Sedation

The process of administering sedative drugs to reduce irritability and agitation in patients undergoing a surgical or diagnostic procedure is called sedation. Some of the drugs used are Isoflurane, Propofol, Ketamine, Lorazepam, and Midazolam.

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When does the sedative effect of Effexor go away?

Query: Hello doctor, I have just started taking Effexor XR 75 mg for panic disorder for seven days. I felt so sedating, I cannot even get out of my bed. I really want to give it a chance, but this is too much for me. Will this go away? Should I change the medicines? What should I do? I do not want to give ...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hello, Welcome to icliniq.com. Effexor XR (Venlafaxine) can be quite sedating in few cases in which you have the following options. 1. If you are taking this medicine in the morning time, then it is advisable to use it at bed time. 2. Take the plain preparation of Effexor rather than XR, if the ...  Read Full »

Is it true that Ashwagandha has bad interaction with anesthesia?

Query: Hi doctor, I am due to have a surgery cone biopsy for CIN 3. I am stopping all my supplements a week before, as requested by the hospital. However, I ordered an herbal medicine last week, Ashwagandha, to try for insomnia and nerves. It was dumb to try without consulting a doctor. I think I have on...  Read Full »


Dr. Sukhdev Garg

Anesthesiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Regarding your query, it seems you have already searched a lot on the social networks. You are absolutely right that Ashwagandha should be stopped for 1 week prior to surgery. But, there are certain facts you need to know. First, you are not having a surgery and...  Read Full »

I am about to undergo revision rhinoplasty. What is the difference between sedation and general anesthesia?

Query: Hello doctor, I am having a revision rhinoplasty and it is going to be under sedation and local anestheia but I am very scared. I asked the doctor about it since I read that during sedation you are awake but he said under sedation, patients are asleep and they feel nothing. However I never tried it...  Read Full »


Dr. Penchala Prasad Kandikattu

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. During general, anesthesia patients put in a deep sleep like state. Even respiration of the patient also under control of the machine. The patient cannot remember about surgery during the procedure. It may associate with little complications. Local anesthesia is bloc...  Read Full »

Can Fluoxetine be tried instead of Venlor XR?

Query: Hello doctor, I tried Venlor XR 75 mg during the night and got very poor result for put me to sleep. I tried to take it only in the morning and that too resulted in me being very sleepy. Can I try Fluoxetine? Or any other alternative medicines like ayurveda? Can I take St.John's wort or 5-HTP? I wou...  Read Full »


Dr. Bharat Udey

Geriatrician, Psychiatrist, Sexologist, Sleep Medicine Physician

Answer: Hello, Welcome to icliniq.com. I would like you to continue Venlor XR (Venlafaxine) 75 mg at night, as there is response to this medication in terms of improved depressive symptoms. It was advised to increase the dose by taking 37.5 mg in morning and 75 mg at night. However, you continue taking Venl...  Read Full »

Will local anesthesia under sedation decrease pain while suturing?

Query: Hi doctor,My surgeon is recommending local anesthesia with sedation for an umbilical hernia. It is a small hernia as per the surgeon, and a small incision and perhaps 1 or 2 stitches on the abdomen will be needed to repair it and perhaps a small mesh on top if needed. I have had a terrible experienc...  Read Full »


Dr. Sukhdev Garg

Anesthesiologist, General Practitioner

Answer: Hello, Welcome to icliniq.com. I hope you are doing fine. Coming to your query, the efficacy of local anesthesia depends on various factors like the expertise of anesthetist, drugs used, adjuvants, the amount of drug used, etc. For a small and uncomplicated hernia, local anesthesia with sedation i...  Read Full »

Is sedation necessary for removing hammertoe surgery pins?

Query: Hi doctor, I have two pins in my foot after having a hammertoe surgery. The doctor said that I would need to be sedated to remove them. Although it is an office procedure, is sedation common?  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. Yes, sedation is common, as it will ease the doctor to do the procedure, and also it calms you during the procedure. The sedation is a very short one will last for only about 3 to 4 hours. But my advice is to avoid driving for the day.  Read Full »

Is it normal to have severe pain even after anesthesia during tooth extraction?

Query: Hello doctor, I went to the dentist this morning for an extraction on a bottom molar on my left side. After being completely numbed he started the extraction and I had excruciating pain. He numbed me more but no matter how much he numbed, it hurt so bad. He eventually said he would refer me to a de...  Read Full »


Dr. Soheel Hussain Zargar

Dentist

Answer: Hi, Welcome to icliniq.com. It is the best question I have got in my practice and the most frequent query is how and why. This is due to two reasons. Infected tooth with much inflammation or patient's anxious nature. So to tackle such cases it is better to prescribe antibiotics for five days then...  Read Full »

My husband takes too many medications for his health conditions. Please advise.

Query: Hello doctor, My husband has been diagnosed with Alzheimer's and panic disorder with agoraphobia and is on several medicines. He is taking Glimepiride, Furosemide, Metformin-Januvia, Amlodipine, Lisinopril, Memantine, Pramipexole, Trintellix, Protonix, HCTZ, Tamsulosin, Donepezil, Clonazepam, Xanax...  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I went through your query. I can understand you are worried about your husband's health and the medications he is taking. The medications he is taking are all for the different issues he has and is necessary for his health. Antidepressant and sedative medications he i...  Read Full »

Is it safe to pair Gabapentin with Metoclopramide?

Query: Hello doctor, I suffer from chronic migraines, and I take Gabapentin, 1800 mg daily for prevention. Recently, a GP recommended Metoclopramide, 30 mg daily to help with nausea, but I have yet to take it, as I am concerned about the combination. Is this a safe pair of drugs to use together? Thank you...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. I would like to state that Gabapentin and Metoclopramide have no major interactions and can be taken together. However, there are reports of increased side effects such as giddiness and sedation. Some of the individuals with...  Read Full »

What is the alternative to Versed and Fentanyl?

Query: Hello doctor, My wife recently had a renal angioplasty and the sedation did not work. She had Versed and Fentanyl. It seemed to get her wired. What are the alternatives if she needs another procedure? Thanks.  Read Full »


Dr. Kiran Kumar Kolla Gopalkrishna

Anesthesiologist

Answer: Hello, Welcome to icliniq.com. I recommend her to go for MAC (monitored anesthesia care) or if she is very apprehensive she can be given GA (general anesthesia). The anesthetist has to assess for airway, if not in difficult intubation category. He or she can give Remifentanil infusion with Propofo...  Read Full »

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