Psycho-Babble Neurotransmitters Thread 807123

Shown: posts 1 to 17 of 17. This is the beginning of the thread.

 

Info re: no local anesthetics for EMSAM users

Posted by trx resistant on January 16, 2008, at 22:21:27

Need info before Monday re: contra-indications for local anesthectics when on EMSAM. Need some minor injections and/or topical numbing cream. Called Bristol and they were useless/ no info? am I going to die(or stroke out) for a couple of local injections in skin or numbing cream?
Bristol told me I must be off EMSAM for 10 days prior and 7 days after general anesthetic. I'm taking 1/2 patch (3mg) for 12 hours per day. I may need brain biopsy soon.
Thanks

 

Re: Info re: no local anesthetics for EMSAM users » trx resistant

Posted by Larry Hoover on January 16, 2008, at 22:21:27

In reply to Info re: no local anesthetics for EMSAM users, posted by trx resistant on January 12, 2008, at 17:35:29

> Need info before Monday re: contra-indications for local anesthectics when on EMSAM. Need some minor injections and/or topical numbing cream. Called Bristol and they were useless/ no info? am I going to die(or stroke out) for a couple of local injections in skin or numbing cream?

Local anaesthetics (usually one of the -caines) are sometimes combined with agents which reduce bleeding, the so-called sympathomimetic vasoconstrictors. These would be epinephrine, norepinephrine and levonordefrin. Maybe others. Make sure you discuss this at the time of the procedure. Anaesthetic okay. Vasoconstrictor not.

> Bristol told me I must be off EMSAM for 10 days prior and 7 days after general anesthetic. I'm taking 1/2 patch (3mg) for 12 hours per day. I may need brain biopsy soon.
> Thanks

You would best discuss this with the anaesthetist who will be doing the procedure.

Lar

 

Re: Info re: no local anesthetics for EMSAM users

Posted by trx resistant on January 16, 2008, at 22:21:28

In reply to Re: Info re: no local anesthetics for EMSAM users » trx resistant, posted by Larry Hoover on January 12, 2008, at 18:34:24

Hey Larry,
thanks so much for your quick response. but what I'm talking about on Monday is probably topical type caine for lips or gum and local injection which is already combined within the collegen product Restylne. I have new and triple board certified plastic surgeon who offered free Restylene and Fraxel Laser treatments. I'm re-entering job force (after 4 years)trying to look fresh and a little better. I know this may sound trivial but in my work and area very competitive. Fraxel laser I
could try to endure without the local topical
injections around eyes if I have to
but do you really think 3mg of patch @ 12 hours a day is going to make much difference? I could skip the patch for the day before and after?

 

Re: Info re: no local anesthetics for EMSAM users » trx resistant

Posted by Larry Hoover on January 16, 2008, at 22:21:28

In reply to Re: Info re: no local anesthetics for EMSAM users, posted by trx resistant on January 12, 2008, at 19:57:24

> Hey Larry,
> thanks so much for your quick response. but what I'm talking about on Monday is probably topical type caine for lips or gum and local injection which is already combined within the collegen product Restylne. I have new and triple board certified plastic surgeon who offered free Restylene and Fraxel Laser treatments. I'm re-entering job force (after 4 years)trying to look fresh and a little better. I know this may sound trivial but in my work and area very competitive. Fraxel laser I
> could try to endure without the local topical
> injections around eyes if I have to
> but do you really think 3mg of patch @ 12 hours a day is going to make much difference? I could skip the patch for the day before and after?

The -caine (usually lidocaine) is safe, but if there are any of those vasoconstrictors involved, it's contraindicated. You'd be wise to address the question directly to the surgeon. You'd need more than a one-day washout. It's the MAO-B inhibition that's at issue, not the drug, per se.

Lar

 

Re: Info re: no local anesthetics for EMSAM users

Posted by trx resistant on January 16, 2008, at 22:21:28

In reply to Re: Info re: no local anesthetics for EMSAM users » trx resistant, posted by Larry Hoover on January 12, 2008, at 20:56:05

I will of course address it with him. I guess I need to check to see how much lidocaine they put in a couple of cc's of Restylne. My understanding is it's just the topical numbing lidocaine creme to make it more comfortable. But even just a microscopic drop of vasoconstrictor what could happen . . stroke ? Is that what the problem is?

 

Re: Info re: no local anesthetics for EMSAM users

Posted by trx resistant on January 16, 2008, at 22:21:28

In reply to Re: Info re: no local anesthetics for EMSAM users, posted by trx resistant on January 12, 2008, at 21:27:52

Larry,
I checked out restalyne and they do not put lidocaine in the actual syrigine as some companies do. But they do recommend lidocaine for comfort. So the licocaine part is OK, right?
Even with the laser, they put lidocaine creme on your face for an hour before laser.
Thanks so much

 

Re: Info re: no local anesthetics for EMSAM users » trx resistant

Posted by Phillipa on January 16, 2008, at 22:21:28

In reply to Re: Info re: no local anesthetics for EMSAM users, posted by trx resistant on January 12, 2008, at 21:47:08

I've had restalyne on my eye area no pain at all the needle is very small. What's the laser for? The injections need nothing don't worry simple proceedure with a little redness afterwards at least this was my experience. Have fun and hope you look great. Phillipa ps it's about every three months or six months I think for the restalyne.

 

Re: Info re: no local anesthetics for EMSAM users » trx resistant

Posted by Larry Hoover on January 16, 2008, at 22:21:28

In reply to Re: Info re: no local anesthetics for EMSAM users, posted by trx resistant on January 12, 2008, at 21:47:08

> Larry,
> I checked out restalyne and they do not put lidocaine in the actual syrigine as some companies do. But they do recommend lidocaine for comfort. So the licocaine part is OK, right?

Yes.

I don't know the consequence of being exposed to the vasoconstrictor, but I can speculate that impaired circulation extends far longer than intended, due to the inability to inactivate the active drug. Possible nerve damage? Necrosis (worst case)?

> Even with the laser, they put lidocaine creme on your face for an hour before laser.
> Thanks so much

You're welcome. I think you're clear on where the risk lies, and that you'll ask the appropriate questions. I'm sure everything will go smoothly.

Lar

 

Re: Info re: no local anesthetics for EMSAM users

Posted by former trx resistant on January 16, 2008, at 22:26:03

In reply to , posted by on December 31, 1969, at 18:00:00

Thanks Larry. What would we do without you? You have helped so many so much.
I had lidocaine injections this morning. Absolutely no problem. Now the numbing has worn off so I am really sore after numerous injections in lip area. More torture on Thursday when I get some lidocaine around eyes for laser.

 

Re: Info re: no local anesthetics for EMSAM users » former trx resistant

Posted by Larry Hoover on January 16, 2008, at 22:26:03

In reply to Re: Info re: no local anesthetics for EMSAM users, posted by former trx resistant on January 15, 2008, at 0:32:22

> Thanks Larry.

You're welcome.

> What would we do without you? You have helped so many so much.

I'm glad to be able to help.

> I had lidocaine injections this morning. Absolutely no problem. Now the numbing has worn off so I am really sore after numerous injections in lip area. More torture on Thursday when I get some lidocaine around eyes for laser.

I'm glad it went without problems.

Lar

 

EMSAM VETS need info re: anethestics

Posted by trx resistant on January 19, 2008, at 12:07:13

Hi folks:
Wondering if anyone has been on EMSAM and had to go off because of surgical procedure. May need brain biopsy soon. Dr. said 10 days off before and 7 days after. I'm new to it after 9 years of hell and I don't want to go off. Any experience coming down and how long it took to get theraputic level back up? I only need 1/2 6mg patch for 12 hours per day to achieve perfection.

 

Re: EMSAM VETS need info re: anethestics » trx resistant

Posted by Phillipa on January 19, 2008, at 12:07:13

In reply to EMSAM VETS need info re: anethestics, posted by trx resistant on January 12, 2008, at 21:53:15

A brain biopsy? That's not Monday right as that I would think but don't know require a general anesthesia. It's into the brain hope you don't mine the questions. Phillipa

 

Re: EMSAM VETS need info re: anethestics

Posted by former trx resistant on January 19, 2008, at 12:07:13

In reply to Re: EMSAM VETS need info re: anethestics » trx resistant, posted by Phillipa on January 12, 2008, at 23:46:44

No, brain biopsy is not for sure yet. I will get 2005 scan to compare with 12/31/07 to neuro this week. He'll decide and I will get 2nd opinion before I let anyone touch me. But this mess got started because I need cervical surgery soon and when I got MRI's done was having some weird tingling sensations around mouth. I mentioned in passing to neuro and he jumps to conclusion maybe mini-seizures because of past history on Wellbutrin. Now on EMSAM which he knows nothing about and he's thinking it may cause seizures and wants new brain scan. Now I have some weird new lesions which may be of serious nature. By the way I recently learned that severe depression for long periods actually may cause structural changes on frontal lobe as does PTSD.

 

Re: EMSAM VETS need info re: anethestics » former trx resistant

Posted by Phillipa on January 19, 2008, at 12:07:50

In reply to , posted by on December 31, 1969, at 18:00:00

I'm hoping the new scan if fine and no more changes. You will keep us posted? Phillipa

 

Re: EMSAM VETS need info re: anethestics

Posted by former trx resistant on January 19, 2008, at 12:07:50

In reply to Re: EMSAM VETS need info re: anethestics » former trx resistant, posted by Phillipa on January 14, 2008, at 19:25:39

Of course! But what is critical is the comparison between 2005 and 12/31/2007. 2005 showed supposed scar tissue but new scan shows additional lesion in different area.

 

Re: EMSAM VETS need info re: anethestics » former trx resistant

Posted by Phillipa on January 19, 2008, at 12:07:50

In reply to Re: EMSAM VETS need info re: anethestics, posted by former trx resistant on January 16, 2008, at 2:06:20

Oh dear that is of great concern. Phillipa

 

Re: EMSAM VETS need info re: anethestics

Posted by d0pamine on January 26, 2008, at 19:18:28

In reply to EMSAM VETS need info re: anethestics, posted by trx resistant on January 19, 2008, at 12:07:13

Only slightly relevant, but if you ever get Novocaine, make sure it's the non-epinephrine version. I thought my heart was going to beat right out of my chest.


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