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alexjuice

Surgery and Anesthesia

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Karma

Hi sunnydays

 

In had oral surgery for dental implants last July.  I held the dose of my SSRI, benzo and gabapentin for about 3 months before the procedure to ensure I was stable.  I was given twlight sedation.  I have posted the link to the thread I created on it below - it identifies the drugs used. 

 

Note that I missed a dose of gabapentin while recovering from the surgery and did experience some anxiety.  I'm pretty sure my reaction was due to missing a dose of meds.  Other than that I didn't have any ill-effects from the sedation.

 

I had no difficulty through the procedure and recovered quickly from the missed dose of gabapentin.  I have my new crowns and have had no ill-effects.

 

http://survivingantidepressants.org/index.php?/topic/4615-oral-surgery-during-multi-med-taper

 

There was relatively little pain and i didn't need the heavy-duty pain killers for more than a day.  I also didn't need the steroids for swelling.

 

I'll try to answer any questions you have.

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sunnydays0912

Thank you so much Karma!! That's great to hear the experience had no ill effects on you!

 

The tooth needing to be removed is starting to cause some pain (it's an injured tooth caused by an accident from when I was very little and only now causing problems) so I don't think I'll be able to put the surgery off for long. I was told it will be a fast procedure so hopefully not having a large amount of meds and fluids will help.

 

If anymore questions come up I'll be sure to ask you. Thanks a bunch :)

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NoMeaning25

Im having alot of problems lately, especially right sided Pelvic/stomach pain. Ultrasound shows nothing, the pain never goes away and radiates to my back. The doctor wants to do a Laparoscopy to see what the problem is, it could be any of the following:

 

Cysts on ovaries

Ovarian mass/cancer

Endometriosis

IBS

Obstruction

Pelvic Inflammatory Disease

Infected Pouch of Douglas

Chronic appendicitis (Difficult to diagnose)

I think the list is endless

 

If things dont improve fast i need to go for the procedure. I am terrified. i cant explain how terrified i am. Please if anyone underwent smilar operations or any operations in severe protracted withdrawal, i would love encouragement.

 

Ive heard Propofol is safest. What is a safe benzo to take with it? I see they list ketamine but i would never touch that stuff.

 

I know Punabara went for a laparoscopy with an epidural and was fine. I am really scared. I have severe DR/DP im so scared i dont wake up or i dont know who i am or something.

 

Please i would seriously appreciate it if anyone has some knowledge regarding anesthesia in severe protracted withdrawal

 

Thank you

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compsports

Hi Olivia,

 

Yup, I have heard good things about Propofol as it is very quick acting.  In other words, when the procedure is over, you will wake up very quickly from it.

 

I am not sure what qualifies as a safe benzo.  It is quite common to give versed which allegedly relaxes the person ahead of time and make them forget what happened.  If I had gone through with my Septoplasty, i would have refused the med before having general anesthesia becauuse there had been several incidents of reported reactions which hadn't happened with other meds.  I just felt with my guided imagery recordings that I was going to listen to, that it wouldn't have been necessary.

 

You might want to find out what your anesthesia options are and go with the least invasive one like an epidural.  I have read that usually, (not always) that the least invasive options have less complications.

 

Finally, I would strongly urge you to ask for a meeting with an anesthesiologist ahead of time so you can get your concerns addressed.   I would ask for a listing of all the drugs they plan on using so you can look them up and make sure you don't have any concerns.   They might balk at that initially but just assure them that you aren't out to play gotcha and simply want to be a well informed patient.

 

Best of luck.

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NoMeaning25

Do i need a benzo though? Cant i just go for the propofol?

 

Thanks for the suggestions. Will definately take it up with the anesthesiologist. Maybe i don't have to go for the procedure, going back on monday to ask for more testing.

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compsports

If you feel you can be calm while waiting in preop for your procedure, not it isn;t necessary.   But if you feel you need one, personally, I would go with Valium.  

 

Of course, keep in mind I am not a doctor so check with your medical team.  Also, keep in mind I haven't looked at your drug history so my advice could be totally off base.

 

As an FYI, if I had been put under, I would have had propofol and Fentanyl, which is given for pain when someone is put under.

 

Hopefully, this will all be moot and you don't need the procedure.

 

CS

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Altostrata

Get local anesthesia if possible. But it sounds like they might want you unconscious. Ask more questions and tell them you want to minimize drugs.

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Karma

I started a thread in symptoms and self-care where I discussed twilight sedation.  I used it when I got two dental implants last year.  This might be something to discuss with your surgeon.

 

"In this process they use a combination of midazolam, fentanyl and propofol.  Midazolam (versed) is called a dissociative, it keeps nerve sensations from reaching the brain.  Fentanyl is a potent, synthetic opioid analgesic with a rapid onset and short duration of action.  Propofol is a hypnotic/amnestic agent (puts you to sleep and causes you not to remember)."

 

For the dental surgery they also used a local, but since I was sedated they only had to use about half as much of the local as they would've if I hadn't been sedated.

 

I kept everything the same with my withdrawal for about 3 months prior to the procedure.  The only problem I had was some anxiety a few days after the surgery, but I believe it was due to missing a dose of gabapentin, rather than being due to the sedation.

 

Karma

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NoMeaning25

Thanks everyone.

 

I am scheduled for a sonar on the 30th, then ill know if i need the laparoscopy.

 

The thing is, i need a lumpectomy too. I have a breast lump that the doctos said i can remove because it is very painful. I want to do local, what is the safest local meds used?

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Fenrir

Since I had my wisdom tooth removed after a ct scan of my mouth, I experienced a drop in libido and worening of symptoms including anxiety and ed. Is it just suggestion or something more? I'm in paxil withdrawal, now at 10 mg from 20 originary.

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Fenrir

can someone please help me on this?

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Meimeiquest

What meds have you taken related to the extraction?

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Fenrir

What meds have you taken related to the extraction?

bromazepam 10 drops, can an extraction of wsdom tooth cause an hormonal unbalance or something to general health?

The extraction has been at the end of June and in a wave since that moment, just don't know if it is withdrawal or something linked to the ct scan and extraction.

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Barbarannamated

Lex,

 

If they used an anesthetic or light sedation for the extraction, that may have effected your withdrawal symptoms.

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Petunia

Yes, its possible, you might want to hold on your paxil tapering until your symptoms settle down again.

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mammaP

This is interesting. I am scheduled for a hip replacement in February and worried about the drugs. I've been very

sensitive for years and had loads of surgeries for various things, most of them major ops. I tell them what affects

me and they are usually good but the last 2 or 3 times they gave me Patient controlled morphine and I didn't get on with

it at all. injections are better for me but that is a lot of work for the staff because there has to be 2 staff members to

administer the injections.  The trouble with the machine is that the patient has to press the button to get the drug, but

it knocks me out and makes me very sick, so I am not 'with it' enough to know to press the button. Then I am in pain and 

the small dose that is released isn't enough and they have to get a doctor to increase it or give me an injection anyway. 

The nursing staff get very annoyed sometimes but I really can't cope with the things!   I can't take paracetamol (tylenol),

anti inflammatories like ibuprofen, aspirin or codeine so am very limited. Morphine makes me sick but usually have 

anti nausea meds along with it.  I take tramadol at night but if I take it 3 or 4 times a day I am right out of it and trying

to cut down on the  dose at night!  Wow just typing it all out is making me wonder what is left to try.   :unsure: I don't want to take

regular high doses of tramadol, it is an SNRI and do not want to go there!  I think I need to speak to them about the morphine.

I know someone who has morphine and injects herself every morning with a slow release injection. Maybe they could do that.

It's only for a couple of days after surgery. 

 

Not sure about the anaesthetic, for my last 2 replacements (hip and knee) I had a spinal and a sedative but am not wanting the

benzo so maybe ask for propofol?

They routinely give temazepam for pre surgery, but I have refused them and been fine.  It's 4 years since I had any surgery and

I don't know if I will be affected now that I've been in withdrawal, although I am much better than I was. I've been drug sensitive

for 20 years since starting the psych drugs and they've usually been ok. The nurses are much worse than the doctors in my

experience, one even tried to bully me into taking paracetamol even when it was written in red on my notes that I can't take it! 

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pepper59

Has anyone undergone general anesthesia while tapering? Did you make any adjustments? Did it affect your taper? Thanks. 

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Chaz

I was put under for a minor procedure and they used propofol.  Everything went fine.  No effect.

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Skyler

Has anyone undergone general anesthesia while tapering? Did you make any adjustments? Did it affect your taper? Thanks. 

 

I asked to speak with the anesthesiologist before the procedure, and when he learned I was concerned about taking a benzo due to withdrawal issues, he agreed not to use these and only gave me propofol which I tolerated to good effect.

 

There are a number of posts on the forum about this.  I'm wondering if you used the search feature?

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Skyler

Hi CS... yes, the instructions on how to use Google are on the link.  That's what I use.. very effective.  See below:

 

"Use Google!!!
Google has a way to search this site, or any site. You can do this even if you're not a member of SurvivingAntidepressants.org.

Open Google search and in the search box type this:

site:survivingantidepressants.org 5-HTP

and you will get all the references to 5-HTP on this site.

You can substitute any word or terms for the term in red (or any site for the URL in blue -- no space between site: and the URL)"

 

I like using the search feature as it's a way to keep relevant info on threads that are chock full of good info.  More than I can give in one post. :)  Yep.. Google is better.  Thanks for the pickup.

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bluebalu86

It's not about me, I am asking for a Bulgarian friend about a year out suffering from withdrawal from tricyclics (Anafranil). She doesn't take ADs anymore, only Clonazepam to endure the WD. She doesn't speak English and doesn't want to try and come on here, she doesn't trust forums and I'm not sure she understands her situation very well. I met her on an anxiety group - the only other member apart from me who has WD. 

She needs to have gynecological surgery, but from what I understood, it's not an emergency, it would be a planned operation, but they told her it's best to happen soon.

How dangerous is anesthesia (full anesthesia) when one is in WD? Has anyone had surgery and anesthesia while in WD and what was your experience? 

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compsports

Hi Blue,

 

I had a septoplasty in March.    Even though I am not in withdrawal, due to horrific sleep problems which have resulted in cognitive issues, I was very worried about having the surgery.   I did great.

 

One thing that I feel was helpful was that I met with an anesthesiology resident ahead of time who was very understanding about my concerns and said that medications would be greatly minimized.  Obviously, whatever they did, it worked greatly.

 

Not sure how things work in Bulgaria but would your friend be able to meet with someone from Anesthesia ahead of time to go over her history and express her concerns?  This is discouraged in the US as the anesthesia department will insist on the patient waiting until seeing the anesthesiologist right before surgery.  Frankly, I think that is a horrible way of doing things and I refuse to wait.   Fortunately, by being persistent, I have gotten what I need.

 

Finally, you also might want to search the archives on this forum as I think there have been other posters who have had surgery either while in WD or not too far removed from it.

 

Best of luck to your friend.

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Hellbutrin

Before I C/T off of Wellbutrin my TMJ dislocated from grinding my teeth in my sleep. I've tried to holdback having surgery on it until I'm through withdrawal and more on my way to recovery. But it's started giving me a lot of pain and I don't think that I can wait any longer. I have to be put under anesthesia for this particular surgery. So I'm wanting to know if anyone else has had to have surgery in withdrawal, and if so did it causes a wave or a major set back in recovery? I'm 9 and a half months post C/T and still struggling horribly everyday. Any advice or feedback is appreciated!

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Altostrata

Merged similar topics.

 

Hellbutrin, use search in a forum before starting a topic. You're making unnecessary work for the staff.

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Evoldnahturt

My handsaw got away from me a few days ago and cut my thumb.  It didn't look that bad, but it became stiff and I lost some range of motion, which hasn't improved.  I just saw a doctor and was told that the tendon has been severed and will require surgery, otherwise the thumb will continue to curl inward as the tendon recedes.  I'm taking the next two days off of work to research this, but I'm pretty sure I'm not going to go through with the surgery.  I've healed a lot these past couple of years, but I'm afraid of what the medication might do to me.  I know it isn't nearly as big of a deal as what you all are going through and what I went through a couple of years ago, but I'm pretty distraught over this.  The anesthesiologist is going to call me later today.  I'll grill him for every available option along with the benefits and drawbacks to each.  Maybe I'll figure something out.

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powerback
22 minutes ago, Evoldnahturt said:

My handsaw got away from me a few days ago and cut my thumb.  It didn't look that bad, but it became stiff and I lost some range of motion, which hasn't improved.  I just saw a doctor and was told that the tendon has been severed and will require surgery, otherwise the thumb will continue to curl inward as the tendon recedes.  I'm taking the next two days off of work to research this, but I'm pretty sure I'm not going to go through with the surgery.  I've healed a lot these past couple of years, but I'm afraid of what the medication might do to me.  I know it isn't nearly as big of a deal as what you all are going through and what I went through a couple of years ago, but I'm pretty distraught over this.  The anesthesiologist is going to call me later today.  I'll grill him for every available option along with the benefits and drawbacks to each.  Maybe I'll figure something out.

This Is a very tricky situation indeed E,it must of been a nice new saw ,I use power tools and hand tools myself  .Even cooking in the kitchen can bring dangers to me these days that never were before .

You have a  valid fear of what mite happen but what use is your hand if it curls up and you've much less use of it .

Just be careful your fear doesn't become a phobia of surgery  but its different after what we go through all the same . 

Your doing the best you can in the fact of researching and informing yourself of everything .it should reduce some stress and anxiety . 

Hopefully the mods can give you information to enhance your decision .

Take care . 

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brassmonkey

Many of our other members have had procedures while in ADWD and have had very little problems with the drugs.  A good discussion with the anesthesiologist should help settle matters.  It's really important that you consider what partial  loss of your hand will mean to you, that is a life long commitment that could be hard to live with in the future.  I'm a very creative person and have lived by what my hands can do all my life.  They are a real part of my personal identity and any loss in their respect would be devastating.  Any reaction to the drugs would last a very short time comparatively. It may be unpleasant at the time but you'll get over it. Your hand won't "just heal on it's own" but needs proper attention so it can heal right.

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Evoldnahturt

I had the surgery yesterday.  Other than the fact that my thumb is swollen af in the cast because I didn't take antibiotics, I feel just fine!  I still think I might be screwed if I need to take pain pills within the next several years, but I at least seem to be able to handle a surgery involving lidocaine and propofol.  Thank you for your words of wisdom.  They were appreciated!

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PeaceLily

I had major surgery recently and was under anesthesia for almost 5 hours. The day after surgery I began having severe anxiety, that lasted almost 2 weeks. Nonstop sobbing; anxious feelings of being alone, abandoned, lost; it was like a living nightmare and focused on feelings from childhood trauma. I'd wake up in the morning with stomach cramps and diarrhea from the anxiety and was a complete mess. Even though I knew I had family and people around me now who love me, I couldn't make myself FEEL that and believe it. It was very strange. 
In reading and talking to a nurse friend, I found that anesthesia affects the brain and can cause this in many people. My GYN said I could take extra doses of my antidepressant (which I didn't, because I'm tapering down on it and didn't want to mess with that.) I started taking supplements to help get the anesthesia out of my body/brain, and after almost 2 hellish weeks, I'm slowly getting back to normal. 
Just wonder if others have experienced this. 
 

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Vonnegutjunky
On 3/12/2019 at 10:48 AM, PeaceLily said:

I had major surgery recently and was under anesthesia for almost 5 hours. The day after surgery I began having severe anxiety, that lasted almost 2 weeks. Nonstop sobbing; anxious feelings of being alone, abandoned, lost; it was like a living nightmare and focused on feelings from childhood trauma. I'd wake up in the morning with stomach cramps and diarrhea from the anxiety and was a complete mess. Even though I knew I had family and people around me now who love me, I couldn't make myself FEEL that and believe it. It was very strange. 
In reading and talking to a nurse friend, I found that anesthesia affects the brain and can cause this in many people. My GYN said I could take extra doses of my antidepressant (which I didn't, because I'm tapering down on it and didn't want to mess with that.) I started taking supplements to help get the anesthesia out of my body/brain, and after almost 2 hellish weeks, I'm slowly getting back to normal. 
Just wonder if others have experienced this. 
 

I've been researching because I need to get gallbladder surgery, and your experience isn't uncommon. I hope you are doing better. 

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