Re: HIV Medication Interactions and Anesthesia

[Guest guest]

well now, that's interesting becuz i was on the same regimen

(reyataz/norvir/epzicom) during my first colonoscopy in 2007, and was given

fentanyl. knocked me out good, and besides HIV, i also have respiratory issues

including COPD from smoking and directly handled asbestos a couple of times a

week for 2 years as a teen. no extra reaction that i'm aware of, luckily.

however, my next 3 colonoscopies were done at my current doctor's clinic, and

they use propofol...i make sure they add a ton of lidocaine, as that shit burns

like fire in ur veins.

when i asked for fentanyl that 2nd time (first time at the new place) the

anesthesiologist explained that fentanyl is ill-suited for such procedures bcuz

it's not sufficiently immobilizing. ur knocked out cold, but u still might

fidget around...not the best thing for a successful procedure.

try the propofol, the interactions checker at drugs.com showed nothing untoward.

Jeton

>

> Just a heads up folks. I have been scheduled twice now for a colonoscopy.

>

> Twice I have had to cancel because * I *, not any doctor or nurse checked the

interactions with my meds against the anesthesia that is typically used for this

procedure.

>

> I get my care at BU Medical in Boston MA, but I doubt people are more vigilant

anywhere else. so as long as you still have your faculties, I think that it's on

you to try to keep track of this stuff until they eventually kill you by

mistake.

>

> I still have this ( seeminly odd to doctors and nurses ) notion that I am the

consumer, and that since I am paying for this treatment, I expect them to do

their jobs. The automated interactions checker takes just seconds to run.

>

> When I got ticked off with my doctor about this potentially pretty harmful

negligence, he seemed flustered and said that he doubted that the interaction

would even show up on the hospital's interaction checker software. Of course,

it does show up. No one ever bothered to check.

>

> I take Norvir, Reyataz and Epzicom. There are 2 drugs typically used to

sedate a patient during a colonoscopy. They are, Fentanyl ( sp ? ) and Versed.

>

> Reyataz interacts with Versed. I also take an MAO inhibitor which interacts

with both of them. None of this was ever checked ; no apology or explanation

ever given.

>

> When it comes to stuff, I have concluded that BU Medical is probably no worse

than anywhere else when it comes to interaction checking. We are on our own

until we become too sick or senile to stay on top of it. At which point, some

hospital employee will harm or kill you by mistake. /

>

> Try to stay on top of your interactions as long as you are able to. When they

eventually figure out what to sedate me with so that I can have this procedure,

I will be writing my interactions on my back in magic marker and photographing

it.

>

> good luck and godspeed.

>

> Phil

>

[Guest guest]

Aha! Same thing happened to me when I had my first colonoscopy in 2008. People who had recent colonoscopies had told me I'd most likely fall asleep and not remember the procedure. Not only did I not fall asleep I felt a good deal of pain. I told the Dr. so, and he then told me of the interaction with Reyataz. The colonoscopy had to be repeated a couple of months later. He knew then to give me more anesthesia, but even that wasn't enough, I still felt pain and the nurse immediately injected pain killer via IV but it was too late to be of much good.

In a message dated 7/8/2011 10:25:59 A.M. Mountain Daylight Time, philzao@... writes:

Just a heads up folks. I have been scheduled twice now for a colonoscopy.Twice I have had to cancel because * I *, not any doctor or nurse checked the interactions with my meds against the anesthesia that is typically used for this procedure.I get my care at BU Medical in Boston MA, but I doubt people are more vigilant anywhere else. so as long as you still have your faculties, I think that it's on you to try to keep track of this stuff until they eventually kill you by mistake.I still have this ( seeminly odd to doctors and nurses ) notion that I am the consumer, and that since I am paying for this treatment, I expect them to do their jobs. The automated interactions checker takes just seconds to run.When I got ticked off with my doctor about this potentially pretty harmful negligence, he seemed flustered and said that he doubted that the interaction would even show up on the hospital's interaction checker software. Of course, it does show up. No one ever bothered to check.I take Norvir, Reyataz and Epzicom. There are 2 drugs typically used to sedate a patient during a colonoscopy. They are, Fentanyl ( sp ? ) and Versed.Reyataz interacts with Versed. I also take an MAO inhibitor which interacts with both of them. None of this was ever checked ; no apology or explanation ever given.When it comes to stuff, I have concluded that BU Medical is probably no worse than anywhere else when it comes to interaction checking. We are on our own until we become too sick or senile to stay on top of it. At which point, some hospital employee will harm or kill you by mistake. / Try to stay on top of your interactions as long as you are able to. When they eventually figure out what to sedate me with so that I can have this procedure, I will be writing my interactions on my back in magic marker and photographing it.good luck and godspeed.Phil------------------------------------

[Guest guest]

ARe there any interactions with atripla concerning anesthesia or any med?

[Guest guest]

The first colonoscopy I had done about 10 years ago (at age 55), prior to

becoming infected with HIV. Just because of my age. It came back clean. I

don’t know what they used, but at that time, they didn’t want to ”knock you

out”. I was fully awake during the procedure. Now I’ve had some big things up

my butt. <GRIN> But, nothing like this. And it hurt like hell, even though

they told me I wouldn’t feel a thing except some pressure. And I was sore for

days. It was a procedure I swore I’d never have done again. I actually think

the doctor was incompetent.

I had to have another colonoscopy and an endoscopy done at the same time last

year when I was in hospital and almost died from intestinal CMV. That time,

they put me out cold. I didn’t know a thing. I hadn’t yet been put on any HIV

meds, though. When I asked what the name of the doctor who would perform the

procedures, it was the doc I’d had before, and I insisted he not get near me

again. and why. They told me but, I don’t remember what they used, but it was a

couple of things. I responded by promptly falling under and not waking up until

I was in recovery. Hardly even sore.

They told me then, that they always put people completely under now, unless the

patient insists on watching. GACK! Not I

Jon Markle, Raleigh, NC; 9.9.82

On Jul 8, 2011, at 5:39 PM, Tony wrote:

> well now, that's interesting becuz i was on the same regimen

(reyataz/norvir/epzicom) during my first colonoscopy in 2007, and was given

fentanyl. knocked me out good, and besides HIV, i also have respiratory issues

including COPD from smoking and directly handled asbestos a couple of times a

week for 2 years as a teen. no extra reaction that i'm aware of, luckily.

>

> however, my next 3 colonoscopies were done at my current doctor's clinic, and

they use propofol...i make sure they add a ton of lidocaine, as that shit burns

like fire in ur veins.

>

> when i asked for fentanyl that 2nd time (first time at the new place) the

anesthesiologist explained that fentanyl is ill-suited for such procedures bcuz

it's not sufficiently immobilizing. ur knocked out cold, but u still might

fidget around...not the best thing for a successful procedure.

>

> try the propofol, the interactions checker at drugs.com showed nothing

untoward.

>

> Jeton

[Guest guest]

The first colonoscopy I had done about 10 years ago (at age 55), prior to

becoming infected with HIV. Just because of my age. It came back clean. I

don’t know what they used, but at that time, they didn’t want to ”knock you

out”. I was fully awake during the procedure. Now I’ve had some big things up

my butt. <GRIN> But, nothing like this. And it hurt like hell, even though

they told me I wouldn’t feel a thing except some pressure. And I was sore for

days. It was a procedure I swore I’d never have done again. I actually think

the doctor was incompetent.

I had to have another colonoscopy and an endoscopy done at the same time last

year when I was in hospital and almost died from intestinal CMV. That time,

they put me out cold. I didn’t know a thing. I hadn’t yet been put on any HIV

meds, though. When I asked what the name of the doctor who would perform the

procedures, it was the doc I’d had before, and I insisted he not get near me

again. and why. They told me but, I don’t remember what they used, but it was a

couple of things. I responded by promptly falling under and not waking up until

I was in recovery. Hardly even sore.

They told me then, that they always put people completely under now, unless the

patient insists on watching. GACK! Not I

Jon Markle, Raleigh, NC; 9.9.82

On Jul 8, 2011, at 5:39 PM, Tony wrote:

> well now, that's interesting becuz i was on the same regimen

(reyataz/norvir/epzicom) during my first colonoscopy in 2007, and was given

fentanyl. knocked me out good, and besides HIV, i also have respiratory issues

including COPD from smoking and directly handled asbestos a couple of times a

week for 2 years as a teen. no extra reaction that i'm aware of, luckily.

>

> however, my next 3 colonoscopies were done at my current doctor's clinic, and

they use propofol...i make sure they add a ton of lidocaine, as that shit burns

like fire in ur veins.

>

> when i asked for fentanyl that 2nd time (first time at the new place) the

anesthesiologist explained that fentanyl is ill-suited for such procedures bcuz

it's not sufficiently immobilizing. ur knocked out cold, but u still might

fidget around...not the best thing for a successful procedure.

>

> try the propofol, the interactions checker at drugs.com showed nothing

untoward.

>

> Jeton