Surgery Problems
There has been much concern about drugs that might cause problems in
hospitals. There are plenty and the anesthesiologists are not aware of any
problems specific to PD patients. The patient will need to do the following:
1) Talk to the anesthesiologist before surgery giving them a copy of this
drug list.
2) Upon registration for services at a hospital, give them a copy of this
list.
3) Make sure your neurologist has a copy of this drug list and is involved
in your reason for surgery.
In one support group I know of a women who had taken her husband to the
hospital for what was to be over-night surgery. Her husband walked in, had
the surgery and died on or about the fifth day in the hospital. The wife
did not inform the powers to be that her husband was taking Eldepryl much
less that he had PD.
In my support group I know of three who have had minor surgery about three
years ago. What was to be an over-nighter ended being a six to ten day hell.
They were in and out of comas, transported to psy ward, and almost killed
due to drug conflicts during surgery.
= = = = = = = = = = = = = = = = = = = = = = = =
DRUGS THAT MAY INTERFERE IN THE MANAGEMENT OF PARKINSON'S DISEASE
Published by Young Parkinson's Support Network of California - Revision:
04/95 YPSN of CA
This list has been reviewed by our medical advisor.
Always notify your physician of any adverse effects of drug therapy.
- - - - - - - - - - - - - - - - - - - - -
WARNING TO USERS OF ELDEPRYL CONTEMPLATING SURGERY
Sandoz Pharmaceuticals has issued a warning of reports of fatal interactions
between Eldepryl (Selegiline Hydrochloride) and merperidine known as Demerol,
and other trade names. Patients contemplating surgery are advised to bring
this notice to the attention of their physician. Further information can be
obtained from pharmacies - ask for prescribing information - or contact
Sandoz Pharmaceuticals at 1-800-631-8184.
- - - - - - - - - - - - - - - - - - - - -
OTHER DRUGS WITH POTENTIAL TO ALTER THE SYMPTOMS OF PARKINSON'S DISEASE
Some drugs employed in the treatment of non-neurologic conditions may alter
or influence the brain's dopamine system. These drugs, when given to a
Parkinson's patient, have the potential to alter the symptoms of Parkinson's
disease. Should a physician prescribe a drug on this list, the patient
should make sure the prescribing physician
1) is aware of the patient's Parkinson's disease and the drug's potential for
altering disease symptoms,
2) is aware of the patient's current drug therapy for Parkinson's disease and
any other disease(s),
3) explains to the patient both the benefits and the potential side effects
of the drug therapy and what action to take for adverse side effects.
Trade Name Generic Name
----------------- -----------------
Antidepressant
Asendin Amoxapine
Nardil Phenelzine
Parnate Tranylcypromine
Triavil (Contains Perphenazine)
Antipsychotic
Haldol Haloperidol
Loxitane Loxapine
Mellaril Thioridazine
(Mellaril in low dosage is acceptable)
Moban Molindone
Navane Thiothixene
Orap Pimozide
Prolixin Fluphenazine
Permitil Fluphenazine
Serentil Mesoridazine
Stelazine Trifluoperazine
Taractan Chlorprothixene
Thorazine Chlorpromazine
Tindal Acetophenazine
Trilafon Perphenazine
Vesprin Triflupromazine
Antivomiting/Gastrointestinal
Compazine Prochlorperazine
Reglan Metoclopramide
Torecan Thiethylperazine
Blood Pressure
Raudixin Rauwolfia Serpentina
Miscellaneous
Serpasil Reserpine
Post-Op Medication
Harmonyl Deserpine
Moderil Rescinnamine
Rauverid None
Rauwiloid None
Wolfina None
Possible Potential
Aldomet Alpha-methyldopa
Buspar Buspirone
Lithobid Lithium
End of list.
Regards,
Alan Bonander
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