Post Vasectomy Pain Forum

My Medication Summary

I was going through some of my old journaling and decided to put a brief summary of all the medications I’ve tried over the last 2.5 years since vasectomy. I was mainly doing this for myself but thought it might be a good thing to post. I tried to keep the categories and comments as simple as possible. I know some of my experiences with these medications have been similar to some of yours, and some of them have been very different… Everyone responds to medications in their own unique way – this has been my experience. Obviously the goal is to be on no medication eventually but I’m still experimenting a little with the long-term type stuff, mainly when I seem to have a setback… The only stuff I’m really taking regularly now is fish oil, daily vitamin, and homeopathic sleeping aid…

Hopefully the link below works…

Medications.pdf (41.5 KB)

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I’ll add my own medication record here as well.

For context, I had my vasectomy in April 2011, clips removed in Jan 2012 which resulted in a hospital acquired infection. Neurolysis was Feb 2013 in Winterhaven.

From April 2012 until I had surgery with @S_Parekattil_MD - there were no pain killers that helped me. Marijuana worked if I vaporized it, but I couldn’t work.

  • Celebrex @ 200mg, 30 capsules (April 5, 2012)
    • this stuff dried me out insanely. I’m also pretty sure that it sped up my visual deterioration as I now wear bifocals @ age 38. My optometrist was pretty shocked how fast my eyes changed while on this drug.
  • Cymbalta @ 30mg, 60 capsules (April 5, 2012)
    • I only ended up taking this for 2 days. It’s an antidepressant and it made my brain feel downright weird and I wasn’t comfortable with the safety of the drug
  • Amitriptyline (Elavil) @ 25mg, 30 tabs (March 8, 2012)
    • This was during the time when I had a hospital acquired infection after my vasclip was removed. The Elavil helped with pain, but I also ended up taking it for only 4 days as it made me sleep for 13 hours at a time. Not exactly useful when you’ve got little kids and a family.
  • Esomeprazole Magnesium (APO- Esomeprazole) 40mg, 10 tablets (March 8, 2012)
    • This was a drug prescribed to me to keep my stomach from throwing up all the time because I had so many other drugs. Yay pharma!
  • Naproxen 500mg, 20 tabs (March 8, 2012)
  • more pain killers during the hospital acquired infection time frame
  • Levofloxacin (500mg, 10 tabs) (March 8, 2012)
    • antibiotics for the hospital acquired infection
  • Hydromorphone HCL (PMS-Hydromorphone) (2mg, 30 tabs) March 8, 2012)
    • yay - more pain killers for hospital acquired infection!
  • Ketorolac Tromethamine (10mg, 15 tabs) (Feb 28, 2012)
    • This was a pain killer when I was being misdiagnosed while I was growing nice bacteria from a hospital acquired infection post-vasclip removal.
  • Tobramycin eyedrops (0.3% SDZ) (Feb 25, 2012)
    • My eyes were going a bit crazy with pink-eye like symptoms. Probably a side effect of the cess pool of bacteria growing in me at the time.
  • Cephalexin 500mg, 28 tabs (Feb 13, 2012)
    • first round of antibiotics when one doc thought I might have an infection. This drug will make you shit your pants. Trust me. I know this first hand. Yay PVPS!

I also had some other pain killers like codeine when I had my vasclip removed and the usual meloxicam and amoxicillin as a conservative treatment prior to having my clips removed.

Vic – that’s a helpful summary – I haven’t even heard of a few of those. Also glad to hear things seem to be going well at your 1-year anniversary.

I should also add for context… Vasectomy performed Oct. 2011, Reversal performed Oct. 2012. Also, the one thing I left out of my summary was antibiotics which I took for the couple weeks following reversal.

Anybody ever receive lidocaine injections? My Pelvic Physical Therapist today suggested it as a possibility? Seems like a cord block with Dr. P would be a much more helpful diagnostic.

Kevin, Lidocaine is one of the medications in the cord block injections that Dr. P does to determine if there is a response. There is also Morphine and one other medication that I can’t remember right now. He uses it to help determine if Targeted Neurolysis would help with the pain you are having. Not everyone has the same response, as has been mentioned previously on this board, but I had a very positive response and was positive that the neurolysis (or denervation) would be the answer…I had convinced myself that this was the miracle I had been searching for for years. Unfortunately, for me, it was not the answer, but the positive response I had to the initial block at least determined my pain was neurologically based. The micro-cryo ablation that Dr. P performed has had a much more positive effect, and has reduced my pain. Don’t give up hope, there is help out there, and Dr. P (and Dr. B) is an excellent place to start. They are working tirelessly to find answers for all of us.

P.S. As far as lidocaine injections as a “treatment” for pain, I wouldn’t think it would be very effective. From what I understand, Lidocaine is a very short acting local anesthetic, so whatever pain relief it would provide, I would think it would be very short-lived.