Inclusion Criteria:  Patients age 3 - 17 undergoing adenotonsillectomy meet inclusion criteria  Exclusion Criteria:  Patients with Down syndrome Patients with a history of coagulopathy Patients with craniofacial abnormalities Caregivers who cannot speak, read, or write in English proficiently Patients who take systemic corticosteroids during the enrollment period Patients who take opioids during the enrollment period Patients who take chronic opioids Patients who are pregnant Patients with allergy to or contraindication for taking any of the study medications Patients who have the inability to communicate Patients who have the inability to localize pain Patients who have type 1 diabetes Patients who have type 2 diabetes