ISSN 0303-5212
 

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
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Bong Ju Lee
on Google
on Google Scholar

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. https://www.rmj.org.pk/?mno=200528 [Access: December 05, 2023].


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 December 05, 2023]; 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.