Synopsis:
Opioids are commonly used to treat chronic painful conditions. These medications have untoward side effects in patients who have had a prior cholecystectomy including non-obstructive bile duct dilation and spasm of the sphincter of Oddi. The case presented illustrates the unfortunate effects that resulted from the use of a morphine pro-drug in a patient with a prior cholecystectomy that required the use of emergency medical services and a hospital admission to ensure patient safety. Through this experience, we emphasize the importance of taking an accurate and complete medical history before prescribing certain opiate medications.

 

Authors:
Amelie Harpey, OMS-III (Speaker)
Philadelphia College of Osteopathic Medicine, Philadelphia, PA
ah18192@pcom.edu
Justin Winas, OMS-II
Philadelphia College of Osteopathic Medicine, Philadelphia, PA
jw2981@pcom.edu
Ashley Katsarakes, BA (Submitting Author)
Center for Interventional Pain and Spine, Fort Washington, PA
ashleyk@centerisp.com
Justin Winas, DO
Center for Interventional Pain and Spine, Fort Washington, PA
justin.winas@gmail.com
Category:
Safe Prescribing

 

Disclosure:
Nothing to disclose by any author.