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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by quilter on September 24, 2000, at 19:44:05
which of the following meds are most likely to need to be tapered or discontinued before surgery (possible) for a slipped disc in my neck?
Cytomel 50 mcg.
Celexa 30 mg.
Effexor 375mg.
lorazapam .5mg.
Neurontin 2700 mg.
Baclofen 60mg.
Elavil 10mg.
Xalatan (eye drops)I also use , as needed , Tylenol 3, Imitrex, and Skelaxin.
Believe it or not, I can still walk.
Quilter
Posted by Cam W. on September 24, 2000, at 21:41:06
In reply to Cam W., Sunnely, Dr. Bob, I need to know..., posted by quilter on September 24, 2000, at 19:44:05
Quilter - Sorry, I'm a community pharmacist. This is a job for a clinical pharmacist and/or the doc. If they've done their homework, they'll know exactly what to do.
Sorry I can't help - Cam
Posted by Sunnely on September 24, 2000, at 22:26:21
In reply to Cam W., Sunnely, Dr. Bob, I need to know..., posted by quilter on September 24, 2000, at 19:44:05
> which of the following meds are most likely to need to be tapered or discontinued before surgery (possible) for a slipped disc in my neck?
>
> Cytomel 50 mcg.
> Celexa 30 mg.
> Effexor 375mg.
> lorazapam .5mg.
> Neurontin 2700 mg.
> Baclofen 60mg.
> Elavil 10mg.
> Xalatan (eye drops)
>
> I also use , as needed , Tylenol 3, Imitrex, and Skelaxin.
> Believe it or not, I can still walk.
> QuilterQuilter,
Doubt any of the above needs to be tapered. However, a couple of them may need to be put on hold temporarily as they may interfere with effects of anesthesia. Probably lorazepam, baclofen, and Neurontin. (Since they act on GABA/benzodiazepine receptors, have sedating and muscle relaxant effects). Once the anesthesia effects wear off, these meds may be resumed as they are. My opinion is not etched in stone, however. Other factors must be taken into consideration in the final decision regarding your meds. Your anesthesiologist and surgeon are the best judge of this matter.
Please inform your doctors all the medications (prescribed and OTC) and also herbs you take on a regular basis. Some herbs may affect blood clotting such as gingko, ginseng, ginger, garlic, feverfew, chamomile.
Posted by noa on September 25, 2000, at 8:39:12
In reply to Re: Cam W., Sunnely, Dr. Bob, I need to know..., posted by Sunnely on September 24, 2000, at 22:26:21
except that if you have to be off the effexor for more than a day, tapering might help with the withdrawal effects.
Posted by Deborah on September 25, 2000, at 10:01:58
In reply to Re: Cam W., Sunnely, Dr. Bob, I need to know..., posted by Sunnely on September 24, 2000, at 22:26:21
>Some herbs may affect blood clotting such as >gingko, ginseng, ginger, garlic, feverfew, >chamomile.(Apologies to Quilter for leaping in here) Sunnely, your information regarding blood clotting and herbs such as feverfew caught my eye. Do these herbs 'thin the blood' like aspirin does? (so I believe anyway) We are searching for answers to one of our childrens severe allergic reactions (anaphylaxis x 2 - unknown cause.) I wont go into the long story here, but it would help us immensely if you could clarify the effect feverfew has on blood clotting, this could help us so much.
Many thanks and best wishes,
Deb.
Posted by Sunnely on September 25, 2000, at 14:35:48
In reply to A question for Sunnely....thankyou...., posted by Deborah on September 25, 2000, at 10:01:58
>Some herbs may affect blood clotting such as >gingko, ginseng, ginger, garlic, feverfew, >chamomile.
>
> .....blood clotting and herbs such as feverfew caught my eye. Do these herbs 'thin the blood' like aspirin does? (so I believe anyway).
>
> Many thanks and best wishes,
> Deb.Dear Deb,
Feverfew and risk of bleeding and potential for allergic reaction:
Allergic contact dermatitis can occur with topical (local) use of feverfew. It can cause an allergic reaction in individuals sensitive to the Asteraceae/Composite family. Members of this family include ragweed, chrysanthemum, marigolds, daisies, and other herbs.
Some evidence demonstrates the crude extracts of feverfew might inhibit blood platelet aggregation and the neutrophil and platelet secretory activity. (In short, it appears to have some "anti-platelet" action leading to increased of bleeding. Yes, just like aspirin.)
Therefore, concurrent use of feverfew with other herbs with coumarin constituents or affect platelet aggregation could theoretically increase the risk of bleeding in some people. These herbs include: angelica, anise, asafoetida, bogbean, boldo, capsicum, celery, chamomile, clove, danshen, fenugreek, garlic, ginger, gingko, ginseng (Panax), horse chestnut, horseradish, licorice, meadowsweet, prickly ash, onion, papain, passionflower, poplar, quassia, red clover, turmeric, wild carrot, wild lettuce, willow, and others.
Good Luck.
Posted by quilter on September 25, 2000, at 22:14:04
In reply to Re: A question for Sunnely....thankyou...., posted by Sunnely on September 25, 2000, at 14:35:48
Thank you all for your prompt replies. That's one less thing to worry about! Quilter
Posted by Deborah on September 26, 2000, at 4:33:02
In reply to Re: A question for Sunnely....thankyou...., posted by Sunnely on September 25, 2000, at 14:35:48
Sunnely,
My most sincere thanks for your prompt reply and all this terrific information. I have been searching and searching for some sort of connection to link our daughter's two anaphylactic reactions. We have been so frightened with not knowing for sure what has caused this.
This will help us so much, so my heartfelt thanks to you, I think you are terrific how you help people here...
Lots of love and best wishes to you,
Deb.
Posted by Sunnely on September 26, 2000, at 22:24:47
In reply to A thankyou for Sunnely..., posted by Deborah on September 26, 2000, at 4:33:02
> Sunnely,
>
> My most sincere thanks for your prompt reply and all this terrific information. I have been searching and searching for some sort of connection to link our daughter's two anaphylactic reactions. We have been so frightened with not knowing for sure what has caused this.
>
> This will help us so much, so my heartfelt thanks to you, I think you are terrific how you help people here...
>
> Lots of love and best wishes to you,
> Deb.Dear Deb,
You are very much welcome. Glad to be of help, somehow.
This is the end of the thread.
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