Re: Advice for surgery w/gen anesth.

[Guest guest]

I had surgery last summer and had no problem except with the

Percocet (which I had told them not to give me).

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of em5704

I'm going to have surgery for pelvic organ prolapse, and I

need advice from others who are on Spiro and have undergone surgery. (I have a

left adrenal gland APA and am on 100 mg Spiro daily.) The drug interaction info

on the Spiro says it increses reaction to norepinephrine and should be

" used with caution in patients undergoing local, regional or general

anesthesia " . Has anyone here had a problem with this? Has anyone stopped

Spiro before surgery and if so how long before?

I will talk to the anesthesiologist, but I dont expect he or she to be

knowledgeable about PA and our needs. I need to talk to my endo as well, but I

feel that the information I get on this forum is better.

What about if I stop Spiro, and maybe use a CCB for a couple of days instead,

just to keep the BP down? CCB alone worked adequately for me while I was being

evaluated for PA before I was on Spiro. How long does Spiro stay in your

system? Dr. Grim, any thoughts? Em

[Guest guest]

Val, what did the Percocet do?

>

> I had surgery last summer and had no problem except with the Percocet (which

> I had told them not to give me).

>

> Val

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of em5704

>

>

> I'm going to have surgery for pelvic organ prolapse, and I need advice from

> others who are on Spiro and have undergone surgery. (I have a left adrenal

> gland APA and am on 100 mg Spiro daily.) The drug interaction info on the

> Spiro says it increses reaction to norepinephrine and should be " used with

> caution in patients undergoing local, regional or general anesthesia " . Has

> anyone here had a problem with this? Has anyone stopped Spiro before surgery

> and if so how long before?

>

> I will talk to the anesthesiologist, but I dont expect he or she to be

> knowledgeable about PA and our needs. I need to talk to my endo as well, but

> I feel that the information I get on this forum is better.

>

> What about if I stop Spiro, and maybe use a CCB for a couple of days

> instead, just to keep the BP down? CCB alone worked adequately for me while

> I was being evaluated for PA before I was on Spiro. How long does Spiro stay

> in your system? Dr. Grim, any thoughts? Em

>