Case Report

Labor Analgesia in Brugada Syndrome and the Importance of Contingency Planning

Table 2

Abbreviated list of medications and their safety profile for use in patients with Brugada syndrome.

Avoided or preferably avoided [37]Drug-induced Brugada syndrome [38]Potentially safe [39]

AntiemeticsAntihistaminesAntiemetics
 MetoclopramideDiphenhydramineDexamethasone [24]
 ProchlorperazineTerfenadineDroperidol
Ondansetron [24]
AntiarrhythmicsMiscellaneousAnalgesics
 FlecainideAlcoholKetorolac
 ProcainamidAcetylcholineOpioids
 PropafenoneCocaine
Propofol [31, 40, 41]
Local anestheticsSelective serotoninAnesthetics
 BupivacaineReuptake inhibitorsNitrous oxide
 LidocaineFluoxetineNeuromuscular blockers
 ProcaineParoxetineReversal agents (e.g., Neostigmine/Glycopyrrolate, Sugammadex)
MiscellaneousThiopental Volatile agents (e.g., Desflurane, Isoflurane, Sevoflurane)
 CannabisVolatile agents (e.g., Desflurane, Isoflurane, Sevoflurane)
 Ketamine [32]
 Oxcarbazepine
 Tramadol
PsychotropicsTricyclic antidepressantsSedatives
 AmitriptylineDoxepinMidazolam
 ClomipramineImipramine
 Lithium
 Loxapine
 Nortriptyline
 Trifluoperazine
Uterotonics
 Methylergonovine