09-15-2012, 07:25 PM
Join Date: May 2011
Pressor drugs such as norepinephrine, meperidine and epinephrine should be avoided at all costs due to their propensity to screw with blood pressure and the cardiovascular system.
All the traditional meds used for induction of anaesthesia such as Midazolam / propofol are considered 'safe'.
For pain and amnesia morphine, fentanyl are also considered safe.
For anaesthesia maintenance the volatiles sevoflurane, desflurane as well as nitrous oxide are safe.
Muscluar blocking agents are mostly safe, with the exeption of Pancuronium
which has the ability to release stored noradrenaline and thus lead to a hypertensive crisis.
For vasoconstriction, Felypressin has been established as safe.
Antichollinergic drugs as well as non steroidal anti inflammatory drugs are fine.
If the anaesthetist is half the doctor he ought to be then this will be a walk in the park. Just make sure you constantly repeat that you are on or coming 'off' of an MAOI (state drug here) to all doctors / nurses you are consciously in contact with. You may even be given a braclet stating a potential med interaction.
Dx: Bipolar I, ADD Inattentive
- GAD + Panic attacks
- Migraine Headaches
Clonazepam 2mg prn (once a week)
Previous meds: Amitriptyline 200mg, Dexamphetamine 60mg, Dosulepin 50mg, Lithium 900mg, Lexapro 20mg, Lyrica 100mg, Methylphenidate IR 40MG LA 60mg, Moclobemide 450mg, Prozac 60mg, Saphris 10mg, Seroquel 300mg, Sodium Valproate 1500mg, Thorazine 500mg, Temazepam 20mg, Topamax 100-150mg