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Chronic_In_College

Updated 10mo ago

Using Narcotics with MCAS: Seeking Advice

Has anyone used narcotics with MCAS? I try to avoid them at all costs (even after surgery) since I think they have been a trigger for me in the past. With that said, my dr is talking about admitting me to the hospital due to this current flare and the pain has been driving me to a new level of insanity. Are there any that alleviate the pain without seriously fucking you up? Or should I continue assuming they’re all bad?

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SpeechlessPoet

2y

I take both Dilaudid and Oxycodone with my MCAS and tolerate them well. Initially, we combined the dose with a small amount of Benadryl which staved off early reactions. Once my body acclimated, we dropped the Benadryl and I’ve been good ever since. Opioids are known mast cell agonists tho so you ARE correct in being hesitant. For some, they are a major trigger. They can even cause bone pain from the reaction alone. But it’s worth a shot if you’re in a lot of pain. Worst case scenario, it flares you for a few hours but then once it wears off you should recover quickly.
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SpeechlessPoet

2y

I feel like it’s worth mention that I also have very SEVERE MCAS. I’m talking using 15-20 epi pens per month due to recurrent anaphylaxis. So there’s no way to predict who will be able to tolerate painkillers. I’m incredibly lucky and grateful to do okay with them tho. Many don’t.

The content in this post is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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