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Permitting family members to be present before the operation [1] Anti-anxiety medication [1] such as benzodiazepines or melatonin. An advantage of melatonin is that it has no known serious side effects, such as a hangover effect post-surgery. [9] Nurse-patient relationships [4] A preoperative visit from the anaesthesiologist [3] Pregabalin ...
Diazepam is a Schedule 4 substance under the Poisons Standard (June 2018). [138] A Schedule 4 drug is outlined in the Poisons Act 1964 as, "Substances, the use or supply of which should be by or on the order of persons permitted by State or Territory legislation to prescribe and should be available from a pharmacist on prescription". [138]
Midazolam 1 & 5 mg/mL injections (Canada). Benzodiazepines possess psycholeptic, sedative, hypnotic, anxiolytic, anticonvulsant, muscle relaxant, and amnesic actions, [4] [5] which are useful in a variety of indications such as alcohol dependence, seizures, anxiety disorders, panic, agitation, and insomnia.
The consensus is to reduce dosage gradually over several weeks, e.g. 4 or more weeks for diazepam doses over 30 mg/day, [1] with the rate determined by the person's ability to tolerate symptoms. [120] The recommended reduction rates range from 50% of the initial dose every week or so, [121] to 10–25% of the daily dose every 2 weeks. [120]
Valium (Diazepam) is the most widely recognized drug in the group. It has been around since the 1960s and is a well known and time-tested sedative with amnesic properties. Valium has a longer half-life than some of the other medications, so it is particularly useful for appointments where extensive dentistry is being performed.
[1] Midazolam is effective in children in reducing anxiety associated with separation from parents and induction of anesthesia. [2] Sufentanil is also sometimes used as a premedication. Clonidine is becoming increasingly popular as a premedication for children. One drawback of clonidine is that it can take up to 45 minutes to take full effect. [3]
It is mainly an anti-anxiety agent with similar side effects to diazepam. In addition to being used to treat anxiety or panic states, bromazepam may be used as a premedicant prior to minor surgery. Bromazepam typically comes in doses of 3 mg and 6 mg tablets. [4] It was patented in 1961 by Roche and approved for medical use in 1974. [5]
Examples of preanesthetic agents are: Acepromazine [1]; atropine [1]; diazepam [1]; Scopolamine; Opioid analgesics, such as morphine, pethidine and buprenorphine.; These drugs are used before the administration of an anesthetic to improve patient comfort, reduce possible side effects such as Postanesthetic shivering, relieve pain, and increase the effectiveness of the anesthetic.