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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Taking Remifentanil While On Lexapro Cause Life Threatening Side Effects?

Not sure if you can help,but 3 months ago I had a Broncoscopy and after the procedure I was in ICU on life support for 2+daysI was told because I take 10mg of Escitalopram and have been it for years,that this episode was Seritonin Syndrome.In the OR I was given profinol,Versad and Remifentynal.I was also told I was given Narcan in the Or and it did not work.So I was told they tried Benzoids(wrong word) Adivan,Clonipin,versad,and Valium are in this group.I don t know exactly what they used to wake me.I should have never been given Remifentynal because it can interact with Lexapro and I am a Heart Tranplant patient and it can interact with Tacrolimus,which I take.I also cannot remember 3 days before that procedure.I am concerned because I have had Broncs before,endoscopes where I have had Fentynal,versad,and Profinol.Any ideas what might have gone wrong?Nodody wants to talk about it and there different versions about what happened.Thanks
Fri, 17 Aug 2018
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General Surgeon 's  Response
Hello and welcome to `Ask A Doctor` service.
I have reviewed your query and here is my advise.

* As per my surgical experience, the remifentanil can cause central
nervous system profound effects in a patient with lexapro as a result
of altered metabolic profile and synergistic actions.

Feel free to post further doubts.
Thank you.

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Does Taking Remifentanil While On Lexapro Cause Life Threatening Side Effects?

Hello and welcome to `Ask A Doctor` service. I have reviewed your query and here is my advise. * As per my surgical experience, the remifentanil can cause central nervous system profound effects in a patient with lexapro as a result of altered metabolic profile and synergistic actions. Feel free to post further doubts. Thank you.