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Anesthesia and mental illness.

J V Sedgwick1, I H Lewis, S P Linter

  • 1Southampton General Hospital, England.

International Journal of Psychiatry in Medicine
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

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Psychiatric medication can often be continued before anesthesia and surgery, as discontinuation poses risks. Careful management can mitigate most drug interactions, but meperidine is contraindicated with monoamine oxidase inhibitors (MAOIs).

Area of Science:

  • Anesthesiology
  • Psychiatry
  • Pharmacology

Background:

  • Drug interactions are a significant concern for patients on psychiatric medication undergoing surgery.
  • Discontinuing psychiatric medication can lead to adverse effects and withdrawal symptoms.

Purpose of the Study:

  • To evaluate the safety of continuing psychiatric medication during anesthesia and surgery.
  • To identify potential drug interactions and contraindications.

Main Methods:

  • Review of current evidence regarding psychiatric medications and perioperative management.
  • Identification of predictable drug interactions and necessary precautions.

Main Results:

  • Evidence suggests psychiatric medications generally do not need to be discontinued.

Related Experiment Videos

  • Most drug interactions can be predicted and managed with precautions.
  • Meperidine is contraindicated in patients taking monoamine oxidase inhibitors (MAOIs).

    • Conclusions:

    • Continuing psychiatric medication is often safe and advisable.
    • Perioperative psychiatric medication management requires careful consideration of drug interactions.
    • Specific contraindications, such as meperidine with MAOIs, must be strictly observed.