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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 Maxime on June 24, 2006, at 0:54:05
Hi
If i am going to have surgery, am I going to have to stop my parnate?
Also, someone told me that novacane does not mix with Parnate. The same with Demerol.
So what is true and what is false?
TY
Maxime
Posted by willyee on June 24, 2006, at 1:45:42
In reply to Surgery parnate, posted by Maxime on June 24, 2006, at 0:54:05
> Hi
>
> If i am going to have surgery, am I going to have to stop my parnate?
>
> Also, someone told me that novacane does not mix with Parnate. The same with Demerol.
>
> So what is true and what is false?
>
> TY
>
> MaximeI cant provide a definitive answer,but i can remind of my experiance.
Upon a instant pain sharp and intense i went to the hospital,passed out as i was being xrayed.
Awoke to my pants being pulled off,no i wasnt in a porn i was instead being prepped for surgery,parents gave the ok.
I had an appendix flaring and about to burst any second.
I told everyone over and over i was on a Maoi,thats really all i was saying,and they responded saying it was fine,but i found it impossable for all the staff to know so fast,it seemed more like they were blowing me off and i was a little scared definatly not comoferted by there acnowledgment.
Anyway surgery went fine,lots of pain,had iv tank with a mix of 3 meds demerol being one,i was in heaven,i wish i still had that tank with me now.
Anyway upon release,i asked again when i go home can i take my med,again sure no problem.I did not fill the scripts they gave me for vicodin,tossed them,so the only med i had in me was from the tank.
After taking parnate,i began to feel what i came to know as the start of a interaction,i went through a little uncomfortability,but i stopped parnate immediatly and took precaution methods.
The feeling lasted the night,but i could tell it wasnt gonna get worse,instead better,however one more dose of parnate would have definatly did me in.I spent two days on low dose benzos and lots of moutain dew,then day three re started parnate with no ill effect.
So my parnate dose pre surgery did not affect it,id say that was in a 5 hr range.
So there was a short in between period andi stil was safe.
HOWEVER i had the anhestitc tank removed a whole day before i went home,so it was at least 24 hr in between time of removal of anteshtics to parnate re dose,and THERE WAS an interaction.
Make sense,kinda weird,id just make sure i felt confident in whoever provides u with ur final answer.I am planning on having my teeth done so im curious to find out as well as i hate dentists.Good luck nice seeing ya again
Posted by jerrympls on June 24, 2006, at 2:04:25
In reply to Surgery parnate, posted by Maxime on June 24, 2006, at 0:54:05
> Hi
>
> If i am going to have surgery, am I going to have to stop my parnate?
>
> Also, someone told me that novacane does not mix with Parnate. The same with Demerol.
>
> So what is true and what is false?
>
> TY
>
> MaximeMaxime-
You should be fine conintuing on Parnate through your surgery as long as you discuss it with all of your doctors including the surgeon and anesthesiologist. Demerol mixed with MAOIs can be fatal - but other opiates are ok. I had surgery while on Nardil and everything went fine. I was even put on strong pain meds afterwards and had no complications - however, discuss this with your doctors.
Jerry
Posted by Phillipa on June 24, 2006, at 14:08:12
In reply to Re: Surgery parnate » Maxime, posted by jerrympls on June 24, 2006, at 2:04:25
Maxie I remember Ed saying no demerol. Love Phillipa
Posted by Karen44 on June 24, 2006, at 22:39:43
In reply to Surgery parnate, posted by Maxime on June 24, 2006, at 0:54:05
> Hi
>
> If i am going to have surgery, am I going to have to stop my parnate?
>
> Also, someone told me that novacane does not mix with Parnate. The same with Demerol.
>
> So what is true and what is false?
>
> TY
>
> MaximeMaxime
I had surgery in December 2005 while on Parnate. You definitely cannot be given Demerol. It can be fatal. Big lawsuit case out of NY related to this. I had my surgery at the University of Chicago and met with the anesthesology dept. first so that they were aware. Doctor gave the okay. The actual anesthesiologist I had for the surgery was not happy because it means he has to use other med's. Actually it is not a big deal. They know as well what pain med's are okay. Main point is that everyone is on board and knows what is going on, and you will be fine.
RE Novacane. I seem to recall this is also true; no novacane. There is something else the dentist can use. Unfortunately, I am overdue to go to the dentist, and you remind me I need to make an appointment. Point is, even if you can't have novacane, there is an alternative--the dentist will know or should.
Karen
Posted by Maxime on June 24, 2006, at 23:14:41
In reply to Re: Surgery parnate, posted by willyee on June 24, 2006, at 1:45:42
Hey, funny, I thought demerol was the biggest "no-no". Thanks for sharing your experience.
MAxie
> > Hi
> >
> > If i am going to have surgery, am I going to have to stop my parnate?
> >
> > Also, someone told me that novacane does not mix with Parnate. The same with Demerol.
> >
> > So what is true and what is false?
> >
> > TY
> >
> > Maxime
>
> I cant provide a definitive answer,but i can remind of my experiance.
>
> Upon a instant pain sharp and intense i went to the hospital,passed out as i was being xrayed.
>
> Awoke to my pants being pulled off,no i wasnt in a porn i was instead being prepped for surgery,parents gave the ok.
>
> I had an appendix flaring and about to burst any second.
>
> I told everyone over and over i was on a Maoi,thats really all i was saying,and they responded saying it was fine,but i found it impossable for all the staff to know so fast,it seemed more like they were blowing me off and i was a little scared definatly not comoferted by there acnowledgment.
>
>
> Anyway surgery went fine,lots of pain,had iv tank with a mix of 3 meds demerol being one,i was in heaven,i wish i still had that tank with me now.
>
>
> Anyway upon release,i asked again when i go home can i take my med,again sure no problem.
>
> I did not fill the scripts they gave me for vicodin,tossed them,so the only med i had in me was from the tank.
>
>
> After taking parnate,i began to feel what i came to know as the start of a interaction,i went through a little uncomfortability,but i stopped parnate immediatly and took precaution methods.
>
>
> The feeling lasted the night,but i could tell it wasnt gonna get worse,instead better,however one more dose of parnate would have definatly did me in.
>
> I spent two days on low dose benzos and lots of moutain dew,then day three re started parnate with no ill effect.
>
>
> So my parnate dose pre surgery did not affect it,id say that was in a 5 hr range.
>
>
> So there was a short in between period andi stil was safe.
>
>
> HOWEVER i had the anhestitc tank removed a whole day before i went home,so it was at least 24 hr in between time of removal of anteshtics to parnate re dose,and THERE WAS an interaction.
>
>
> Make sense,kinda weird,id just make sure i felt confident in whoever provides u with ur final answer.I am planning on having my teeth done so im curious to find out as well as i hate dentists.
>
> Good luck nice seeing ya again
>
>
Posted by Maxime on June 24, 2006, at 23:17:04
In reply to Re: Surgery parnate » Maxime, posted by jerrympls on June 24, 2006, at 2:04:25
Thanks Jerry. I will make it clear to them that I am on that med. Because the way it will work is I will see the ortho and then he will decide that I am ready for surgery and I will have it that afternoon. God, I am so not looking forward to this.
Maxime
> > Hi
> >
> > If i am going to have surgery, am I going to have to stop my parnate?
> >
> > Also, someone told me that novacane does not mix with Parnate. The same with Demerol.
> >
> > So what is true and what is false?
> >
> > TY
> >
> > Maxime
>
> Maxime-
>
> You should be fine conintuing on Parnate through your surgery as long as you discuss it with all of your doctors including the surgeon and anesthesiologist. Demerol mixed with MAOIs can be fatal - but other opiates are ok. I had surgery while on Nardil and everything went fine. I was even put on strong pain meds afterwards and had no complications - however, discuss this with your doctors.
>
> Jerry
>
Posted by Maxime on June 24, 2006, at 23:19:33
In reply to Re: Surgery parnate, posted by Karen44 on June 24, 2006, at 22:39:43
Thanks. Before my last ortho set my arm, he injected novocane into the location of the 3 break an I didn't have a reaction. I didn't know that you weren't suppose to take it. Maybe I was just lucky.
Maxie
> > Hi
> >
> > If i am going to have surgery, am I going to have to stop my parnate?
> >
> > Also, someone told me that novacane does not mix with Parnate. The same with Demerol.
> >
> > So what is true and what is false?
> >
> > TY
> >
> > Maxime
>
> Maxime
>
> I had surgery in December 2005 while on Parnate. You definitely cannot be given Demerol. It can be fatal. Big lawsuit case out of NY related to this. I had my surgery at the University of Chicago and met with the anesthesology dept. first so that they were aware. Doctor gave the okay. The actual anesthesiologist I had for the surgery was not happy because it means he has to use other med's. Actually it is not a big deal. They know as well what pain med's are okay. Main point is that everyone is on board and knows what is going on, and you will be fine.
>
> RE Novacane. I seem to recall this is also true; no novacane. There is something else the dentist can use. Unfortunately, I am overdue to go to the dentist, and you remind me I need to make an appointment. Point is, even if you can't have novacane, there is an alternative--the dentist will know or should.
>
> Karen
Posted by Phillipa on June 24, 2006, at 23:21:07
In reply to Re: Surgery parnate » jerrympls, posted by Maxime on June 24, 2006, at 23:17:04
Maxie how long will the recovery period be? And are they going to have to give you physical theraphy? Does your wrist still hurt? sorry Maxie. Love Jan
Posted by Maxime on June 24, 2006, at 23:34:23
In reply to Re: Surgery parnate » Maxime, posted by Phillipa on June 24, 2006, at 23:21:07
> Maxie how long will the recovery period be? And are they going to have to give you physical theraphy? Does your wrist still hurt? sorry Maxie. Love Jan
Thanks for asking ... that's very sweet. Well three bones in my wrist will be rebroken and pins put in. I will then spend 8 weeks in cast. Someone said the pins would then be removed, while others said they won't. I have to ask my ortho. Then extensive physio.
My wrist is KILLING ME. I am in more pain than when I actually broke the bone. I have a bone that protrudes on one side of wrist (not outside the skin - lol). I have to ice it for the better part of the day because it is very swollen. Yup, that last ortho didn't know what he was doing.
I have been going to physio twice a week to get as much mobility back as possible. But I am in such pain it's really hard. I see my ortho on the 4th of july.
Posted by kimcrazylady on June 30, 2006, at 15:08:38
In reply to Re: Surgery parnate » Phillipa, posted by Maxime on June 24, 2006, at 23:34:23
Not sure if you've had the surgery yet since the posts are from last week, but I've had elective and emergency surgery while on Parnate with no problems at all. As long as everyone on staff knows, you will be fine.
The dentist can give you novacaine, just without the epinepherine. I've had this several times. The numbness does not last as long because the vasoconstrictor had been removed from the formula, but it still works. Make sure to speak to any dentist about Parnate first. I'm fortunate that my dentist has a sister who also suffers from depression and he has been one of the only dentists who knows how to work around my MAOi.
Good luck with the wrist. I broke mine in March and it still hurts sometimes. Mine was a clean, easy fracture with no problems and I know how awful it was, so I feel for you.
This is the end of the thread.
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