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MH

I Have been postponeing shock wave lithotripsy to break up my kidneystones so they are small enough to pass,they are not in my kidney ducts as of yet but I shure can feel them and so because I have read I cant have mucle relaxant and cant have epinephrine,whats listed for dentistry only are local med ? and potassium most certantly locks me up and weakans Me,I wont have the loud procedure done without being totolly under so please what Med anathsia or med preping can Be used?

Type of Myotonia: MC

Country: USA

Re: MH

Leroy,

You can have conscious sedation anesthesia. In my family the combination used has been Versed, Propofol and Fentanyl. Muscle relaxants are fine, but muscle paralyzing agents are not (succinylcholine is the one that can trigger MH symptoms). Your anesthesiologist can help you figure out the best anesthesia for the lithotripsy.

For local anesthesia the best choice is Carbocaine or Marcaine without vasoconstrictors. However getting a local shot with epinephrine will not hurt you, but it will likely make myotonia worse for a few hours or days.

Hope you get some relief from the kidney stones!

Jan

Type of Myotonia: Thomsen's

Country: USA