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Have Parkinson Disease And GERD. Take Madopar And Nexium. Is It Safe To Have Anaesthesia And Operation?

Posted on Fri, 2 Aug 2013

Question: I have Parkinson disease and GERD .I take Madopar and Nexium. Is it safe to have a general anaesthetic and an operation?

Answered by Dr. Dr. Ivan Romich (45 minutes later)

Hi. You didnt mention what kind of operation you are having,but nexium has no effect on anasthesia. On the other side, Madopar should be discontinued 12-48 hrs before surgical intervention requiring general anesthesia and it can be continued 1 day after it. SO inform your doctor about medicines than you are taking. WIsh you good health. If you have any questions I ll be glad to help. Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Ivan Romich (13 hours later)

Thank you for your excellent advice. I am considering an operation for acid reflux which is a major operation .I don't have much ofa tremor now . Do Parkinsonian patients have a tremor during the operation? Also I have a Rodent ulcer which is to be operated on by a plastic surgeon

Answered by Dr. Dr. Ivan Romich (15 hours later)

Hi.
If this is nissen fundoplasty then it is medium procedure which can be done even laparoscopically. There is no tremor during general anashesia since neural connections are inhibited so you dont have to worry about it.
Rodent ulcer can be removed under regional or local anashesia and tremor shouldnt be problem too. Also, if it can be organised you can have both procedures under one general anasthesia so ask your surgeons about it. WIsh you good luck. Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar