Considerations for the use of anesthesia in patients undergoing tricyclic antidepressant treatment

Patients undergoing tricyclic antidepressant treatment given anesthesia have experienced the hypotensive effects of both drugs. Traditionally it was recommended to suspend these drugs until two weeks before surgery; however, it is currently proposed that they should not be discontinued, since despit...

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Main Author: Iván Hamyd Salazar Carrera
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2017-06-01
Series:Medisur
Subjects:
Online Access:http://medisur.sld.cu/index.php/medisur/article/view/3640
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author Iván Hamyd Salazar Carrera
author_facet Iván Hamyd Salazar Carrera
author_sort Iván Hamyd Salazar Carrera
collection DOAJ
description Patients undergoing tricyclic antidepressant treatment given anesthesia have experienced the hypotensive effects of both drugs. Traditionally it was recommended to suspend these drugs until two weeks before surgery; however, it is currently proposed that they should not be discontinued, since despite the side effects and possible interactions with anesthetic agents, cases of suicide have been described after its suspension. For these reasons, this bibliographic review was carried out aimed at updating considerations for the use of anesthesia in patients undergoing treatment with tricyclic antidepressants. It was observed that in the developed studies it is suggested that surgical technique individualization, use of pre-anesthetic medication, reduction of sympathetic stimulation and an adequate control of postoperative pain, will result in a decrease in the deleterious effects produced by the association of tricyclic antidepressants and anesthetic agents.
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spelling doaj.art-4659f5ab847b440fa755b57ef15056ea2024-03-04T23:09:46ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2017-06-011533833881448Considerations for the use of anesthesia in patients undergoing tricyclic antidepressant treatmentIván Hamyd Salazar Carrera0Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Patients undergoing tricyclic antidepressant treatment given anesthesia have experienced the hypotensive effects of both drugs. Traditionally it was recommended to suspend these drugs until two weeks before surgery; however, it is currently proposed that they should not be discontinued, since despite the side effects and possible interactions with anesthetic agents, cases of suicide have been described after its suspension. For these reasons, this bibliographic review was carried out aimed at updating considerations for the use of anesthesia in patients undergoing treatment with tricyclic antidepressants. It was observed that in the developed studies it is suggested that surgical technique individualization, use of pre-anesthetic medication, reduction of sympathetic stimulation and an adequate control of postoperative pain, will result in a decrease in the deleterious effects produced by the association of tricyclic antidepressants and anesthetic agents.http://medisur.sld.cu/index.php/medisur/article/view/3640antidepresivos tricíclicosanestesiausos terapêuticos
spellingShingle Iván Hamyd Salazar Carrera
Considerations for the use of anesthesia in patients undergoing tricyclic antidepressant treatment
Medisur
antidepresivos tricíclicos
anestesia
usos terapêuticos
title Considerations for the use of anesthesia in patients undergoing tricyclic antidepressant treatment
title_full Considerations for the use of anesthesia in patients undergoing tricyclic antidepressant treatment
title_fullStr Considerations for the use of anesthesia in patients undergoing tricyclic antidepressant treatment
title_full_unstemmed Considerations for the use of anesthesia in patients undergoing tricyclic antidepressant treatment
title_short Considerations for the use of anesthesia in patients undergoing tricyclic antidepressant treatment
title_sort considerations for the use of anesthesia in patients undergoing tricyclic antidepressant treatment
topic antidepresivos tricíclicos
anestesia
usos terapêuticos
url http://medisur.sld.cu/index.php/medisur/article/view/3640
work_keys_str_mv AT ivanhamydsalazarcarrera considerationsfortheuseofanesthesiainpatientsundergoingtricyclicantidepressanttreatment