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Author Topic: HAART and Anesthesia  (Read 1856 times)

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Offline Lou-ah-vull

  • Member
  • Posts: 944
HAART and Anesthesia
« on: March 15, 2007, 04:56:08 PM »
Some of you will remember that I am having a colonscopy this Tuesday (Mar. 20.)  When I posted a few weeks ago, one of the members noted that a common drug used for the procedure is Versed.  Following advice I got from here, I checked the interactions with Atripla (my HAART medicine) and found it was contraindicated and with a big red light.  I called the doctor and advised them.  Today, they have moved my procedure back an hour and now I will undergo more general anesthesia.  Furthermore, an anesthesilogist will accompany the GI doctor during the procedure.  The nurse told me Atripla was a new drug for them (true for all of us!) and they were glad I called to notify them of the contraindication.

Had I not gotten this advice from here, I am sure that on Tuesday morning when I listed (again) all of my prescriptions they would have learned of the problem.  Invariably, my procedure would have been canceled (that did happen to one poster on here) because at the last minute it would have been difficult to locate and schedule the anesthesiologist.  Not only that, all of that awful "day before" colon prep would have been wasted (and I am still not looking forward to it.)  Of course, worse than that, I could have been given the Versed and there could have been serious complications.  Even though I am an attorney, I have no desire to be a plaintiff in a medical malpractice case!

Long story short.... it pays to check everything..even routine things, before we have surgical procedures, especially the outpatient ones.  Many times the medical community is not aware of the unique nature of our HAART medications.  This proves how invaluable this site is to all of us.  It helps us take ownership of our health care and puts up-to-date and state-of-the-art medical information in our hands.

Thank you for helping me a few weeks ago.  I feel certain that the issue of the anesthetic would have never crossed my mind had someone here not mentioned it.  It's reassuring to know how much we are able to help each other here.

Gary

Now if I can just tolerate the Gatorade/Miralax goop on Monday..... :P
Diagnosed Oct. 2005
10/05:  367 (26.2%), 24556 VL
01/06:  344 (24.6%), 86299 VL
04/06:  374 (22.0%), 87657 VL
05/06:  Began HAART 05/15/06, Combivir/Kaletra
07/06:  361 (27.8%), 1299 VL
10/06:  454 (32.4%), 55 VL
01/07:  499 (38.4%), UD
02/07:  Switched to Atripla 2/8/07
04/07:  566 (37.7%), UD
08/07:  761 (42.3%), UD
06/08:  659 (47.1%), UD
01/09:  613 (43.8%), UD
07/09:  616 (47.4%), UD
01/10:  530 (44.2%), UD
07/10:  636 (48.9%), UD
01/11:  627 (48.2%), UD
07/11:  840 (52.5%), UD
01/12:  920 (51.1%), UD
07/12:  857 (50.4%), 40
10/12:  UD
01/13:  710 (47.3%), UD
07/13:  886 (49.2%), UD
01/14:  985 (46.9%), UD
06/14:  823 (47.2%), UD

Offline Andy Velez

  • Global Moderator
  • Member
  • Posts: 24,553
Re: HAART and Anesthesia
« Reply #1 on: March 15, 2007, 05:10:59 PM »
Gary, I found that holding my nose when I drank the goop really helped.

Lots of luck with the test.
Andy Velez

Offline bocker3

  • Member
  • Posts: 3,369
  • You gotta enjoy life......
Re: HAART and Anesthesia
« Reply #2 on: March 15, 2007, 08:17:09 PM »
Hi Gary,

That's what this place is for -- offering support and sharing experiences.  Good luck with the procedure -- just drink that shit as quick as you can -- I found it worse going in than coming out    ::)

Mike
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2013 691/31% <20

Offline bear60

  • Member
  • Posts: 4,104
Re: HAART and Anesthesia
« Reply #3 on: March 17, 2007, 12:37:47 PM »
Don't be cruel...its time for an update, Mr Lou ah vul
Poz Bear Type in Philadelphia

Offline Lou-ah-vull

  • Member
  • Posts: 944
Re: HAART and Anesthesia
« Reply #4 on: March 17, 2007, 01:26:36 PM »
Nothing to update yet.  The Great Cleanse-Out takes place on Monday and the operation is on Tuesday.  I will do my best to keep everyone informed.

Gary
Diagnosed Oct. 2005
10/05:  367 (26.2%), 24556 VL
01/06:  344 (24.6%), 86299 VL
04/06:  374 (22.0%), 87657 VL
05/06:  Began HAART 05/15/06, Combivir/Kaletra
07/06:  361 (27.8%), 1299 VL
10/06:  454 (32.4%), 55 VL
01/07:  499 (38.4%), UD
02/07:  Switched to Atripla 2/8/07
04/07:  566 (37.7%), UD
08/07:  761 (42.3%), UD
06/08:  659 (47.1%), UD
01/09:  613 (43.8%), UD
07/09:  616 (47.4%), UD
01/10:  530 (44.2%), UD
07/10:  636 (48.9%), UD
01/11:  627 (48.2%), UD
07/11:  840 (52.5%), UD
01/12:  920 (51.1%), UD
07/12:  857 (50.4%), 40
10/12:  UD
01/13:  710 (47.3%), UD
07/13:  886 (49.2%), UD
01/14:  985 (46.9%), UD
06/14:  823 (47.2%), UD

Offline AlanBama

  • Member
  • Posts: 3,613
  • Alabama: the 'other' 3rd World Country!
Re: HAART and Anesthesia
« Reply #5 on: March 17, 2007, 02:59:48 PM »
Hey Gary

I sure am glad you found out about this in advance, and got it all taken care of.

Best of luck with your colonoscopy, let us know the results.

hugs,

Alan
"Remember my sentimental friend that a heart is not judged by how much you love, but by how much you are loved by others." - The Wizard of Oz

Offline Christine

  • Member
  • Posts: 1,069
Re: HAART and Anesthesia
« Reply #6 on: March 17, 2007, 03:07:26 PM »
Gary,
Hope the test goes well on Monday, or as well as that test can be...:)

I agree with checking all the meds. I use the drug interaction tool here, every time my meds change, and when I had my eye surgery. I also always carry the info with me, and a list of all my meds with the generic and brand name listed to every appointment, along with drug allergies.

Christine
Poz since '93. Currently on Procrit, Azithromax, Pentamidine, Valcyte, Levothyroxine, Zoloft, Epzicom, Prezista, Viread, Norvir, and GS-9137 study drug. As needed: Trazodone, Atavan, Diflucan, Zofran, Hydrocodone, Octreotide

5/30/07 t-cells 9; vl 275,000

Offline JohnOso

  • Member
  • Posts: 816
Re: HAART and Anesthesia
« Reply #7 on: March 19, 2007, 06:11:20 AM »
Gary,

Sorry about the Colon Cleanse that you are no doubt starting later on today.  It's funny, but even though I had a pre-op telephone conversation with the anesthesiologist, the medical personnel still didn't know anything about the interactions between Versed (midazolam) and Sustiva on the day of my hernia repair.  Don't these people pass along info to each other??

They actually ended up using the IV drugs Fentanyl (a narcotic) and Propofol (Driprivan) for moderate sedation.  The good part is that I was well sedated but not completely out.  I did experience some intense pain when they put the plastic mesh in my belly, but more drugs took care of it.

The bad part is that Versed would have had a nice amnesic effect, which is primo when you're getting a tube stuck up your ass  ;)   Hopefully you won't recall too much about the procedure though.

I've assisted on many colonoscopies, and i'm sure things will go well for you.  Will for sure be thinking of you on Tuesday (hey you're on your own though for Monday's "festivities."  ;))

Take care,
John (another old Louisville boy)

Offline RAB

  • Member
  • Posts: 1,895
  • Joined March 2003
Re: HAART and Anesthesia
« Reply #8 on: March 19, 2007, 09:22:06 AM »
Lou-a-vull:

By the time you read this, you'll probably have already initiated the "great clean out"  (Lord!   ::))

I hope everything checks out o.k. tomorrow, I'll be thinking about you guy.

RAB

(Who didn't know about the Versed issue either, that's what they used on me, but I'm not taking Sustiva)

 


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