| Drugs to be avoided . | Reason . | Suitable alternative . |
|---|---|---|
Pethidine, tramadol, dextromethorphan | Risk of serotonin syndrome | Morphine, fentanyl |
Ephedrine, metaraminol, cocaine | Hypertensive crises | Phenylephrine, noradrenaline |
Pancuronium | Releases stored noradrenaline | Vecuronium, atracurium |
Suxamethonium | Phenelzine only (decreased cholinesterase activity) | Mivacurium, rocuronium |
| Drugs to be avoided . | Reason . | Suitable alternative . |
|---|---|---|
Pethidine, tramadol, dextromethorphan | Risk of serotonin syndrome | Morphine, fentanyl |
Ephedrine, metaraminol, cocaine | Hypertensive crises | Phenylephrine, noradrenaline |
Pancuronium | Releases stored noradrenaline | Vecuronium, atracurium |
Suxamethonium | Phenelzine only (decreased cholinesterase activity) | Mivacurium, rocuronium |
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