“Is it a must to stop Adderall while getting anaesthesia?”

Opinions are divided. Some anesthesiologists say yes..that they had administered general anesthesia to pte in anfetamina without complications. Others say no, that you must stop medication at least a week before surgery. I am concerned about the risk this drug adds to general anesthetics. In my personal and professional opinion..I say no.

Usually it is better to maintain such a medication before surgery. However, this specific medication should be discussed with an anesthesiologist before the day of planned surgery.

No, she does not need to discontinue her Adderall.

No, doesn't have to. Let your physician anesthesiologist know what he is taking

She may continue it

Most anesthesiologists and surgeons would recommend withholding any stimulant medications for at least the day of surgery. The fear is that these medications might interact with anesthetic medications to cause hypertension, cardiac arrhythmias, lower the seizure threshold, and/or make vasopressor medications less predictable.

Clinicians always look at these problems in terms of a risk-benefit ratio. The 'risk' of withholding medication for a day or so is relatively minor compared to the possible 'benefit' of avoiding a potentially serious medication interaction. The stimulant medications may be started relatively soon postoperatively, so the inconvenience should be minimal.

Always inform your surgeon and anesthesiologist of all the medications that you are taking during your preoperative visit or phone interview, including over-the-counter medication and herbal supplements. Some of these may need to be withheld for a period of time before and after surgery as well.

It is possible to have a hip replacement surgery with a regional anesthetic instead of a general anesthetic, but medications are almost always withheld in a similar fashion in this circumstance also, just in case to avoid the possible situations mentioned above.

The current literature is somewhat controversial regarding continuing or discontinuing adderall prior to surgery. Hypotension and cardiac dysrhythmias are the two most common potential complications of general anesthetic interactions with adderall. Some suggest the use of regional anesthesia (spinal or epidural anesthesia) for hip surgery, a common practice, to avoid these problems. Even with a regional anesthetic, there may be a need to convert to general anesthesia for a variety of reasons. If the patient can tolerate being off adderall, it is recommended to stop taking it 2 weeks prior to surgery.

The answer to this is controversial. Some anesthesiologists will proceed with anesthesia regardless of whether the patient is on adderall up until the day of surgery while others may postpone the anesthesia by a few days or a week. It is better to check with the facility where you will have your procedure.

Adderall is a medication classified as an amphetamine. It speeds up metabolism and is a stimulant for the brain. Advise that your friend follows her physicisn’s advice regarding the reason she takes adderall and her medical condition to ensure there is no conflict between her medication and Anesthesia. Ask that my patients skip the dose for the day of their surgery, but every situation is different.

Dr. Ketch

No need to stop it. She should definitely notify anesthesiologist and surgeon that she is taking this medication. Any medication needs to be stopped only at doctor's orders. Never stop anything on your own.

It is better to stop the medication for at least 72 hours.

During the preoperative visit with her anesthesiologist, she can discuss this. If having general anesthesia, typically this medication would be held the night before surgery. It can be restarted after surgery, and typically will not interfere with the surgery or anesthetics generally used.