Norco prescription for wisdom teeth?
Given the national opioid crisis, I was shocked that my 17 year old came home from the consult with the oral surgeon for his wisdom teeth removal with a prescription for 20 pills of Norco 5/325 (along with a prescription for ibuprofen 600 mg). My RN sister says "Norco is hydrocodone and acetaminophen, hydrocodone is a lot stronger than codeine" - it's a Schedule II drug that has to be written on special prescription pads to deter copying/misuse.
I had my wisdom teeth out later in life and took one dose of the stronger pain medicine then was fine with ibuprofen after that. I asked around and other teens seem to have had the same experience lately - prescribed 20 norco pills, took 2 or 4 max. Does this match your experience?
I am not concerned about my teen misusing this opioid, but instead I'm concerned about it falling into the hands of others who may intentionally abuse it or inadvertently be harmed. I'm shocked the oral surgeon would prescribe so many more than are likely to be needed given the situation we're in with opioids and the potential for abuse in this age group. I plan to call the office and voice my concern, but was curious to hear what others think, both about how many pills of norco are typical to need after wisdom teeth removal, and about the risks of over prescribing.
My pediatrician sister and my RN sister both suggest not filling the norco and just going with ibuprofen, holding the norco "just in case" - which is exactly the opposite of what the surgeon instructed ("fill it before you come to the procedure"). The other option I'm considering is having the pharmacist just fill it for 2 or maybe 4 pills, so there are less lying around after. Even aside from abuse, it's a pain to dispose of schedule II drugs properly. You would think oral surgeons would be helping us out here by not over prescribing, right? Apparently not...