TY - JOUR
T1 - Anesthetic considerations for patients on psychotropic drug therapies
AU - Harbell, Monica W.
AU - Dumitrascu, Catalina
AU - Bettini, Layne
AU - Yu, Soojie
AU - Thiele, Cameron M.
AU - Koyyalamudi, Veerandra
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/12
Y1 - 2021/12
N2 - Psychotropic drugs are used in the treatment of psychiatric and non-psychiatric conditions. Many patients who are on psychotropic medications may present for procedures requiring anesthesia. Psychotropic medications can have dangerous interactions with drugs commonly used in anesthesia, some of which can be life-threatening. In this review, we describe the current anesthetic considerations for patients on psychotropic drug therapies, including antidepressants, antipsychotics, mood stabilizers, anxiolytics, and stimulants. The pharmacology, side effects, and potential drug interactions of the commonly prescribed psychotropic drug therapies with anesthetic agents are described. Further, we highlight the current recommendations regarding the cessation and continuation of these medications during the perioperative period.
AB - Psychotropic drugs are used in the treatment of psychiatric and non-psychiatric conditions. Many patients who are on psychotropic medications may present for procedures requiring anesthesia. Psychotropic medications can have dangerous interactions with drugs commonly used in anesthesia, some of which can be life-threatening. In this review, we describe the current anesthetic considerations for patients on psychotropic drug therapies, including antidepressants, antipsychotics, mood stabilizers, anxiolytics, and stimulants. The pharmacology, side effects, and potential drug interactions of the commonly prescribed psychotropic drug therapies with anesthetic agents are described. Further, we highlight the current recommendations regarding the cessation and continuation of these medications during the perioperative period.
KW - Anesthesia
KW - Anesthetics
KW - Antidepressive agents
KW - Antipsychotic agents
KW - Drug interactions
KW - Perioperative period
KW - Psychotropic drugs
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U2 - 10.3390/neurolint13040062
DO - 10.3390/neurolint13040062
M3 - Review article
AN - SCOPUS:85121315070
SN - 2035-8385
VL - 13
SP - 640
EP - 658
JO - Neurology International
JF - Neurology International
IS - 4
ER -