neurological medication
neurological medication
Anticonvulsants
Continue.
Antiparkinsons Agents
Continue, must be given at correct times.
Includes selegeline (MAO-B inhibitor).
Antipsychotics
Continue.
Benzodiazepines
Zopiclone and related
Continue. Be aware of withdrawl if discontinued.
Lithium
Continue. Monitor renal function and serum lithium.
Monamine oxidase inhibitprs (MAOI)
Generally stop traditional MAOi, but discuss with anesthetist prior.
If discontinued, it will need to be 2 weeks prior.
May consider switching to moclobemide (reversible MAOI) which can be W/H preop (half life 2 hours).
Neostigmine / Pyridostigmine
Continue.
Chronic Opioids
Continue. If oral route unavailable, a fentanyl patch will take up to 12 hours for full effect.
SSRI
Continue.
Tricyclic Antidepressants
Continue.