Key result
Psychiatric medication need not be discontinued prior to anesthesia and surgery, although the use of meperidine is absolutely contraindicated for patients receiving MAOIs.
Why the study?
Should psychiatric medication be discontinued prior to anesthesia and surgery?
Should psychiatric medication be discontinued prior to anesthesia and surgery?
Psychiatric medications generally do not need to be discontinued before surgery, though meperidine is contraindicated in patients on MAOIs.
Although drug interaction probably remains the most potentially serious problem, current evidence suggests that psychiatric medication need not be discontinued prior to anesthesia and surgery, discontinuation of medication may constitute its own hazards. Most interactions can be predicted and appropriate precautions taken, the use of meperidine is now absolutely contraindicated for patients receiving MAOI's.
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SEDGWICK et al. (1990) conducted a review in Mental illness in patients undergoing anesthesia and surgery. Continuation of psychiatric medication vs. Discontinuation of psychiatric medication was evaluated. Psychiatric medication need not be discontinued prior to anesthesia and surgery, although the use of meperidine is absolutely contraindicated for patients receiving MAOIs.
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