Posted by cubbybear on February 9, 2004, at 0:26:10
In reply to Re: MAOI users: Medic alert bracelet question, posted by Ilene on February 8, 2004, at 17:09:17
> > I am planning to get a medic alert bracelet before I travel in the near future. What do you have inscribed on yours? I was thinking just "MAOI" but I wonder if that is enough?
> W/ MAOIs, not only do the ER people need to figure out what got you in there--a stroke precipitated by a cheese sandwich, perhaps?--but they need to know what *not* to give you, which includes nearly every narcotic.
You make make a good point. The ER people most importantly need to know about MAOIs possibly causing a hypertensive crisis due to excess tyramine. So they should administer the drug that quickly lowers blood pressure (nifedimine?-I forgot the spelling).
They should also know about exercising extreme caution with anaesthesia and analgesics. That's a lot of info to get on one bracelet but do it if you can. (I live in Thailand and have to carry around this info in the Thai language!!)
>>My pdoc said something about a recent incident involving someone on MAOIs and meperidine (Demerol). I think the person died.
That's a tragedy--Demerol is the biggest no-no of all contraindicated meds.