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I'm claustrophobic and scared of MRIs. I start having rapid heartbeats and shortness of breath in tight places. I might have to do an MRI soon for my head. Are there any sedatives i can take before?
May 8, 2013

Dr. Rania Mousa General Medicine
Patients that are severely affected by claustrophobia, anxiety, or panic attacks in response to MR procedures usually need sedation when attempts to counteract their distress fail. Using short-acting sedatives such as lorazepam, diazepam, alprazolam, or intranasal midazolam or one of the newer anxiolytic medications may be the only means of managing a patient with a high degree of anxiety. However, the use of sedatives in patients prior to and during MR procedures may not be required in all instances, nor is it always practical.

Obviously, the use of sedation in the MR environment requires special preparation, involving several important patient management considerations. For example, the time when the patient is administered the medication for optimal effect prior to the examination must be considered along with the possibility that an adverse reaction may occur. In addition, proper MR-compatible monitoring equipment operated by appropriately trained personnel must be used to ensure patient safety. Provisions should be available for an area to permit adequate recovery of the patient after an MR procedure that involves sedation.
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