Re: valium etc for preeclampsia instead of mgso4
From: art fougner, md (evsono@pipeline.com)
Mon Dec 11 06:56:30 2000
"use of magnesium ion ... may precipitate myasthenic crisis." -
Creasy & Resnik
Maternal - Fetal Medicine, 3rd Ed pg 1095
art
At Mon, 11 Dec 2000, Griffiths Malcolm wrote:
>
>I hadn't been aware of such a contraindication - to be honest I'd never
>thought about it. However is there clear evidence that MgSO4 would be CI in
>myasthenic patients?
>
>-----Original Message-----
>From: evsono@pipeline.com [mailto:evsono@pipeline.com]
>Sent: 08 December 2000 16:03
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: valium etc for preeclampsia instead of mgso4
>
>only problem would be for the woman who also suffers from myasthenia
>gravis - here, diazepam and/ or dph could be utilized as mag would be
>contra-indicated.
>
>art
>
>At Fri, 8 Dec 2000, mark decker wrote:
>>
>>no argument here - i use mg - but someone told me perinatal docs also use
>>valium - and my memory is as the studies listed here demonstrate - mg
>>better choice.
>>
>>thanks to all
>>
>>mdmdAt 04:46 AM 12/8/00 -0600, you wrote:
>>>I can't see any way one could justify such use after the collaborative
>study
>>>by Duley and colleagues.
>>>
>>>-----Original Message-----
>>>From: mark decker [mailto:mdecker@nconnect.net]
>>>Sent: 07 December 2000 20:25
>>>To: Multiple recipients of list OB-GYN-L
>>>Subject: valium etc for preeclampsia instead of mgso4
>>>
>>>are any of you - or others - using valium / versed etc for anti seizure
>>>prophylaxis instead of mgso4?
>>>
>>>articles??
>>>
>>>thanks
>>>
>>>mdmd
>>>it may not be hemostatic but it sure stops the bleeding -
>>><locking sutures>
>>>
>>>Mark H Decker MD
>>>Ob-Gyn
>>>Mid West USA
>>>Multispecialty Clinic
>>>
>--
>art fougner, md
>
>A series of 1000 cases begins with but a single anecdote.
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
