Sedation and pain relief
Tylenol 1 gram and Ibruprofen 400 mg are given orally one hour prior the procedure starts to minimize discomfort during local anesthetic injection.
Valium 20 mg is also given orally half an hour before you get in the operating theater to make you relaxed, relieve anxiousness and prevent the potential side effects of the local anesthetics we use (Xylocaine).
There are many good reasons for using mild sedation for this procedure, not the least of which is the patient’s comfort during what may be a long procedure. Much of the time spent in the surgical chair can be quite boring. The only part during hair transplant that is remotely painful is the injection of the numbing medications, or local anesthetics. So often, if a little sedation and pain killers are used at the beginning of the procedure, this potential for pain and anxiousness is relieved before it even occurs. Another reason for using the type of sedation we prefer is that it can prevent or relieve the potential side effects of the local anesthetics we use (Xylocaine).
Generally, we choose a class of drugs known collectively as the benzodiazepines, specifically diazepam (Valium), midazolam (Dormicum). These are considered sedatives and anti-anxiety agents. They be given orally, the oral route has the longest time to onset of effect, they are quite safe, and we seldom see complications associated with their use. These medications render the patient relaxed, maybe slightly drowsy, and usually with a noticeable sense of wellbeing. The local anesthetic injections may become unnoticeable, or just a slight annoyance. We have found this method of sedation to be safe, effective and well accepted and tolerated by our patients.