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  1. #1
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    Default Allergic to fentanyl but want epidural

    As the question states I'm allergic to fentanyl, well I react badly and I've been told epidurals have fentanyl.
    I was hoping to get an epidural but unsure if they can use anything else?
    I see my ob in a few weeks but hoping someone can help me with question

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    What type of reaction do you have? I get the itches around my mouth and nose, shake really bad and throw up. They can give you another drug to stop that from happening if that's what happens to you too.

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    My breathing rate slows right down and I don't wake up fully, I become extremely drowsy and also get electric shocks all over my body so when I try to doze off the feels like I'm in limbo I can't stay awake and I can't fall asleep, each time I have it the reaction gets worse last time I honestly thought I wasn't going to come out of it, last about 10 hours after last injection, it scared me so badly I never want to feel like that again, especially while I'm giving birth.

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    Your best option is to ask for an anaesthetic consultation rather than people on the Internet. No one else is going to be able to give you an answer about what's possible as an alternative. But for what it's worth, one of our anaesthetists makes up her own infusion for an epidural rather than using the premixed bags. I'm sure there are alternatives, but no one can advise you on what they are except a qualified anaesthetist.

  5. The Following 4 Users Say Thank You to M'LadyEm For This Useful Post:

    atomicmama  (07-03-2016),Ngaiz  (07-03-2016),Rocky27  (07-03-2016),twinklify  (07-03-2016)

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    I was hoping to talk to one before labour was to begin but I'm not sure if they do that sort of thing. I know my ob will answer most of my questions, perhaps I'll ask if I can speak quickly to one so I get a rough idea 😊

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    Honestly, that is a scary reaction and I am not sure how you are expecting to birth with that reaction.

    There are plenty of other pain relief options to try. Also you need to ask an anesthetist rather than the ob.

    Is this your first baby?

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    Quote Originally Posted by miissalina View Post
    I was hoping to talk to one before labour was to begin but I'm not sure if they do that sort of thing. I know my ob will answer most of my questions, perhaps I'll ask if I can speak quickly to one so I get a rough idea 😊
    Yes they do. At your next apt ask to be contacted by an anaesthetic consultant (or registrar if you are public). I need to do this for my scheduled c-section as I had 2x failed Spinal blocks and they told me they need to take a different approach next time. They will give you all your options.

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    Yep first baby and it's been a tough road to get to where we are so my anxiety is abit ott at the moment.
    I will definatly ask my ob to get the anaesthetist to contact me to discuss options, my obs been amazing so I'm sure he'll be more than helpful once he returns. I'm glad there are other options that can be considered I haven't been able to attend antenatal classes as I've spent abit over three months on bed rest so trying to educate myself through the Internet sometimes helpful sometimes not so much

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    Quote Originally Posted by M'LadyEm View Post
    Your best option is to ask for an anaesthetic consultation rather than people on the Internet. No one else is going to be able to give you an answer about what's possible as an alternative. But for what it's worth, one of our anaesthetists makes up her own infusion for an epidural rather than using the premixed bags. I'm sure there are alternatives, but no one can advise you on what they are except a qualified anaesthetist.
    Sometimes people on the internet can be helpful and point you in the right direction. Like you did.

    good luck @miissalina, hope you come off bedrest soon.

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    Quote Originally Posted by Bongley View Post
    Sometimes people on the internet can be helpful and point you in the right direction. Like you did.
    I'm not sure I understand the point of your post? The difference is that as a medical professional my advice is based on more than just anecdotal stories. It's very easy to get wrong information from others online. Pointing someone in the right direction to seek proper advice and information is far more helpful than someone else saying "when I had my baby..." etc. in this particular instance the OP has had quite a bad reaction to an opioid that is widely used and preferential in a lot of situations over other opioids. There could be an increased risk using another opioid like morphine or pethidine that can illicit a similar reaction. The only people qualified to give OP advice is an anaesthetist. Not even an obstetrician is qualified to give information in this case as its not their area of expertise.

    I'm not trying to be rude or s*** stir at all. I just want the OP to get proper advice on who she needs to talk to in preparation for labour. An anaesthetic consult is a must. You can't spring this on them in labour - there needs to be a documented plan in place so if there's another anaesthetist on at the time of delivery, it's all documented in your medical record.

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