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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by helpme on July 5, 2006, at 9:12:09
My depression was under control for my whole life until I had major gum surgery several years ago. Then my mood tanked immediately afterwards and I have never come back to my former stability. I heard a rumour that per ancedotal reports some anaesthetics can cause "severe, psychotic depressions that last long after the surgeries for which they were used". I think the drug might have been fentenyl- but I'm really not sure. I was in "twighlight", the drugs were intravenious. Has anyone ever heard of anything like this? Is it plausable?
Posted by Phillipa on July 5, 2006, at 11:57:24
In reply to weird question re: painkiller from surgery, posted by helpme on July 5, 2006, at 9:12:09
Personally I've never heard of anything like that but it will be interesting to see if anyone has. Love Phillipa
Posted by tessellated on July 7, 2006, at 18:51:24
In reply to weird question re: painkiller from surgery, posted by helpme on July 5, 2006, at 9:12:09
i've seen family members in ICU and CCU go into pscyosis with hi dose morphine/fentanyl and ativan (a benzo).
How many days were you on it?
You may have formed a short addiction/withdrawly.
Which can take 2-5-7 days to completely wear off.Otherwise it may have been other psychological aspects.
This is very unusual: what dose, what med, and how long IV, how long oral e tc would help to determinge if its a withdrawl,
Posted by helpme on July 8, 2006, at 10:35:29
In reply to Re: weird question re: painkiller from surgery, posted by tessellated on July 7, 2006, at 18:51:24
Interesting- and I am speculating here, mainly, why a gum surgery resulted in a severe and sudden mood tank. This was a few years ago, and I can't recall the name of the painkillers- but they were hardcore, and through an IV. The IV drugs were only used during the surgery which took about perhaps, 2-3 hopurs, and then I took vicoden for about a week. My mood became suicidal out oof the blue, and I got mixed up with a heinously incompetent psychiatrist at that point who put me on all sorts of drug combos, and I think that's what really messed me up for the long run. But after hearing a couple anectodal reports about painkillers used in surgery triggering psychotic depressions in some people- and a suspicion of fentynyl being the offender- I started getting curious.
I recently had another procedure-much more minor- where they used only morphine (I'm on an MAOI now and that was the safe painkiller to use), but I suffered absolutely no ill effects. If anything, it was blissful- shame you can't just use it as a sleep aid or whatever!
> i've seen family members in ICU and CCU go into pscyosis with hi dose morphine/fentanyl and ativan (a benzo).
> How many days were you on it?
> You may have formed a short addiction/withdrawly.
> Which can take 2-5-7 days to completely wear off.
>
> Otherwise it may have been other psychological aspects.
>
> This is very unusual: what dose, what med, and how long IV, how long oral e tc would help to determinge if its a withdrawl,
Posted by cecilia on July 10, 2006, at 5:20:57
In reply to Re: weird question re: painkiller from surgery, posted by helpme on July 8, 2006, at 10:35:29
My mother (in her 80's) went from mild cognitive impairment to full blown Alzheimer's type dementia literally overnight following surgery for a broken leg. I don't know it was the anesthesia, the pain meds, the stress, a mini-stroke 1st which caused her to fall and break her leg, or some combination of these factors, just know that surgery can have unpredictable consequences. Cecilia
Posted by gardenergirl on July 10, 2006, at 14:28:41
In reply to Re: weird question re: painkiller from surgery, posted by cecilia on July 10, 2006, at 5:20:57
I'm sorry about your mother. Unfortunately, I've seen that happen several times with older adults. I used to work in a nursing home, and when someone with any kind of cognitive impairment went in for surgery, it frequently seemed to trigger a noticeable progression in a dementia process. I never did learn what it was related to. I do know that anesthesia takes longer to clear out in older adults, although I don't know the physiology of it. So there can be some improvement in time if it's anesthesia related versus a dementia process.
Alzheimers and other dementias are a terrible, terrible thing. I feel for you, and I hope you have support while you cope with your mother's illness.
gg
Posted by cecilia on July 11, 2006, at 3:25:13
In reply to Re: weird question re: painkiller from surgery » cecilia, posted by gardenergirl on July 10, 2006, at 14:28:41
> I'm sorry about your mother. Unfortunately, I've seen that happen several times with older adults. I used to work in a nursing home, and when someone with any kind of cognitive impairment went in for surgery, it frequently seemed to trigger a noticeable progression in a dementia process. I never did learn what it was related to. I do know that anesthesia takes longer to clear out in older adults, although I don't know the physiology of it. So there can be some improvement in time if it's anesthesia related versus a dementia process.
>
> Alzheimers and other dementias are a terrible, terrible thing. I feel for you, and I hope you have support while you cope with your mother's illness.
>
> ggThanks, GG. This isn't currently happening, it was all a long time ago. The dementia never improved and she died in a nursing home 4 and a half years later. Cecilia
Posted by gardenergirl on July 11, 2006, at 13:51:49
In reply to Re: weird question re: painkiller from surgery » gardenergirl, posted by cecilia on July 11, 2006, at 3:25:13
I'm sorry for your loss. I still miss my gramma, who died of complications of AD in 2002.
Take care,
gg
This is the end of the thread.
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