MAOIs to RIMAs in anaesthesia--a literature review.

Abstract:

:Monoamine oxidase inhibitors (MAOIs) are widely accepted as effective antidepressants. Unfortunately their use has been limited by their capacity to potentiate dietary tyramine (the so called "cheese effect") and their interaction with other drugs. The latter poses a particular problem for patients undergoing anaesthesia. Traditional advice has been to stop MAOI therapy 2 weeks prior to anaesthesia. With the advent of reversible, specific inhibitors of MAO-A (RIMAs) there is less potential for dietary and drug interaction. While experience with these newer drugs is limited so far, this review suggests that combination of modern anaesthetic techniques and newer, specific reversible MAOIs should allow safe anaesthesia with maintenance of antidepressant therapy.

journal_title

Psychopharmacology

authors

Hill S,Yau K,Whitwam J

doi

10.1007/BF02246234

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

S43-5

eissn

0033-3158

issn

1432-2072

journal_volume

106 Suppl

pub_type

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