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PriceisRightx26's avatar

Can I take Percocet, Ativan, and Skelaxin together?

Asked by PriceisRightx26 (1258points) March 4th, 2015

Recently had pretty extensive surgery. Prescribed 7.5 mg Percocet and Skelaxin for the pain. Also taking ibuprofen, though I’m sure that’s irrelevant, but with my luck I’d cross a medicinal line I shouldn’t have. I haven’t taken my Ativan since before the surgery, and I’m pretty sure I’ve been fighting off a panic attack for the last day (or my chest is actually crushing itself and slowly killing me). I’d like to take it (1 mg), and since it’s 8 PM where I’m at, I was hoping someone here might be able to give me a solid answer. Thanks in advance!

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DrasticDreamer's avatar

Your answer is no – at least not until you’ve taken them for the first time together under medical supervision. The drugs you’re taking are sometimes safely prescribed to people, but should only be prescribed after a doctor sees how you react to all three.

The reason being: They’re all sedatives and some people can’t handle all three together, and some can. Did your prescribing doctor know, at the time of your prescription for Percocet and Skelaxin, that you had previously been prescribed Ativan?

I was prescribed 1 mg of Ativan (otherwise known as Lorazepam) when I was having pretty bad heart palpitations – and I absolutely cannot imagine taking it with any other kind of sedative. 1 mg knocked me on my ass and also gave me crystal clear hallucinations every time I closed my eyes.

You’re taking a big risk if you combine all three without first knowing how you react – with doctors present.

JLeslie's avatar

Call the pharmacy. The combination of bensos (Ativan) and narcotic pain killers can be deadly. Deadly in a way that you can’t save yourself. It suppresses breathing and you pass out and die. It isn’t like you get violently ill and can call 911. You shouldn’t combine those drugs without specific medical advice on dosages and what is safe.

JLeslie's avatar

Correction, I think for this you have to call the doctor. The pharmacy won’t be able to tell you most likely. They will advise you to call your doctor for triplicate drug combinations.

JLeslie's avatar

I’m going to add that it doesn’t matter if in the past you have taken the Ativan and it barely affects you except calms you down. I just read @DrasticDreamer‘s post that the dosage knocked her on her ass so she would never do it. Thing is, even if the dose doesn’t do that to you, it is still extremely dangerous to combine those two drug categories. The combination works in an exponential way that you cannot predict by how they work or feel to you separately. Don’t experiment with this. Too risky.

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sahID's avatar

@PriceisRightx26 Please heed the wise advice shared by both @DrasticDreamer and @JLeslie. Drug interactions are unpredictable, and differ from person to person. I am concerned that you have been prescribed two prescription pain relief drugs and are taking ibuprofen in addition. That combination, by itself, needs to be reviewed & approved by your doctor at the earliest opportunity.

JLeslie's avatar

I just thought to add that if you have a crushing feeling in your chest it could be a bad side effect of a drug you are on. Is it crushing different than your typical anxiety related physical symptoms? I feel like an elephant is on my chest from one type of medication. Scared me.

Lightlyseared's avatar

Did you tell the doctor that prescribed the Percocet that you were taking Ativan before he prescribed it?

PriceisRightx26's avatar

Yes, my doctors are aware of my Ativan prescription. Which is why I assumed it was okay to take, but my anxiety got the best of me and I was looking for someone to okay it (which was a total mistake; should not have brought this question here). The addition of ibuprofen was at the behest of my doctor. The Percocet and Skelaxin (as well as about a million other things) have all been prescribed by the same group of doctors to handle my current situation. I’m not taking any illegal drugs or medications I have not been prescribed. My pain management has been fully disclosed with the surgeons.

Was able to get ahold of a 24 hour pharmacist (TIL those exist—just not in smalltown, USA) who said that the drugs do not affect each other, but may cause additional drowsiness.

@DrasticDreamer, I can relate, Ativan makes me so loopy.

JLeslie's avatar

I don’t think anyone thought you were taking any illegal drugs or that you purposely hid any drugs from your doctor. I know I didn’t. We just didn’t know if your doctor was aware of all the different drugs so he could advise it was safe. My aunt takes morphine, fentanyl, and Xanax together, but she has been taking those drugs for a long time and has a tolerance. I think her doses would kill me within hours.

DrasticDreamer's avatar

@PriceisRightx26 Did you decide to take all three together? If so, I hope it went well and that you weren’t too out of it. I’d personally be too scared to risk the combination. I made someone sleep in the same room as me when I was put on Ativan because it made me that lethargic. I’m not a fan of it at all.

cazzie's avatar

Well, done, @PriceisRightx26 for finding a proper professional to ask.

JLeslie's avatar

Just keep in mind those two drugs can be dangerous combined, the pharmacist probably meant it is ok at the prescribed dosages. Taken together they can increase negative side effects like dizziness and even a decrease in respiration. It isn’t exactly true that they don’t affect each other, but they can be prescribed together. Just watch the dose. You might want to double check with your doctor.

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