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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 46959
Experience:  Board Certified Physician
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My mother is having her ECT treatment tomorrow and she was

Customer Question

My mother is having her ECT treatment tomorrow and she was told not to eat or drink for 12 hours before. However, every morning she wakes up with very high blood pressure, which gets controlled with the use of pills for blood pressure and anti anxiety medication. However, if on the morning of the treatment she can't take her medications and during ECT the blood pressure goes up, won't it be very dangerous for her to have ECT? I am feeling uneasy about it the day before the procedure.
Submitted: 4 years ago.
Category: Medical
Expert:  Dr. David replied 4 years ago.

Dr. David :

This is Dr. David

Dr. David :

I am sorry for your mother's situation

Dr. David :

ECT is not practice often in the USA or europe anymore.

Dr. David :

sorry about her psychosis.

Dr. David :

she has tried all of the medications for her psychosis?

Dr. David :

ECT is much safer today and is given to people while they're under general anesthesia usually.

Dr. David :

they don't want her to eat because of the anesthesia and that can cause her to vomit.

Dr. David :

so it would be better for her stomach to be empty.

Dr. David :

they will monitor her blood pressure doing the ECT.

Dr. David :

ECT today is much safer today because of the anesthesia used.

Dr. David :

here is a good article on ECT therapy

Dr. David :

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2860524/

Dr. David :

let me know if you have questions.

Dr. David :

the dangerous and risks of ECT are small

Dr. David :

here is another good article

Dr. David :

http://www.nytimes.com/2011/01/29/health/29shock.html?_r=1&

Expert:  Dr. Chip replied 4 years ago.
Hi--I have another opinion here. First off, she needs to take her meds the night before while not breaking the 12 hour rule, and actually they could be taken with a sip of water the morning of the ECT. That said, if her blood pressure in the morning is still very high despite the medications she takes, her doctor should be alerted to this in case she needs another medication for the blood pressure. That should be done before the ECT is done
Expert:  Dr. David replied 4 years ago.
This is Dr. David,

the first expert who helped you here.

is today the day of the procedure?

how is her blood pressure this morning and her anxiety?