Can beta blockers be taken before lipo to prevent tachycardia?

Question

I am worried about the tachycardia from large amounts of Epinephrene. Can anything be taken to prevent this.

Emmanuel De La Cruz, MD · Answer

Beta blockers are medications commonly used to manage conditions like high blood pressure, heart rhythm disorders, and anxiety. They work by blocking the effects of adrenaline on the heart, which can help reduce heart rate and blood pressure.

In some cases, beta blockers may be used before certain surgical procedures to help control heart rate and prevent tachycardia (rapid heart rate), especially in individuals who are at risk of experiencing cardiac complications during surgery.

However, the decision to prescribe beta blockers before liposuction or any surgical procedure would depend on various factors, including your medical history, current health status, and the recommendation of your healthcare provider.

If you have concerns about tachycardia or other potential cardiac issues during liposuction, it's essential to discuss them with your surgeon or healthcare provider during your pre-operative consultation. They can evaluate your individual situation and determine whether beta blockers or any other measures are necessary to help ensure a safe and successful procedure.

Laurie A. Casas, MD, FACS · Answer

Great question. Typically your Plastic Surgeon (PS)certified by the American Board of Plastic Surgery, will discuss the safe amount of epinephrine to be used with the anesthesia provider. If you have a sensitivity to epinephrine,  It is important to review this with your PS, your primary care physician and the anesthesiologist. After they confer your primary care doctor should advise whether a beta blocker should be taken preventatively.  Hope that helps.

Azita Madjidi, MD, MS, FACS · Answer

NO. Epinephrine is not injected to your blood to cause tachycardia. It is diluted to keep the lidocaine in place for numbing and it is in the infiltration fluid that goes to the fatty tissues not to your IV. If you have an allergic reaction to epinephrine , then you should not get liposuction. If you are worried about having cardiac issues , then you need to get a clearance from your cardiologist prior to any surgery.

Connie Hiers, MD, FACS · Answer

Usually, we have patients stopped any beta blockers the day of surgery. If you are concerned, please discuss this with your cardiologist. In most people, the rate increase is short lived and is not an excessive rate to cause distress or concern.

Camille Cash, MD · Answer

During your surgery you will be continually evaluated by your anesthesia team for any arising concerns.  This includes your heart rate, blood pressure, and respirations among others.  If you have a history of tachycardia or sensitivity to epinephrine discuss this with your surgeon and anesthesia team.

Garrett Jones, DO · Answer

Beta blockers are medications commonly used to treat conditions such as high blood pressure, angina, and certain heart rhythm disorders. They work by blocking the effects of adrenaline on the heart, which can help reduce heart rate and blood pressure.
In some cases, beta blockers may be used before liposuction surgery to help prevent tachycardia (a rapid heart rate) and other cardiovascular complications during the procedure. However, the decision to use beta blockers before liposuction should be made by a skilled healthcare provider, typically in consultation with a cardiologist or anesthesiologist.
If you have a history of cardiovascular issues or if your healthcare provider determines that you may be at risk for tachycardia during liposuction surgery, they may recommend beta blockers as a preventive measure. However, it's essential to follow your healthcare provider's recommendations and discuss any concerns or questions you may have about the use of beta blockers before surgery.
Additionally, it's important to disclose any medications you are currently taking, including beta blockers, to your surgeon and anesthesiologist before undergoing any surgical procedure, including liposuction. This will help ensure your safety and optimize your surgical outcome.

Mats Hagstrom, MD (license on probation) · Answer

I’ve done thousands of awake, body contouring procedures, using high doses of epinephrine, and I have never seen patients respond by having tachycardia.
Patients will have the shakes and jitter and feel anxious but I don’t see tachycardia response in any of these patients.
This includes using up to 8ml of 1 to 1000 epinephrine.
You should definitely not interfere with doctors doing a surgical procedure by taking medication‘s that are not prescribed or indicated.
Talk to your plastic surgeon if you have concerns.
Best,
Mats Hagstrom, MD

Can beta blockers be taken before lipo to prevent tachycardia?

Answers (7)

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