safe local anesthetics
 

Hi all- need to have a squamous cell growth removed, and was wondering which locals are safe for us? I might have a Mohs procedure where they use a longer acting local. The doc I called uses lidocaine with epinephrine, but when I googled it, it said that it was dangerous for use for those with MG. Suggestions would be greatly appreciated. Thanks!

Hi Susan
 

Smart woman for googling up the information. Make sure you tell your doctor ahead of time your concerns about the anesthetic. Show him or her the research you did to make sure he gets it. I know folks with MG have special concerns. I wish you all the best. ginnie

I had 3 removed a couple months ago with Mohs procedure no problem.
Mike

Thanks for the replies. glad all went well. do you know what kind of local was used?

Mepivacaine (carbocaine) can be slightly better than some others.

http://www.mgawpa.org/pdfs/Dentristy...20GravisLH.pdf

I ask for very little and say I'll take a little more pain.

If you do that, keep reminding them that some amount of transient pain is better than lasting illness following a procedure. Somehow, and I've never understood this, transient pain sounds/seems worse to doctors than other kinds of suffering.

I would guess it was his standard local. This was my second round of skin cancer removal since I was dx.
Mike

Are you on Imuran by any chance? Heard that it can contribute to skin growths.

I was on Imuran for 12 months. First removal was at about 8 months and the second removal was a month after I stopped. I am on Cellcept now.

A little story about my Imuran. The whole 12 months I was so sick on my stomach I couldn't eat. I lost 35 pounds. I was really weak. Well when the neuro took me off within 2 weeks I was SUPERMAN!!! It didn't last long sigh. We are guessing the Imuran was working on my MG but made me so sick the results did not show. I was so sick I had to leave fast food places with greasy smells like Wendy's.
Mike

Imuran vs cellcept
 

Hi- I was thinking that maybe I should ask to switch to cellcept. Have been on Imuran and Mestinon since 2001. Following a crisis and 6 rounds of plasma exchange have been doing ok on them with some ups and downs along the way that passed after a week or so. Never went into remission or able to lessen Mestinon, and still was never able to be as before MG in terms of strength, fatigue.. Over the past yr or so need Mestinon round the clock, and for the past 3 mos. have needed to increase the Mestinon to 90 mg round the clock. Even with that dose and the Imuran still feel weak sometimes, and my throat feels raw if I talk more than a few minutes. So- I was wondering if cellcept might work better for me. Went to my doc recently- will recheck me in 2 mos. Aside from the stomach aspect, are your MG symptoms less with Cellcept? thanks!!

Mestinon causes my GI issues which usually occur in the AM. I don't think Imuran nor Cellcept cause GI issues.
Mike