LDN and local anasthetic

[Guest guest]

i do not need ansthetic,so no plan to check with skip

[Guest guest]

I went to the dentist the other day and had local anesthesia - no problems at all.rachelOn May 13, 2010, at 10:03 AM, Nethery wrote:Zahavi: is it necessary to stop LDN two days before a dental procedure involving local anesthesia?

[Guest guest]

Local anesthetics are not opiates, so there is no contra-indication with LDN.

If, however, you anticipate post-procedure pain for which a narcotic might be

prescribed, it wouldn't hurt to skip the LDN the night before the procedure.

Otherwise, no problem, no worry.

Good luck.

Konnie

>

> Hi there I have to have a small intervention soon under local anasthetic... do

I have to stop LDN for a few days before? Does it have any bearing at all on

anasthetic?

>

> Thank you!!

>

[Guest guest]

has nothing to do with the anethesia has to do with the pain medications you may needcyndiOn May 13, 2010, at 1:22 PM, rachel wrote:I went to the dentist the other day and had local anesthesia - no problems at all.rachelOn May 13, 2010, at 10:03 AM, Nethery wrote:Zahavi: is it necessary to stop LDN two days before a dental procedure involving local anesthesia?

[Guest guest]

Cyndi, How is Skip??? We are praying for him. Jan in NMFrom: Cyndi Lenz <clenz@...>rachel <thankgod@...>Cc: Nethery <susan44@...>; low dose naltrexone Sent: Thu, May 13, 2010 4:33:22 PMSubject: Re: [low dose naltrexone] LDN and local anasthetic

has nothing to do with the anethesia has to do with the pain medications you may needcyndiOn May 13, 2010, at 1:22 PM, rachel wrote:I went to the dentist the other day and had local anesthesia - no problems at all.rachelOn May 13, 2010, at 10:03 AM, Nethery wrote:Zahavi: is it necessary to stop LDN two days before a dental procedure involving local anesthesia?

[Guest guest]

I'm not sure about simply skipping the dose the night before. Dr Skip has

said he used to recommend 3 days but that twice he's seen people not be

able to get pain relief (pain meds blocked) because of their LDN and he's

recommending, I believe he said, a week.

--

At 04:59 PM 5/13/2010, you wrote:

>Local anesthetics are not opiates, so there is no contra-indication with

>LDN. If, however, you anticipate post-procedure pain for which a narcotic

>might be prescribed, it wouldn't hurt to skip the LDN the night before the

>procedure. Otherwise, no problem, no worry.

>Good luck.

>

>Konnie

>

>

> >

> > Hi there I have to have a small intervention soon under local

> anasthetic... do I have to stop LDN for a few days before? Does it have

> any bearing at all on anasthetic?

> >

> > Thank you!!

~~~ There is no way to peace; peace is the way ~~~~

--A.J. Muste

[Guest guest]

Dr Skip was specifically talking about surgery and the necessity of pain

relief afterward, but how is that different from opiate-based pain relief

following dental?

--

>I believe he was speaking of a week before having a procedure that

>requires general anaesthetic and/or opiate-based anaesthetics/pain

>relief. I could, of course, be wrong - anyone else remember this?

>

>~Eileen

>

>

>On May 13, 2010, at 10:12 PM, Baker wrote:

>

>>

>>

>>I'm not sure about simply skipping the dose the night before. Dr Skip has

>>said he used to recommend 3 days but that twice he's seen people not be

>>able to get pain relief (pain meds blocked) because of their LDN and he's

>>recommending, I believe he said, a week.

>>

>>--

>>

>>At 04:59 PM 5/13/2010, you wrote:

>>

>> >Local anesthetics are not opiates, so there is no contra-indication with

>> >LDN. If, however, you anticipate post-procedure pain for which a narcotic

>> >might be prescribed, it wouldn't hurt to skip the LDN the night before the

>> >procedure. Otherwise, no problem, no worry.

>> >Good luck.

>> >

>> >Konnie

~~~ There is no way to peace; peace is the way ~~~~

--A.J. Muste

[Guest guest]

I stopped LDN two nights before I had a bronchoscopy, the sedation did not work and I was fully aware but could not say anything because of the mouth piece, it made me swear never to have such a procedure again. I believe the drug used was the one that makes you forget stuff. I had this drug when I had an endoscopy and when I was not on LDN, I didn't remember a thing about it, totally different from the bronchoscopy. I do not know what the sedative is called that they use for these procedures or if it is opiod based, so would be interested if anyone knows, it's like the 'date rape drug' is all I know... The advice I would give is to ask what they will use and ask if it is opiod based well in advance of any procedure and then stop taking LDN for a good few days before.

>

[Guest guest]

Local anesthetics are not opiates though, and naltrexone has no effect on non-opiate pain control. Jackie>Local anesthetics are not opiates, so there is no contra-indication with >LDN. If, however, you anticipate post-procedure pain for which a narcotic >might be prescribed, it wouldn't hurt to skip the LDN the night before the >procedure. Otherwise, no problem, no worry.>Good luck.>>Konnie>>> >> > Hi there I have to have a small intervention soon under local > anasthetic... do I have to stop LDN for a few days before? Does it have > any bearing at all on anasthetic?> >> > Thank you!!~~~ There is no way to peace; peace is the way ~~~~ --A.J.

Muste------------------------------------

[Guest guest]

How long should I be off ldn before surgery? And how long after taking pain meds

should I start taking ldn again? Thanks.

Conni

2 replies below:

Heretofore I have recommended a day or two until this morning. A patient was off

LDN for 2 days and did not get any analgesia after a procedure. I now recommend

no less than 1 week.

Dr.Skip

I too have recommended a day or two before surgery/procedures UNTILL THIS AM.

Got a call from a lady who had a colonoscopy and was given a " bunch " of opiod

analgesics. Nothing helped her pain. The kinetics strong suggest that it should

have worked but it didn't. Now it could have been a metabolism problem, could

have been a specific patient issues, could have been anything. I am now going to

recommend at least one week, just to be sure.

Dr.Skip

Personal LDN Stories & Updates

http://ldn.proboards.com/index.cgi?board=personal--

>

> I stopped LDN two nights before I had a bronchoscopy, the sedation did not

work and I was fully aware but could not say anything because of the mouth

piece, it made me swear never to have such a procedure again. I believe the

drug used was the one that makes you forget stuff. I had this drug when I had

an endoscopy and when I was not on LDN, I didn't remember a thing about it,

totally different from the bronchoscopy. I do not know what the sedative is

called that they use for these procedures or if it is opiod based, so would be

interested if anyone knows, it's like the 'date rape drug' is all I know... The

advice I would give is to ask what they will use and ask if it is opiod based

well in advance of any procedure and then stop taking LDN for a good few days

before.

> >

>

[Guest guest]

I've had much happier experiences. I stopped LDN 3 nights before having a general for a colonoscopy and biopsy last year and felt nothing, just a slight sensation after. Last week I had a crown taken out with the usual local and skipped LDN the night before. Felt nothing at the time, had pain when it had worn off but didn't take any pain killers (hot water bottle did help though). Took LDN that night and the next day all pain gone.Looks like an unfortunate combination of given anaesthetics and individual metabolism can turn out miserably.MargaretFrom: art_ldn <rtee54@...>low dose naltrexone Sent: Fri, May 14, 2010 1:09:38 PMSubject: [low dose naltrexone] Re: LDN and local anasthetic

How long should I be off ldn before surgery? And how long after taking pain meds should I start taking ldn again? Thanks.

Conni

2 replies below:

Heretofore I have recommended a day or two until this morning. A patient was off LDN for 2 days and did not get any analgesia after a procedure. I now recommend no less than 1 week.

Dr.Skip

I too have recommended a day or two before surgery/procedures UNTILL THIS AM. Got a call from a lady who had a colonoscopy and was given a "bunch" of opiod analgesics. Nothing helped her pain. The kinetics strong suggest that it should have worked but it didn't. Now it could have been a metabolism problem, could have been a specific patient issues, could have been anything. I am now going to recommend at least one week, just to be sure.

Dr.Skip

Personal LDN Stories & Updates

http://ldn.proboards.com/index.cgi?board=personal--

>

> I stopped LDN two nights before I had a bronchoscopy, the sedation did not work and I was fully aware but could not say anything because of the mouth piece, it made me swear never to have such a procedure again. I believe the drug used was the one that makes you forget stuff. I had this drug when I had an endoscopy and when I was not on LDN, I didn't remember a thing about it, totally different from the bronchoscopy. I do not know what the sedative is called that they use for these procedures or if it is opiod based, so would be interested if anyone knows, it's like the 'date rape drug' is all I know... The advice I would give is to ask what they will use and ask if it is opiod based well in advance of any procedure and then stop taking LDN for a good few days before.

> >

>

[Guest guest]

Hi Celia-The drug is Versed. It's usually combined with an opiate pain med like Fentanyl or Demerol for scoping procedures. I experience needing more non-opiate meds when I have to take them, than I did before LDN, and I am only 2 1/2 mos into it and on low doses. Normally I can only take 1 advil or 1/2 Tramadol, but since LDN, I can take 2 advil and 1 Tram with no problems, if I need to. I don't know if that's good or bad. It's like LDN has taken over the pain receptors and is now the boss, except it hasn't cut my general pain down, hence the need for the other meds. Confusing. I'm going way down to micrograms at my drs suggestion because I have such agitation on it still. Even on this ultra low dosing, I am still gettng the agitation, much less. I realize I am straying a bit off this topic, but thought I could put my 1 cent in.I'm frustrated and discouraged because I don't know if it's going

to work for me. It has been a hard 2 months.Sally-Seattle-US Sent from my iPhoneOn May 14, 2010, at 1:35 AM, "Celia" <celia@...> wrote:

I stopped LDN two nights before I had a bronchoscopy, the sedation did not work and I was fully aware but could not say anything because of the mouth piece, it made me swear never to have such a procedure again. I believe the drug used was the one that makes you forget stuff. I had this drug when I had an endoscopy and when I was not on LDN, I didn't remember a thing about it, totally different from the bronchoscopy. I do not know what the sedative is called that they use for these procedures or if it is opiod based, so would be interested if anyone knows, it's like the 'date rape drug' is all I know... The advice I would give is to ask what they will use and ask if it is opiod based well in advance of any procedure and then stop taking LDN for a good few days before.

>

[Guest guest]



Sally, it just goes to show how different we all are, now I was led to believe LDn had a half life of 6 hours so I thought two nights off would clear it, but no, it didn't, it was quite horrible at the time. Have you thought of writing to Dr Zagon? I am sorry so far that you are having such a hard time of it, remind me what you take LDN for?

I just got a passage on that drug I had and it says -

Precautions: General: Since an increase in cough reflex and laryngospasm may occur with peroral endoscopic procedures, the use of a topical anesthetic agent and the availability of necessary countermeasures are recommended. During routine diagnostic bronchoscopies, in patients with CO2 retention, the use of a narcotic premedication is recommended.

Hmmm, it makes you think and just shows we should ask in advance what particular procedures entail....

Celia

[Guest guest]

OK Dr. Skip is recommending you cease LDN one week BEFORE you anticipate needing pain meds. Now here is another question. Let's say you have a procedure, and you are on opiates (i.e. percocet, darvocet, etc.) for one week. Let's say the last day you take a pain med pill is on a Friday. The question is can you take your LDN that night, or do you need to wait more time for the opiate to get out of your system? Will the LDN react with the opiate you took that day? I know about the reports that say if you are addicted to opiates you must wait 2 weeks, yada yada but I'm not talking about that, I'm talking about i.e. if you had surgery and are taking a painkiller.

> >> > I stopped LDN two nights before I had a bronchoscopy, the sedation did not work and I was fully aware but could not say anything because of the mouth piece, it made me swear never to have such a procedure again. I believe the drug used was the one that makes you forget stuff. I had this drug when I had an endoscopy and when I was not on LDN, I didn't remember a thing about it, totally different from the bronchoscopy. I do not know what the sedative is called that they use for these procedures or if it is opiod based, so would be interested if anyone knows, it's like the 'date rape drug' is all I know... The advice I would give is to ask what they will use and ask if it is opiod based well in advance of any procedure and then stop taking LDN for a good few days before. > > >> >>

[Guest guest]

If you need the pain relief effect you can begin LDN. All that happens usually when you take LDN with opiates is that the opiates don't work. So, if you don't require pain relief....JackieFrom: marlaprendergast <kws11@...>Subject: [low dose naltrexone] Re: LDN and local anastheticlow dose naltrexone Date: Friday, May 14, 2010, 6:25 PM

OK Dr. Skip is recommending you cease LDN one week BEFORE you anticipate needing pain meds. Now here is another question. Let's say you have a procedure, and you are on opiates (i.e. percocet, darvocet, etc.) for one week. Let's say the last day you take a pain med pill is on a Friday. The question is can you take your LDN that night, or do you need to wait more time for the opiate to get out of your system? Will the LDN react with the opiate you took that day? I know about the reports that say if you are addicted to opiates you must wait 2 weeks, yada yada but I'm not talking about that, I'm talking about i.e. if you had surgery and are taking a painkiller.

> >> > I stopped LDN two nights before I had a bronchoscopy, the sedation did not work and I was fully aware but could not say anything because of the mouth piece, it made me swear never to have such a procedure again. I believe the drug used was the one that makes you forget stuff. I had this drug when I had an endoscopy and when I was not on LDN, I didn't remember a thing about it, totally different from the bronchoscopy. I do not know what the sedative is called that they use for these procedures or if it is opiod based, so would be interested if anyone knows, it's like the 'date rape drug' is all I know... The advice I would give is to ask what they will use and ask if it is opiod based well in advance of any procedure and then stop taking LDN for a good few days before. > > >>

>>

[Guest guest]

I think you mean if you DON'T need the pain relief you can begin LDN?

> > >

> > > I stopped LDN two nights before I had a bronchoscopy, the sedation did not

work and I was fully aware but could not say anything because of the mouth

piece, it made me swear never to have such a procedure again. I believe the drug

used was the one that makes you forget stuff. I had this drug when I had an

endoscopy and when I was not on LDN, I didn't remember a thing about it, totally

different from the bronchoscopy. I do not know what the sedative is called that

they use for these procedures or if it is opiod based, so would be interested if

anyone knows, it's like the 'date rape drug' is all I know... The advice I would

give is to ask what they will use and ask if it is opiod based well in advance

of any procedure and then stop taking LDN for a good few days before.

> > > >

> > >

> >

>

[Guest guest]

Yes, that's what I mean - if you DON'T need pain relief - start back on LDN. Thanks for catching that mistake.From: marlaprendergast <kws11@...>Subject: [low dose naltrexone] Re: LDN and local anastheticlow dose naltrexone Date: Friday, May 14, 2010, 7:28 PMI think you mean if you DON'T need the pain relief you can begin LDN?> > >> > > I stopped LDN two nights before I had a bronchoscopy, the sedation did not work and I was fully aware but could not say anything because of the mouth piece, it made me swear never to have such a procedure again. I believe the drug used was the one that makes you forget stuff. I had this drug when I had an endoscopy and when I was not on LDN, I didn't remember a thing about it, totally different from the bronchoscopy. I do not know what the sedative is called that they use for these procedures or if it is opiod based, so would be interested if anyone knows, it's like the 'date rape

drug' is all I know... The advice I would give is to ask what they will use and ask if it is opiod based well in advance of any procedure and then stop taking LDN for a good few days before. > > > >> > >> >>------------------------------------

[Guest guest]

I had the very same thing happen to me for my bronchoscopy. They tried twice to sedate me, but I was awake for the entire procedure. Not fun. I had emphasized to the anesthesiologist that I was on Naltrexone, but he said it shouldn't interfere. WRONG!!! I stopped a day or two before. I also had a colonoscopy a while back....no problem there. Not sure what the docs used, but next appt. I'm definitely gonna find out.Janet Kunselman From: Margaret Schooling <mschooling@...>Subject: Re: [low dose naltrexone] Re: LDN and local anastheticlow dose naltrexone Date: Friday,

May 14, 2010, 7:26 AM

I've had much happier experiences. I stopped LDN 3 nights before having a general for a colonoscopy and biopsy last year and felt nothing, just a slight sensation after. Last week I had a crown taken out with the usual local and skipped LDN the night before. Felt nothing at the time, had pain when it had worn off but didn't take any pain killers (hot water bottle did help though). Took LDN that night and the next day all pain gone.Looks like an unfortunate combination of given anaesthetics and individual metabolism can turn out miserably.MargaretFrom: art_ldn <rtee54@...>low dose naltrexone Sent: Fri, May 14, 2010 1:09:38 PMSubject: [low dose naltrexone] Re: LDN and local anasthetic

How long should I be off ldn before surgery? And how long after taking pain meds should I start taking ldn again? Thanks.

Conni

2 replies below:

Heretofore I have recommended a day or two until this morning. A patient was off LDN for 2 days and did not get any analgesia after a procedure. I now recommend no less than 1 week.

Dr.Skip

I too have recommended a day or two before surgery/procedures UNTILL THIS AM. Got a call from a lady who had a colonoscopy and was given a "bunch" of opiod analgesics. Nothing helped her pain. The kinetics strong suggest that it should have worked but it didn't. Now it could have been a metabolism problem, could have been a specific patient issues, could have been anything. I am now going to recommend at least one week, just to be sure.

Dr.Skip

Personal LDN Stories & Updates

http://ldn.proboards.com/index.cgi?board=personal--

>

> I stopped LDN two nights before I had a bronchoscopy, the sedation did not work and I was fully aware but could not say anything because of the mouth piece, it made me swear never to have such a procedure again. I believe the drug used was the one that makes you forget stuff. I had this drug when I had an endoscopy and when I was not on LDN, I didn't remember a thing about it, totally different from the bronchoscopy. I do not know what the sedative is called that they use for these procedures or if it is opiod based, so would be interested if anyone knows, it's like the 'date rape drug' is all I know... The advice I would give is to ask what they will use and ask if it is opiod based well in advance of any procedure and then stop taking LDN for a good few days before.

> >

>

[Guest guest]

Interesting Janet that you had the same experience as me, like you I will be asking what the sedation consists of, it's not funny when you are so aware of such a traumatic experience, it brings tears to my eyes thinking of it, and all I can say is never again!!! However, my sister had a bronchoscopy and they only used the throat spray, she found it OK, she must be one heck of a better woman than me......I go along with Skip on this one, a week off before such procedures......Even a few days afterwards as well......

I had the very same thing happen to me for my bronchoscopy. They tried twice to sedate me, but I was awake for the entire procedure. Not fun. I had emphasized to the anesthesiologist that I was on Naltrexone, but he said it shouldn't interfere. WRONG!!! I stopped a day or two before. I also had a colonoscopy a while back....no problem there. Not sure what the docs used, but next appt. I'm definitely gonna find out.Janet Kunselman --->