Open Access and Peer-reviewed
Home Journal Issues Guide for Authors Editorial Board Aims & Scope About Journal News & Announcements


Review Article 
RMJ. 2016; 41(2): 241-249


Perioperative management of psychotropic drugs: A literature review

Bong Ju Lee.

Abstract
The perioperative management of psychotropic drugs is associated with unexpected results of drug–drug interactions, as well as increased risk of exacerbation of psychiatric symptoms and withdrawal symptoms after psychotropic discontinuation. To find optimal guidelines for the management of psychotropic drugs in the perioperative period, this review of management of psychotropic drugs associated with surgery was conducted. A total of 26 articles, including 14 review and 12 original articles, describing the relationship between management of psychotropic drugs with surgery published in English before February 2015 were selected and reviewed. The published information suggests that the decision whether to stop a psychotropic drug prior to surgery should be individualized, taking into account the extent of surgery, the patients’ conditions and the risks of discontinuation of psychotropic drugs. The risks and benefits of psychotropic drug use should be weighed in all patients undergoing surgery. For most psychotropic drugs, the risks of discontinuation usually exceed the risks of continuing them. Discontinuing of monoamine oxidase inhibitors before surgery is recommended, but discontinuing lithium, tricyclic antidepressants, and serotonergic antidepressants should be considered according to situation.

Key words: Psychotropic drugs, drug interactions, perioperative care


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Bong Ju Lee
on Google
on Google Scholar
Article Statistics
 Viewed: 2191
Downloaded: 341
Cited: 0


How to Cite this Article
Pubmed Style

Bong Ju Lee. Perioperative management of psychotropic drugs: A literature review. RMJ. 2016; 41(2): 241-249.


Web Style

Bong Ju Lee. Perioperative management of psychotropic drugs: A literature review. http://www.rmj.org.pk/?mno=200528 [Access: August 25, 2019].


AMA (American Medical Association) Style

Bong Ju Lee. Perioperative management of psychotropic drugs: A literature review. RMJ. 2016; 41(2): 241-249.



Vancouver/ICMJE Style

Bong Ju Lee. Perioperative management of psychotropic drugs: A literature review. RMJ. (2016), [cited August 25, 2019]; 41(2): 241-249.



Harvard Style

Bong Ju Lee (2016) Perioperative management of psychotropic drugs: A literature review. RMJ, 41 (2), 241-249.



Turabian Style

Bong Ju Lee. 2016. Perioperative management of psychotropic drugs: A literature review. Rawal Medical Journal, 41 (2), 241-249.



Chicago Style

Bong Ju Lee. "Perioperative management of psychotropic drugs: A literature review." Rawal Medical Journal 41 (2016), 241-249.



MLA (The Modern Language Association) Style

Bong Ju Lee. "Perioperative management of psychotropic drugs: A literature review." Rawal Medical Journal 41.2 (2016), 241-249. Print.



APA (American Psychological Association) Style

Bong Ju Lee (2016) Perioperative management of psychotropic drugs: A literature review. Rawal Medical Journal, 41 (2), 241-249.








AUTHOR LOGIN

REVIEWER LOGIN

Indexed
&
Abstracted


Indexed in WHO Index Medicus IMEMR, Emromedex, Pakmedinet, ExtraMED and Scopus

  Approved by the Higher Education Commission of Pakistan and Pakistan Medical and Dental Council


ABOUT JOURNAL
POLICIES
STATEMENTS

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access.

The articles in Rawal Medical Journal are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.