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  • Title: Ketorolac and propofol anesthesia in a patient taking chronic monoamine oxidase inhibitors.
    Author: Fischer SP, Mantin R, Brock-Utne JG.
    Journal: J Clin Anesth; 1996 May; 8(3):245-7. PubMed ID: 8703462.
    Abstract:
    There is continued controversy regarding the concurrent use of monoamine oxidase inhibitors (MAOIs) and opioids in anesthesia. MAOIs are being used in both psychiatry and also in the treatment of Parkinson's disease. The adverse interaction of meperidine with MAOIs is well described in the literature. Several other opioids used in anesthesia have been reported as potentially safe and also implicated in interaction with MAOIs. We present a case report using ketorolac as a nonopioid analgesic during a general anesthesia combined with midazolam and propofol in a successful approach in a patient continuing MAOI therapy.
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