort And Vomiting After Taking Tylenol

Posted on Fri, 1 Sep 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 1 Sep 2017 Answered on

Fri, 22 Sep 2017 Last reviewed on

Question : I am onxycodone 30mg but after a fall 3 days ago they do not lessen the pain ihave not slept for 3 days and have been taking tylenol 500mg for breakthrough pain now i am sick to my stomach and can not eat I started vomiting this morning so i laid off the tylenol but the break through pain will not let me even lay in any position for comfort so I can rest. what else can take for the breaakthrough pain ? I don't see my own doctor until the 7th and could get no answer from the nurse.

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
As discussed in details below.

Detailed Answer:
Hi.
Thanks for your query.

Noted the history and understood your concerns.

Please give some additional information for me to assist you better:
How many time are you taking Oxycodone 30 in 24 hours?
Have been taking Oxycodone before fall too and if yes, then for what condition?
How many Tylenol 500 have you taken till now?
Where is the pain at the moment?

Tylenol can accentuate the effects or adverse effects of Oxycodone hence the dose may have to be reduced to say 350 or 375 at the most.
Please take a PPI/antacid along with like Omeprazole.
Domperidone for vomiting needs a prescription I suppose.

Once the vomiting stops you can try plain Ibuprofen if it suits you and particularly with food or milk.
It would be important to know why is so much pain despite the medications.

I hope this answer helps you, please feel free to ask for further queries if you feel that there is a gap of communication.

Please follow-up with these details.
Awaiting..

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. T Chandrakant (1 hour later)

I have had chronic back pain the last 12 years after 5 operations and numerous epederal shots they are trying to control the pain with meds I have been on the oxycodone for the last 6 or 7 months and the effect is not as long lasting as when we changed meds from morphine 25 mg i take 5 pills in a24 hr period but the breakthrough pain at night keeps from sleeping more than 1 or 2 at a time so I have been using tylenol but it upsets my stomach to the of vomiting I took about 5000 or 6000 mg in the last 18 hrs because i don't want to take to much of oxycodone. when i was on the morphine my doctor gave me percocet 10/325 for breakthrough but we quit that when i started the oxycodone.I do take Omerprazole but when I took my meds this morning everything came back up

Answered by Dr. T Chandrakant (3 hours later)

Brief Answer:
you need to go to the ER

Detailed Answer:
Thanks for your feedback.

Please note that more than 4000 mg of Tylenol is not allowed in 24 hours and that is why you may be getting the vomiting.

Please do not take Tylenol at the moment at all.

You can certainly go to ER so that they can give you some other medication for the pain may be by intramuscular route or so.

I'd suggest getting a prompt review of the situation there so that the symptoms are controlled as early as possible.

Regards

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Above answer was peer-reviewed by : Dr. Arnab Banerjee