Should I take xanax before my biopsy?
Had routine screening mammogram then diagnostic mammogram and ultrasound. Was told I have architectural distortion, but only seen on mammogram, but not ultrasound. I'm scheduled for a mammogram guided core needle vacuum suction biopsy in 3 weeks. I have small breast (B cup) with dense tissue. I barely endure the pain of my breasts being smashed during the mammograms and screamed from the pain. Can someone tell me if during the biopsy, will the breast be compressed as hard as usual? I know I'll get lidocaine, but not until they find the exact site to biopsy. I'm terrified I won't be able to endure the initial 20 minutes of the procedure due to likely pain. I've never taken xanax before, but wonder if that might help? Any information or experiences with mammogram guided biopsies or taking antianxiety meds prior would be greatly appreciated!!
Comments
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I don't know how you will respond to Xanax if you never took it before. However, I have yearly MRIs and I take Xanax before each one. Not for any pain, but the experience is anxiety provoking. Think I took it before my biopsy as well. Perhaps discuss with your doctor.
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I take Ativan before some of my tests and it really helps. If you want to take something call your doc and discuss. You can't drive yourself home safely on the doses they give for things like this.
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You will likely need to sign the consent prior to taking any medication - so possibly ahead of the day of the procedure, and also advise them that you will be taking something for anxiety. I have not taken any meds ahead of procedures, but have taken others to testing and they have had to sign their consent in advance. You don't want them to reuse you on the day of the procedure because you can't legally sign the consent.
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I was not given enough lidocaine, and had horrible pain, to the point where I was screaming during the procedure. Anti-anxiety med would not have helped me. What I needed was better pain management. Since that time and during similar procedures, such as when I had the clip put in day before surgery, I went out of my way to emphasize how painful my biopsy had been. They made sure I didn't feel a thing. I have been told that this kind of pain is not the norm, though, and most doctors are careful to use enough pain killers during biopsies. Nevertheless, its important to let them know your concerns.
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If you take these fast acting anti anxiety meds like xanax or ativan or valium, you'll need someone to drive you after - esp since this is your first time taking them so you won't know how much they affect you. They don't do anything for pain but they do make you oddly ok with everything that's going on.
Speak to your doctor about it. They can be incredibly addictive. My doc is very reluctant to rx them. I know from reading the boards that in some areas doctors just hand them out to the entire family during cancer treatment but where I live, it's quite different and physicians are very cautious with benzos and prefer non pharma approaches first.
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I would ABSOLUTELY take the xanax or ativan or whatever and have someone go with you to the biopsy. I don't want to scare you, but mine was a nightmare. Don't try to brave it. It might be a piece of cake, and if so, no harm done. You might talk to the radiology center and ask them to pre-medicate you. Many of them have protocols in place, but don't routinely let you know up front. Read about people's experiences with biopsy. What you might not know (sorry if you already know)--they put you on a very uncomfortable table with your head turned sharply to the side, and your breast hanging down in a hole through the table. The mammogram is under the table, and they raise you up and work under you like they're changing oil in a car. The dignity part was hard for me to take (which I didn't expect at all!). You have to stay still in that very uncomfortable position for at least an hour. Then, they actually shoot the needle into your breast with this gun, and it makes a noise and is really weird. All in all, I'll never do it again without premedication, and I've never taken a valium, xanax, ativan, or anything in my life.
I would also like to comment on the advice to make sure they give you enough pain medication--and I completely agree! However, because of the very small size of the lesion they could see on MRI (their "target" as it were), they had to use minimal pain meds on me so they could be accurate in their biopsy collection, so they can't always adequately treat the pain. Again, if I'm ever faced with a similar situation, I'm going to insist on a surgical biopsy with conscious sedation. I'll never again let them do it the way they did.
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You can take Tylenol about 30 minutes before your procedure, too, and that might help a little bit with the pain. I hope you get B9 results!
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I had dense A cup sized. I had 2 biopsies, the first one with Xanax, and the second one without. The first one went so well that I didn't think I needed it for the second. The second one was by far much worse. Although I don't actually know, I suspect one reason the first one went so well as compared to the second was because the Xanax helped me chill out. I still have one breast left, and if I ever need it biopsied again, I will ask for Xanax. I think everyone is different, and it may or may not help you, but it did with me.
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Just for the information, not all stereotactic biopsies are performed on a table with you lying down. I had mine sitting at a table. They put my breast on it, and smushed it with a plastic piece (just like for a mammogram). Then she numbed the spot and did a very good job. I had pretty much no pain at all.
They warned me not to look when they moved the big needle into position, but I cheated. I didn't watch the spike enter my breast (some things just don't need to be seen).
Thankfully, I had been warned that there would be suction. If they hadn't warned me, I would have jumped out of my skin.
All in all, it wasn't the most fun I've ever had, but neither was it my worst experience. Of course, having the results be "discordant" meant that it was a total waste of time. -
I've had a few stereotactic biopsies, but i don't member having terrible pain. If you think you might need some Xanax or Ativan, ask your doctor for a prescription NOW, so you can try it out at home first. Anti-anxiety meds make most people more relaxed, even drowsy, but a few will experience the opposite effect--agitation, increased anxiety. You'd want to know how your body reacts BEFORE your test.
Also, plan to take your pill AFTER you sign your consents. They may have to cancel your test if they perceive that your consent was given while you were under the influence. I took a Xanax immediately after i signed. It works pretty quickly. By the time i got undressed, got a gown on, got into the room, and got positioned exactly right the Xanax had kicked in. They numbed my breast very well, so the only real pain i felt was the initial shot (very small needle, btw.) There is a lot of clicking and some pressure that goes along with the test, but if you have pain speak up right away so they can give you more lidocaine.
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I asked my surgeon to prescribe something to relax me during my biopsy based on advice from this forum. (She had no problem with it but I got the feeling no one had ever asked her to do that before.) She prescribed 3 pills of Xanax. She told me to take one as I left home (I was about an hour away) and one when I got to the outpatient clinic. I had never taken any med of that type before. I took the first one but by the time I got to the clinic I was feeling totally chill so to speak. Had to concentrate to walk. Never took the 2nd pill. It was fantastic. I felt nothing and I think it was good pain management by my surgeon but also because I was so relaxed and so could hold very still. I am deaf and lip read so it was complicated with my surgeon down below the table but needing to tell me to hold my breath or whatever during the procedure. She also likes to tell her patient what is going on which I appreciate. She let my husband be there on the side where my face was turned and it worked just fine because I am so used to him I could lip read even through the Xanax. The biopsy was a piece of cake even though I have a very low pain threshold. I thank the Xanax for that. Still have the other 2 pills. Do not see how you can become addicted from taking a med like that for 1 day. My advice is to ask for Xanax or something similar. Best wishes. Polly
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hoppypoprocks, you should NOT take Ibuprofen prior to the biopsy. Much like aspirin, it can cause excess bleeding. No aspirin or nsaids or blood thinners.
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polly413, thank you. What strength was your xanax? My pcp gave me a prescription for just one pill at 0.50 and told me to gut it in half and only take 0.25. Then take the other half later if I need it. I'm glad it worked so well for you.
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Thanks everyone for all of you great advice and for sharing your experiences! What an amazing support group. I just joined last night at 3am and by morning I had many replies. I'm grateful to all of you! My pcp gave me a prescription for just 1 pill of xanax strength 0.50 and told me to cut it in half. I also confirmed that I need to wait until after I sign the consent form before I take it. And confirmed I will be in an upright position for the mammogram guided core needle vacuum biopsy. I definitely will not look at the screen as I'd pass out if I saw an image of the needle going into my breast. I can't even look when I have blood drawn. Plan to close my eyes the whole time. Thanks for telling me what to expect!! I think taking tylenol before is a good idea too. I believe tylenol is safe and doesn't thin the blood. But I will call the facility to be sure that's ok too. Best wishes to all of you and thanks again!!
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Forgot to mention my hubby will be with me, so I have a driver too.
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Sounds like you're all set. Good luck!
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Laladie - My prescription was for Alprazolam, a generic for Xanax. Each pill is .5mg. Polly
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polly413. Your reply isn't too late. My biopsy will be July 11. Thank you!
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finally had my seated mammogram guided core suction biopsy yesterday. Was very painful. When I screamed. The radiologist gave me more lidocaine, but by then, I almost fainted, literally. And my breast was still in the mammogram machine with needle injected. So thankful i stayed conscious so they could finish it. They laid me down as soon as they finished which restored the blood flow to my head. And gave me juice. Once home I went to bed and iced the breast every 30 min. I have architectural distortion. They got 8 tissue samples. Said I'd have results in 2 to 4 days. I'm terrified and my gut tells me this is just the beginning rather than the end. I'm praying that I'm wrong. In scared I don't have the strength to face bad news.
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