GERD,BP,depression and anxiety. Having colonoscopy and worried about anaesthesia. What is the safety of propofol and drug interaction?

default
Posted on Sun, 1 Jul 2012 in Mental Health
Question: I'm having a colonoscopy on Monday. The nurse anesthetist uses propofol. I'm worried about being completely knocked out. I'm really quite anxious about this to the point of feeling ill now and I'm worried about having a panic attack at the clinic. Normally I would be take the ativan to control the anxiety but I won't be taking my medication the morning of the procedure. I don't want to feel like a fool in front of all those people.

I'd also like your opinion on the safety of propofol and if my medications will cause a problem or interraction. I will not take my medication on the morning of the procedure. I'll be able to take it afterwards. Is any other medication used with propofol for this type of procedure.

I do intend to talk to the nurse that will administer the anesthetic. But I'd like your opinion.

--------------------
I'm 56 years old, 221lbs, reasonably good health, depression and anxiety are a problem but i'm being treated by a psychiatrist and therapist and making progress.
-------------------
My conditions
GERD, High BP controlled, severe depression, anxiety disorder
-----------------
My medications
propranolol la 160mg 1 in morning, ativan 1mg 1 in morning-1 in evening and another if needed, buspirone XXXXXXX 7.5mg 1 in morning 1 in evening, pristiq 100 mg 1 in morning, bupropion xl 300mg 1 in morning, nexium 40mg 1 in the evening, enalapril maleate 20mg 1 in morning 1 in evening, hydrochlorothiazide 25mg 1 in the morning, niaspan 500mg 1 in the morning 1 in the evening
doctor
Answered by Dr. Mahesh Koregol 3 hours later
Hi,

Thanks for your query.

Propofol is one of the safe anesthetic agent used all over the world today. I dont see any reason for you to get worried. As far as interactions are concerned, none of your medications are harmful ir interactive. The respiratory effects of propofol are potentiated by other respiratory depressants, including benzodiazepines. Since you are not on benzodiazepines, you wont have adverse effects.

You please convey your list of medications to your anesthetist who might wish to skip morning dose of your drugs.

Let me ressure you propofol is a smooth and advanced anesthetic agent used for small procedure like colonoscopy. Propofol has good safety record and early recovery post operatively. Please be relaxed and go ahead with procedure.

I hope i answered your query. I will be available for any follow up queries you have.

Regards,
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3790 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Drug/Medication ,   ,   ,   ,   ,   ,   ,  
Medical Procedures
Medical Topics

Recent questions on  Anesthetic

doctor1 MD

I am a female with problems with my groin area. My gynecologist did a sonogram and said that she thought it was a muscle spasm and to go to my PCP...

doctor1 MD

I was give propofol for a procedure and was curious how long it normally takes patients to actually wake up. I was apparently in the recovery room...

doctor1 MD

For the last few months Ive been having symptoms of GERD , thats what my PCP is treating me for. I told him I have pain on the left side just above...

doctor1 MD

I recently received an email alert that Hospira propofol?(the anesthetic) was being recalled. My dr said that was settled in 2012, but the article...

doctor1 MD

I have swollen gums , ulcers on my tongue, and my lower lip has several canker sores. I have been taking metronidazole for the last 3 days. Is this...

doctor1 MD

I have a bladder that is not functioning and have been self cathing for almost 7 weeks. The problem is not with the actual cathertization but after...

doctor1 MD

Is there a Benadryl -Malox- L:idocaine mouthwash available without prescription?

Get personalised answers from verified doctor in minutes across 80+ specialties

191 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2