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Cocaine and MDMA are stimulant drugs and these drugs causes intense stimulation and activation. Breast surgery
will be done under general anesthesia
only. So as you have taken the stimulants on Sunday only and you are posted for surgery on Thursday there are some chances of alteration in dose of anesthetic
agents because of cocaine. Dose of anesthetics needed to get proper anesthesia will be a little higher than in normal individual. So I would advise you to disclose it to your doctor as it will be beneficial to your health only.
Dr. Seikhoo Bishnoi, MD