- Last edited on February 29, 2024
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brain-stimulation:ect [on February 29, 2024] psychdb [Table] |
brain-stimulation:ect [on February 29, 2024] psychdb [Table] |
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| <panel type="info" title="Medication indications and contraindications" no-body="true"> | <panel type="info" title="Medication indications and contraindications" no-body="true"> | ||
| - | ^ Medications to continue ^ Medications to stop ^ | + | ^ Medications to continue ^ Medications to stop or hold ^ |
| - | | Antihypertensives | Anticonvulsants (taper dose, or discontinue completely) | | + | | Antihypertensives (reduce hypertension during procedure) | Anticonvulsants (taper dose, or discontinue completely) | |
| - | | Heartburn medications (proton pump inhibitors, H2 blockers) | Stimulants (taper and discontinue completely) | | + | | Heartburn medications (e.g., proton pump inhibitors, H2 blockers) (reduce gastric secretions and the\\ risk of aspiration) | Stimulants (taper and discontinue completely) | |
| - | | Glaucoma medications | Lithium (discontinue 36-48 hours prior to treatment, because **there is a risk of developing delirium while on lithium** and receiving ECT) | | + | | Glaucoma medications | Lithium (discontinue 36-48 hours prior to treatment, because **there is a risk of developing delirium while on lithium** and receiving ECT) | |
| - | | Antipsychotics (Haloperidol, clozapine, risperidone - may be beneficial in combination with ECT) | MAOIs (consider dose reduction) | | + | | Antipsychotics (Haloperidol, clozapine, risperidone - may be beneficial in combination with ECT) | MAOIs (consider dose reduction) | |
| - | | Antidepressants | Benzodiazepines (should be held by 17:00, the day before each ECT treatment) | | + | | Antidepressants | Benzodiazepines (should be held by 17:00, the day before each ECT treatment) | |
| - | | Bronchodilators (to optimize their respiratory function for the procedure) | Diuretics (hold in the morning to help prevent patients from having\\ episodes of urinary incontinence during the procedure) | | + | | Bronchodilators (to optimize their respiratory function for the procedure) | Diuretics (hold in the morning to help prevent patients from having\\ episodes of urinary incontinence during the procedure) | |
| </panel> | </panel> | ||