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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by jnew12 on November 1, 2008, at 13:14:31
Hey, I need to get surgery because I have internal hermoroids due to suboxone use. I also have horrible toothache and need a bunch of cavitiys. But I am afriad because I am on a MAOI. It seems like nobody knows about these drugs and I don't want to get hurt. Isn't the medication used for surgery and denistry contradicted, especially the numbing agent that is needed for pain free dental work??
Posted by Phillipa on November 1, 2008, at 13:53:48
In reply to Need to see denist and get surgery- MAOI, posted by jnew12 on November 1, 2008, at 13:14:31
There are meds that can be safely used inform the dentist and anesthesiologist and let them discuss it with you pdoc and pharmacist. Will your surgery be local or full anesthesia. Ouch to the hemmohoids. Love Phillipa
Posted by bimini on November 1, 2008, at 17:59:34
In reply to Need to see denist and get surgery- MAOI, posted by jnew12 on November 1, 2008, at 13:14:31
Have you had bad reactions in the past? Novacaine for dental work is one thing. Having full anesthesia is a horse of a different color. Make your doc aware of your concerns.
Best wishes, bimini
Posted by azalea on November 1, 2008, at 18:51:32
In reply to Need to see denist and get surgery- MAOI, posted by jnew12 on November 1, 2008, at 13:14:31
You should not have general anesthesia within 10 days of taking Nardil. Definitely tell your dentist and surgeon you're taking Nardil.
You should also be careful with the medications for pain control post-op as these may be contraindicated with Nardil. Being on an MAOI takes a lot of responsibilty. Glad to hear you're thinking about potential problems. This will certainly help you minimize your risk.
> Hey, I need to get surgery because I have internal hermoroids due to suboxone use. I also have horrible toothache and need a bunch of cavitiys. But I am afriad because I am on a MAOI. It seems like nobody knows about these drugs and I don't want to get hurt. Isn't the medication used for surgery and denistry contradicted, especially the numbing agent that is needed for pain free dental work??
Posted by yxibow on November 2, 2008, at 2:26:18
In reply to Re: Need to see denist and get surgery- MAOI » jnew12, posted by azalea on November 1, 2008, at 18:51:32
Its a reason to wear an emergency bracelet -- they don't have to be metal now, there are custom silicone bracelets that can be made which won't catch on things as easily and might be preferable to some people.
Emergency surgery has been performed on people with MAOIs -- its just the other substances that are used in anaesthesia to keep the body stable are potentially a greater risk.
-- Jay
Posted by jnew12 on November 2, 2008, at 10:11:45
In reply to Re: Need to see denist and get surgery- MAOI, posted by yxibow on November 2, 2008, at 2:26:18
This is kinda getting scary. I think nardil as hightened my anxiety as of latley because of the scare of a hypertensive crisis, and surgery.
So, in order to get the surgery for my, yes internal hemroids,lol, I will have to go off Nardil for 10 days?? I guess I will have to wait until school is over because I cant risk withdrawal effects getting in the way of my grades? Are you sure there is nothing they can do??
And, I can get numbed for tooth troubles? What are the chance of finding a Denist the actually knows what he is doing, and has did someone with a MAOI before? I hope better than my chances of finding a pharmacy that carries this stuff.
And, I sort of don't won't to wear a metal medic band, I don't want people asking me questions. Would it be all right to print up one of those things to put in your wallet. If I got one of those wallet cards what are my chances that someone will actually find it, in case of a emergency?
Posted by yxibow on November 2, 2008, at 13:43:30
In reply to Re: Need to see denist and get surgery- MAOI, posted by jnew12 on November 2, 2008, at 10:11:45
> And, I sort of don't won't to wear a metal medic band, I don't want people asking me questions. Would it be all right to print up one of those things to put in your wallet. If I got one of those wallet cards what are my chances that someone will actually find it, in case of a emergency?
Better than zero, they do look in your personal effects, but if we want to get rather graphic, if they've been thrown from a vehicle or dumped by an agressor..... its doubtful a medical alert band will be stolen, I don't know, I'd rather not create any scenarios there actually, there's no point being too graphic.
And like I said, the silicone ones while prominent, some of them just say "look in wallet" (although if its gone its, gone). They don't look like metal ones, which can be a slight detraction, although they're usually medical colors -- they're like the Lance Armstrong bands.
I would say a wallet card is always good for anyone with a list of medications, legal tangles, or not.But for certain specific things like, diabetes (insulin), MAOIs, etc, I think there's a good case for a bracelet -- like I said, the silicone ones aren't metal flashy -- that may be a plus or a minus, depending if you want an EMT to really notice.
Its your choice how you want to manage your life, and choices do make differences. I wasn't trying to scare you that you had to -- some people here have mentioned they do, some don't use them.
I haven't updated my wallet card recently, I should. Basically just print something out and use a laminator.
-- just a thought
Jay
Posted by Questionmark on November 2, 2008, at 22:54:30
In reply to Need to see denist and get surgery- MAOI, posted by jnew12 on November 1, 2008, at 13:14:31
You should definitely at least try to contact the surgeons and/or anesthesiologists involved beforehand and ask them if they are familiar with MAOIs and can use anesthesia and etc that would not be contraindicated or dangerous. You're right, they probably will not know. But it's a worth a shot.
Or-- er, and/or-- maybe you could tell them, "Look, it just can't be anything with pro-serotonergic or adrenergic action or anything that significantly decreases or, especially, increases blood pressure. You guys can handle that, right? You did get an advanced education for this s**t, right? Oh, and no aged cheeses please. Thanks." Something like that maybe. No, but, you could stress the importance of that first sentence and , well maybe it'll be helpful.
Anyway, good luck. Don't worry though, you'll be fine. Just make sure you tell them you are on an MAOI.
Posted by Geegee on November 2, 2008, at 23:03:41
In reply to Re: Need to see denist and get surgery- MAOI, posted by yxibow on November 2, 2008, at 13:43:30
I've worn a gold-toned medic alert bracelet for about 4 years now. As best as I can recall, no one has ever asked me what it was about.
gg
Posted by Roslynn on November 3, 2008, at 14:45:04
In reply to Need to see denist and get surgery- MAOI, posted by jnew12 on November 1, 2008, at 13:14:31
Maybe also the day of each procedure, hand the doctor/dentist a piece of paper with the information Questionmark mentioned above (and anything else you think should be included).
Type something up in a large font. Bring a few copies with you. That way if you're nervous you won't have to worry about forgetting what you were going to say.
Posted by Zeba on November 3, 2008, at 22:37:37
In reply to Need to see denist and get surgery- MAOI, posted by jnew12 on November 1, 2008, at 13:14:31
I am on Parnate and have had teeth filled and even had oral surgery a couple of months ago. Just last week I had cataract surgery. Anesthesiologists know what they can and cannot use for surgery. I even had cervical spine surgery and basak joint surgery on Parnate.
Zeba
This is the end of the thread.
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