Posted by Ken Blades on February 25, 2007, at 12:22:28
In reply to Re: Master list of drugs to avoid while on MAOIs? » Ken Blades, posted by laima on February 25, 2007, at 8:58:15
You're welcome :)
I'm sure nobody was bothered by anything; it's
easy to get mixed-up/confused...happens to me all the time.Even my psychiatrist didn't know about EMSAM
[this was last year[[?]] or so when it first
came out]; I brought a printout of a press
release from the manufacturer upon EMSAM's
availability. Maybe they didn't do a good
marketing campaign, sending sales reps to
the docs? I would have been willing to try
EMSAM if it didn't mean having to go off
Parnate and have to re-adjust to it if EMSAM
didn't work as well for me. Funny that the
pharmacists weren't familiar with it..but
if they didn't have any other customers
coming in to fill Rxs for it, I guess they
would be in the dark.I had Versed only for the endoscopy; why
they tend to use an narcotic with it I
don't know. This particular endoscopy
was done by the gastroenterologist who
is the endoscopy specialist, with two
nurses in the room. Evidently he hadn't
run into a MAOI patient before..and
this is a large teaching hospital!
The first endoscopy I had was by a
gastroenterologist and an anesthesiologist
was doing the I.V. drugs. I mentioned
the MAOI again while I was getting
'stuck', and this prompted a call from
the room to somewhere[the pharmacy?]
regarding what agents could be used
safely...they wanted to be sure even
Versed was safe[up until this time I
had never had an endoscopy or Versed].
So I got Versed alone and was fine.
It sure seems that MAOIs are not too
common, doesn't it? I mean, looking at
this board and the number of people on
MAOIs, you'd think they were pretty
common. I guess we're actually a
small percentage of the whole
psychopharmacology crowd.As I said, there is the common use of
the word 'novocaine' to represent ALL
local anesthetics because that is the
name that the public understands...if
they used the words Xylocaine or lidocaine,
they'd probably get 'what's that?'
from everyone. It's like using 'Crisco'
to represent all hydrogenated vegetable
shortenings....no explanation necessary.Not to say no one uses Novocain[e] anymore,
but its use has been overwhelmingly supplanted
by Xylocaine/lidocaine. Novocaine is over
100 years old....lidocaine is about 50 years old lol. Novocaine by itself has vasoconstrictor
properties, so you wouldn't necessarily need
epinephrine added, but one of its breakdown
products caused a problem in some people.
Lidocaine is faster and longer acting, and
doesn't cause the problem mentioned above.
When you see your dentist the next time,
ask her to show you the bottle that the
local anesthetic comes from...you'll see if
it's novocaine[procaine] or lidocaine...and if it
contains epinephrine. Why not ask her
if she can use lidocaine without epinephrine
when you have your gum surgery, since lidocaine
itself is not a problem. She would probably have
to reinject you since it would wear off faster, but it would be easier on you rather than to have
to go off your EMSAM.I hate dental local anesthetic injections too..
especially the DEEP ones I've had when having impacted wisdom teeth removed. I had nitrous before I had the injections the last time...weird feeling that nitrous!
poster:Ken Blades
thread:735398
URL: http://www.dr-bob.org/babble/20070224/msgs/736015.html