OpenHealth Q&A

Get answered by medical professionals

Post-Surgery Nicotine and Psychedelics Usage: What to Know

8/1/2025, 7:20:26 PMMale25-34

At 26 years old, weighing 62 kg and measuring 172 cm, I am a Caucasian female who is prescribed promethazine to help with insomnia. Having recently undergone a minor surgical procedure, I am keenly focused on reducing any scarring that may result. In anticipation of the surgery, I refrained from using nicotine, cannabis, and psychedelics for a month. I have also steered clear of exposure to secondhand smoke, as I do not smoke myself. Though I am on the mend, my recovery is not yet complete, but I expect the wound to seal completely in the near future. I am curious about the potential implications of reintroducing nicotine, cannabis, or psychedelics into my routine once my wound has healed. Could these substances negatively influence the healing process or lead to more pronounced scarring over time? Minimizing the appearance of scars is my top priority, and in addition to avoiding these substances, I am currently applying a silicone cream to aid in the healing process.

FibromyalgiaInternal MedicineEndocrinology

Answers (1)

Cony

8/1/2025, 7:20:51 PM

OpenHealth AI

It's great to see your commitment to healing and minimizing scarring after your surgery. When considering the potential impacts of reintroducing nicotine, cannabis, or psychedelics into your routine, it’s important to understand their effects on healing and skin health.

Summary of Key Points:

  1. Nicotine: Can constrict blood vessels, potentially reducing blood flow to healing tissues and making scarring worse.
  2. Cannabis: Effects can vary. Smoking cannabis can introduce irritants similar to tobacco smoke, which may delay healing. Edibles may have fewer effects on healing but could still pose risks depending on individual responses.
  3. Psychedelics: While limited research exists regarding their impact on surgical healing, these substances generally do not show direct links to increased scarring.

Detailed Explanation:

  • Nicotine: Smoking or using nicotine products can limit blood circulation, which is critical for wound healing. This could lead to more pronounced scarring. In studies, nicotine has been shown to negatively affect regeneration and healing processes in the skin.

  • Cannabis: Although some may believe cannabis has healing properties, smoking it can lead to additional irritation, much like tobacco. This may delay the recovery of your surgical site and could hinder your efforts to minimize scarring. If you choose to use cannabis, consider non-smoking methods (like edibles or oils) to potentially mitigate damage.

  • Psychedelics: Substances like psilocybin or LSD have limited direct evidence regarding physical wound healing but can impact mental health, which is crucial during recovery. Stress reduction and mental well-being are important for overall health and healing, so use caution with substances that might alter your mental state during this critical period.

Next Steps:

  1. Continue Avoiding Nicotine: Prioritize staying away from nicotine in any form to support optimal healing and scar management. Consider delaying its reintroduction indefinitely if possible.

  2. Consider Timing for Cannabis: If you decide to use cannabis, wait until your wound has fully healed, and opt for non-smoking methods to minimize irritation.

  3. Limit or Postpone Psychedelic Use: It's advisable to refrain from psychedelics during your recovery phase until you have fully healed, both physically and mentally.

  4. Keep Using Silicone Cream: Continue applying silicone cream as it is known to help with scar formation effectively. Consistency with this treatment is key during your healing process.

Taking these steps will significantly boost your recovery and scarring minimization efforts. Allow yourself time to heal fully before making decisions about reintroducing any substances. Let me know if there's anything else you'd like to know!

Related Questions

Strange Jelly-Like Substance Observed from Wound

I’m a 21-year-old female living with an auto-inflammatory condition known as hidradenitis suppurativa (HS). Recently, I've experienced a concerning issue with one of my wounds. This particular wound causes significant pain and excessive bleeding. However, whenever I attend to it, I tend to find this unusual jelly-like substance present within it. Interestingly, this phenomenon has only occurred with this one wound and not any of the others I have. The bleeding seems to persist until I manage to remove this jelly substance, after which it typically slows down and comes to a halt completely. I’m seeking insights into what this might signify so that I can effectively discuss it with my healthcare provider.

ArthritisFibromyalgiaInternal Medicine
Male25-34
39 minutes ago

Understanding Tuberculosis Exposure Risk

A 26-year-old male, who neither drinks alcohol nor smokes, seeks to understand the implications of exposure to tuberculosis (TB). As an anesthesia technician, I became concerned after I encountered a TB-positive patient about a month ago. I had to enter the patient’s room several times to perform blood gas tests. On my first entry, I mistakenly wore my N95 mask incorrectly due to the hectic nature of attending to multiple rooms. From my research, it appears that TB is quite transmissible; direct exposure can pose a serious risk of infection. Transmission usually requires prolonged contact with an infected individual, particularly in a close or face-to-face setting. In this case, the patient was lying face down and appeared to be sleeping when I entered. I have already undergone testing for TB, but I am eager to deepen my understanding of the risks involved in these situations.

COPDInternal MedicineEndocrinology
Male25-34
1 hour ago

24M | Unexplained Fainting Incident

**Note:** I previously shared this story, but it was inexplicably removed. I’m a 24-year-old male without any medical diagnosis or prescription medications. While I do consume alcohol occasionally, I hadn’t been drinking before this happened. Around 3 a.m., I got up from bed to use the restroom. As soon as I began to urinate, I suddenly felt a wave of dizziness. The next moment I was aware of was regaining consciousness in the bathtub, startled awake by the sensation of something dripping on me—only to discover it was my own blood. This was my first experience with fainting. When I came to, confusion set in. I was disoriented and couldn’t comprehend why I was being dripped on while in what I thought was my “bed.” Strangely, I also imagined that I was lying on a collection of marbles (which I actually don’t own)—this turned out to be the shattered glass of my shower door lying around me. I’m uncertain whether I lost consciousness first and then fell, or if the fall caused my brief blackout. It took me a few moments to understand why I was in the bathroom at all. I’m not sure how long I was out; I only remember it was around 3 in the morning when I initially got up, and about the same time when I regained consciousness. I dialed 911, and the ambulance arrived promptly. They checked my vitals, performed an EKG and measured my blood sugar, finding nothing unusual. At the emergency room, they repeated the vital checks, conducted a CT scan, drew blood, and took x-rays—yet still no abnormalities were detected. I had several cuts on my face and left arm (curiously, this is the arm that would have been turned away from the door), along with bruising around my ribs. Since the incident, I’ve been suffering from headaches and pain in my ribs. I received stitches on both my face and arm. The nurse suggested I could have stronger pain relief, but I opted for just Toradol. They eventually discharged me, stating, "We’re unsure what caused this, but return if it happens again." What might have triggered such an incident? How can I safeguard against it reoccurring if they remain uncertain about the cause?

Thyroid DisordersCOPDInternal Medicine
Male25-34
2 hours ago

Healing Progress Post-GBS: Toe Concerns

I am a 28-year-old male, measuring 5 feet 10 inches and weighing 131 pounds. My current medications include Fomadatine and Zyrtec, prescribed due to my ongoing battle with Chronic Gastritis and SIBO. I maintain a healthy lifestyle, abstaining from both smoking and alcohol. My health concern revolves around the toe adjacent to my pinky toe on my left foot, as well as my pinky toe on the right foot. Since August of last year, I have been on the mend from Guillain Barre Syndrome. Recently, I've noticed that at night, the skin on my feet tends to turn a reddish pink, although this usually improves after I walk around. However, two of my toes have remained red, with one appearing slightly swollen. Generally, my pinky toes are quite thick, but the condition of my left foot's toe is worrisome for me. It seems that I'm unable to upload an image to illustrate my issue.

FibromyalgiaCrohn's DiseaseCOPD
Male25-34
2 hours ago

Swelling Beneath My Chin Near the Jawline

18-Year-Old Male: I'm reaching out to any medical professionals who might provide insights into my situation. I've been using marijuana since I was 14, but now, at 17, I'm making an effort to stop and have been clean for 18 days. Recently, I've discovered an unusual swelling located just beneath my chin, behind my jaw. It causes some discomfort when I move, yet it doesn’t feel painful continuously. I'm somewhat anxious that this could be indicative of a more serious issue, especially considering it's positioned near my chin's lymph nodes. Any advice or information would be greatly appreciated as it might help alleviate my worry.

ArthritisLupusInternal Medicine
Male25-34
2 hours ago