KETOROLAC AND PROPOFOL ANESTHESIA IN A PATIENT TAKING CHRONIC MONOAMINE-OXIDASE INHIBITORS

There is continued controversy regarding the concurrent use of monoami ne oxidase inhibitors (MAOIs) and opioids in anesthesia. MAOIs are bei ng used in both psychiatry and also in the treatment of Parkinson's di sease. The adverse interaction of meperidine with MAOIs is well descri bed in the literature. Several other opioids used in anesthesia have b een reported as potentially safe and also implicated in interaction wi th MAOIs. We present a case report using ketorolac as a nonopioid anal gesic during a general anesthesia combined with midazolam and propofol in a successful approach in a patient continuing MAOI therapy.