This was a comment from the iPill website
I am having knee replacement surgery. I have been sober for 2 years and am looking for pain medication distribution options that are timed and locked: I have had issues with pain meds and alcohol. Thanks for any ideas or assistance you might have available.
Thank you for the note. Congrats on your sobriety and for reaching out. This is impressesive because you are genuinely interested in your own well being and recovery.
Substance use disorder (SUD) and opioid use disorder (OUD) are chronic diseases. Treatment unfortunately has focused on psychological and emotional support but leaves out the physical aspects of treatment, the pharmaceutical intervention. You have identified the problem iPill is trying to solve.
In hospitals, opioids are triple locked yet these same opioids are sent home with patients without similar safeguards. Combining psychological/emotional support therapy with secure storage, active control dispensing, and destruction of unused pills on tampering and prescription end,extends the safety of opioid from the hospital to the home.
At this time iPill is not for sale to the general public. We are conducting a feasibility, usability, and acceptance human factor study in Q3-4 2021. We will likely be market launching shortly thereafter.
Regarding the surgery, talk to your orthopedic surgeon as soon as possible so he can contact the anesthesiologist to address your concerns. There are predications that can be given to reduce postop pain and reduce the use of opioids. Intraoperatively the orthopedic surgeon can inject long acting local anesthetics to the posterior capsule and the anesthesiologist can place a regional pain block (femoral + sciatic or adductor canal block). Postop ice and a continuous passive motion (CPM) device can be used to encourage early ambulation which can improve pain and speed recovery.
The psychologic preparation for pain postop is in education. I reassure patients that the knee replacement surgeries enable return to better function in the long run. There will be pain, and possibly lots of pain. It willl be for a short period of time for long term gain. Patients sometimes tell me that with this uderstanding, they were better able to tolerate the postop pain knowing what to expect preoperatively.
Again postoperatively it will hurt. Early ambulation will reduce pain. Adhering to the physicial therapy regimen will not only reduce pain but improve range of motion to ensure a successful surgical outcome. Elevation of the operative side combined with an activity to distract from the pain is extremely important emotionally. Watching movies is a great alternative. Good nutrition is very important for healing. Good luck
John Hsu MD