is there a big difference between these two medications? going for the colonoscopy and was wondering if i had a choice which should i ask for. i have had versed before during some cortisone injections in my back and never had problems. im afraid if they only offer propofol as a choice i might not wake up like MJ did. i know he abused it but still. opinions are appreciated from you all... john
John, I don't know which to recommend to you although I am familiar with both. You need to ask your MD. I've had a colonoscopy and the worst part was the prep. The procedure was a piece of cake. I think you are just anxious about the procedure, and, remember, that when we are in constant pain we become anxious about everything. Ask your gastroenterologist, he/she will alleviate your concern. It's such a brief procedure and such a small amount of anesthesia is used. You'll be fine. They may use another anesthesia than either of the two you mention as there are lots of safe ones. Put good soothing thoughts in your mind prior to having it done and it will be over quickly. My thoughts and prayers are with you. BRuthD
Versed is a strong sedative, while propofol is an anesthesia. With versed you will be dopey for quite awhile after the colonoscopy. Propofol leaves your system quickly, so you won't feel drunk unless you are given a sedative along with the propofol. Ask your doc if you can talk to the anesthesia folks to find out what they prefer to use. If you tell them that you have been given versed before and had no problems, and that you are a little fearful of propofol, they would probably give you Versed. Don't forget that YOU are in charge of what goes into your body as long as your choice will not have harmful effects on you. Anesthesia folks are fairly accommodating - well, some of them are. Just talk to your doc. Don't worry, darlin, you'll be fine.
I'm not familiar with versed and sad to say I've never asked what they gave me before colonoscopy but you will hear what's going on but your a little loopy for at least 15 minutes after But relax you're going to fine. The worst is the day before and when someone tell youcant eat after 3 that's when McDonald's Burger King,K.F.C Everything look delicious. Good luck its a breeze and if something is wrong they'll see.
As far as your concern about Michael Jackson, Propofol wasn't the only med he had in his system. He also had Nordiazepam, Diazepam, Lidocaine, Midazolam, and Lorazepam in his body. Before he died, the doc ordered 40 more viles of 100 mg. propofol. Propofol is good for a colonoscopy because it puts you out fast and you come to really fast. It's effective for hard to sedate people. Plus it allows the doc to focus on the colonoscopy and not worry about the anesthesia.
Most docs use conscious sedation. Usually, it takes two different meds. The two medications normally given are 1)a narcotic analgesic(painkiller)-usually Demerol(meperidine) or Sublimaze(fentanyl) 2)a benzodiazepine(sedative/hypnotic)-usually Versed(midazolam) or Valium(diazepam).
I believe you should have a choice of the meds used. I think I'd find out before I have the procedure, which meds they plan to use.
Make sure to discuss any questions or concerns you have with your physician before the colonoscopy.
I wish you the very best, John.
John, here's a novel thought and you won't have to worry about any drug interactions. Have the colonoscopy done without any drugs given. I did. It is really no big deal. There was only one painful moment and that was when they turned the first corner of the colon and the discomfort didn't last long. The procedure was not painful and the doctor even cut off a polyp which was painless. And you can watch the whole procedure when you're getting it done. It was very interesting.
I realize that this is long in the past now, but here are a few things to note. And, perhaps it may help when considering procedures that may come up in the future. I, like most other people had never even heard of, or knew that propofol existed. After a lot of research, I came to many conclusions based on medical facts which currently are part of accepted medical practice. BTW, MJ just wanted to get some much needed sleep/rest. The accepted medical use for propofol is never indicated for insomnia and secondly, all of the safeguards and protocols put in place when this drug is used and administrated, would NEVER allow for the same outcomes to occur, like they did with MJ. The use of propofol is done only in a hospital setting or OR, where the patient is having a procedure done whereas this medication is indicated. It's administered only by an anesthesiologist.
Referring to something that I did not know prior, this medication has a very short half-life, meaning that essentially it doesn't last long and it's affects are closely monitored. The drug usually gets administrated more than once to maintain the patient being asleep for however long the procedure is to last. If you look into the dosage guide for the doctor, there is a complex set of calculations that are used in how to figure the initial dose and what is needed just to maintain the patient being asleep for however long the procedure takes. In short, a patient is not given more than they need, but just what they require so that it lasts for the time that the procedure takes to complete. Lastly I was amazed and am happy to report that this drug is really the preferred one to use for putting people to sleep for various surgical and non-surgical procedures, simply for the reason that there are very few side affects, if in-fact almost none to worry about for the majority of patients coming into the OR.
I had a colonoscopy without any medications at all I was completely awake and watched it on the screen and I didn't feel a thing it was very interesting to watch too I'm glad I did it this way. The doctor said I have the cleanest and most beautiful colon he had ever seen and I am 54.
I have had both and I vastly prefer Propofol. I suffer from Acalasia and need to have an endoscopy fairly regularly and I have always had a better experience with the propofol. They inject you with it, ask you a few questions and before you can answer one or two you are waking up in the recovery room. For me it's a miracle drug. I did have a bad experience once with Versed so I always ask the doctor for a benzo to take the morning of the procedure so I am not as anxious going to the office. I know you posted this a long time ago, but maybe this answer will help someone else.
Propofol if you don't want to be awake or remember. You'll wake up very easily and no grogginess. Versed/fentynal are not drugs used in anesthesia. (Propofol is giving in surgery when general anesthesia is used. It is what is given before intubation). It is also used in many outpatient (injections and minor procedures). It is by far the easiest on a person. Heavily monitored by the anesthesiologist and short acting so no hangover. Versed and Fentynal does cause many people to relax and some not to recall. However, many people it does not have amnesia qualities on. If you have not been given both sets of meds in different procedures be prepared that the versed combo may not "put you out". Propofol will.
Something else you may want to consider is the cost. Propofol anesthesia frequently requires substantial additional monitoring by an anesthesiologist or anesthesiology nurse. Versed + fentanyl can usually be managed by just the GI team. Your facility's procedures may vary, of course, however based on my experience as a patient when scheduling mine, they were clear that if I needed/wanted Propofol, it would have to be done in the main hospital building's outpatient surgery center for the anesthesiology capabilities instead of the GI office. The facility charge and the charge for the extra provider may make your final bill quite different.
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