Posted by SLS on March 17, 2012, at 12:30:29
In reply to Re: MAOI » emmanuel98, posted by kagome on March 17, 2012, at 10:09:14
> > I also found the old lists needlessly restrictive and found (maybe through one of Scott's link) a more reasonable approach.
>
> Same here, although I may have been overdoing the pepperoni pizza a bit... it's a main staple of my diet...
>
> Anyway, I have a question:
>
> Pain meds are fine, except tramadol and demerol. If you have to have anesthesia, tell the doc about MAOIs in advance and the need to avoid demerol.
>
> So what do they use instead? I have to have surgery soon (oral surgery to remove a possibly lamictal-related tumor) and the Dr told me he was going to use demerol to knock me out. I told him I was on Parnate and he said it wasn't a problem. Obviously not true, but what should he be using instead?
Indicatedpropofol
midazolam
ketorolac
morphine
ketamine
oxycodone
hydrocodone
phenelphrine
Contraindicated:meperidin
tramadol
norepinephrine
epinephrine
dextromethorphan
pancuronium
pethidine
Inconclusive:* fentanyl
sufentanil
alfentanil
remifentanil* I read recently than fentayl was okay to use in conjunction with MAOIs.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1013046
URL: http://www.dr-bob.org/babble/20120316/msgs/1013304.html