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Dr. Neil Manago

Anesthesiology
Honolulu, HI
37 years experience male

Locations

Pacific Anesthesia, Inc.

Honolulu, HI

Address

321 N. Kuakini St., Suite 306, Honolulu, HI
Directions

Practice website

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Anesthesiology

Languages spoken

English

Doctor Q&A

64 Answers
22 Agrees
The number of answers this doctor has agreed with.
A 34-year-old member asked:
Dr. Neil Manago
37 years experience
Yes: In general it is a lot better in terms of comfort and the body adjusting to taper off medications if you have been on it for a prolonged period of tim... Read More
A 35-year-old member asked:
Dr. Neil Manago
37 years experience
Amides: Both Lidocaine and dibucaine bong to the same family of local anesthetics and both can be effective as a topical anesthetic but only Lidocaine can be ... Read More
A 42-year-old member asked:
Dr. Neil Manago
37 years experience
Pain relief: Oxycodone is a narcotic used for pain relief. Narcotics relieve pain but can cause sedation, addiction, nausea, constipation, delirium, confusion, clo... Read More
A 46-year-old member asked:
Dr. Neil Manago
37 years experience
Spinal headache: The reason why patients are kept in the lying down position after subarachnoid block or spinal anesthesia is to decrease the chance of developing a po... Read More
A 46-year-old member asked:
Dr. Neil Manago
37 years experience
Yes: The procedure can be done just with topical anesthesia with eye drop local anesthetics or local anesthesia gel. Some of the older ophthalmologists sti... Read More
A 42-year-old member asked:
Dr. Neil Manago
37 years experience
Pinch then pressure: Local anesthetics like Lidocaine when injected will produce a prick (unless they swab the area with topical anesthetic first) then burning or lot of p... Read More
A 39-year-old member asked:
Dr. Neil Manago
37 years experience
Both narcotics: Tramadol and oxycodone are both narcotic analgesics that are used for relief of pain. There are several different semisynthetic and synthetic narcoti... Read More
A 46-year-old member asked:
Dr. Neil Manago
37 years experience
Be careful: You may take Norco 5/325 with Ativan but you have to be cautious because Norco is a narcotic combined with Acetaminophen or tylenol (acetaminophen) an... Read More
A 54-year-old female asked:
Dr. Neil Manago
37 years experience
Usually not: Then usual drug screening does not screen for local anesthetics but drug screening can be modified to test for specific drugs added to the drug screen... Read More
A 31-year-old member asked:
Dr. Neil Manago
37 years experience
Local anesthetics: Local anesthetics are composed of an aromatic ring and an amine linked together by an intermediary link (either a ester or an amide). Lidocaine has ... Read More
A 31-year-old member asked:
Dr. Neil Manago
37 years experience
Yes: Topical anesthetics can be used safely at home but do not spread it over a large area as the more drug and the larger surface area will increase the a... Read More
A 43-year-old member asked:
Dr. Neil Manago
37 years experience
Depends: In general tylenol (acetaminophen) 3 is a weaker pain killer than hydrocodone because tylenol (acetaminophen) 3 contains codeine, which a relatively w... Read More
A 36-year-old male asked:
Dr. Neil Manago
37 years experience
Ignore: What are the best drinks to substitute your most ingested ones now. How can you measure calories ?
A 36-year-old male asked:
Dr. Neil Manago
37 years experience
Ignore: Drink a lot of water. No sodas. If needed, there are several sugarless flavored waters on the market.
A 40-year-old member asked:
Dr. Neil Manago
37 years experience
Anesthesiologist : An anesthesiologist is a specialist. He is a md that evaluates and cares for the patient in the peri operative period as well as during surgery. Anest... Read More
A member asked:
Dr. Neil Manago
37 years experience
Careful!: I always caution people not to mix alcohol with narcotics as they potentiate each other's effects. They may be synergistic or supra additive and could... Read More
A 38-year-old member asked:
Dr. Neil Manago
37 years experience
Yes: The maximum oxycodone in a tablet is 10 mg but the Acetaminophen may go up to 750 mg or 10/750.
A 32-year-old member asked:
Dr. Neil Manago
37 years experience
Options: Whether you get IV sedation or general anesthesia for dental surgery depends on patient( age, comorbidities, claustrophobia), procedure to be done( le... Read More
A 46-year-old member asked:
Dr. Neil Manago
37 years experience
Absolutely: Mixing various medications together could have very serious effects. Possible incompatibilities in mixing medications together in solution, antagonist... Read More
A 60-year-old female asked:
Dr. Neil Manago
37 years experience
Yes: Yes, generally moles are excised on the office with local anesthesia like Lidocaine but it all depends on how large the mole is and any comorbidities ... Read More
A 42-year-old member asked:
Dr. Neil Manago
37 years experience
Depends: It all depends on what kind of anesthetic. A local anesthetic? If so, there is no problem with the sedative. If you had a general anesthetic, the drug... Read More
A 31-year-old female asked:
Dr. Neil Manago
37 years experience
Office procedures: Office procedures are routinely done under local anesthesia unless the office has a special set up that fulfills the requirements to administer genera... Read More
A 41-year-old male asked:
Dr. Neil Manago
37 years experience
No: Filming the procedure is not routinely done unless they have you sign a consent.
A 39-year-old member asked:
Dr. Neil Manago
37 years experience
Both narcotics: Oxycodone and hydrocodone are both synthetic oral opioid analgesics often combined with Acetaminophen for pain relief . Oxycodone tends to be more pot... Read More
A 34-year-old member asked:
Dr. Neil Manago
37 years experience
Absolutely: Oxycodone is a narcotic and all narcotics are commonly associated with constipation.
A 36-year-old female asked:
Dr. Neil Manago
37 years experience
Yes: There can be changes in chronic opiate usage in the function and changes in the synapses and actually shape of the neurons in the brain. This may lead... Read More
A 46-year-old member asked:
Dr. Neil Manago
37 years experience
Support and counsel: He needs to understand that he has a problem. Admitting it to himself is the first step. What is the reason that he is on the narcotic in the first pl... Read More
A 49-year-old member asked:
Dr. Neil Manago
37 years experience
Be calm: General anesthetics are very safe. Don't eat of drink anything at least 8 hours prior to scheduled surgery with the exception of sip of water with med... Read More
A 43-year-old member asked:
Dr. Neil Manago
37 years experience
Dose dependent: Hydrocodone is found in the urine by testing in variable concentrations. It depends on the dose and varies from individual to individual and presence ... Read More
A 36-year-old member asked:
Dr. Neil Manago
37 years experience
Level pain relief: Good prolonged and level amount of pain relief for chronic conditions that have pain. Like any narcotic, addiction is possible. Building up a toleranc... Read More
A 34-year-old female asked:
Dr. Neil Manago
37 years experience
ER: Go immediately to the er. Sounds like infection from either pyelonephritis, kidney stones , or some other cause but waiting too long and increasing th... Read More
A female asked:
Dr. Neil Manago
37 years experience
? Leak again: You probably have a recurrence of leaking CSF if it is again a headache that is positional and goes totally away when lying down and reproducible when... Read More
A 26-year-old female asked:
Dr. Neil Manago
37 years experience
Gastrocolic reflex: There is what's called a gastrocolic reflex that starts when you eat something, the stretch of the stomach walls stimulate mechanicoreceptors that sti... Read More
A 48-year-old member asked:
Dr. Neil Manago
37 years experience
4-6 hours: The half life of the drug is normally 3.8-6 hours, which means the effect of the drug lasts generally that long. It can be longer in people with kidne... Read More
A 27-year-old female asked:
Dr. Neil Manago
37 years experience
Everyone differs: Breakthrough pain and the conditions that cause the pain differ in their responses to different pain medicines. Also, every individual differs in whic... Read More
A 22-year-old male asked:
Dr. Neil Manago
37 years experience
Other symptoms?: Did you have a my trauma or piercings to the ear? Any fevers, drainage from ear, any change in hearing, or feeling stuffy in the ear? It could be an ... Read More
A 37-year-old member asked:
Dr. Neil Manago
37 years experience
Depends: If you are referring to patients undergoing procedures under local anesthesia with a nurse monitoring the patient, the rn's job is to monitor the vita... Read More
A 48-year-old member asked:
Dr. Neil Manago
37 years experience
Toxicity: There are recommended maximal doses of Lidocaine based on body weight, location of injection, and whether or not it is combined with epinephrine. Toxi... Read More
A 38-year-old member asked:
Dr. Neil Manago
37 years experience
Narcotic: Levorphanol is a narcotic like morphine but 4-8 times more potent and lasts longer than morphine.Its half life is 11-16 hours and has addiction/ depen... Read More
A 44-year-old member asked:
Dr. Neil Manago
37 years experience
Many names: Most common is vicodin , lortab, lorcet, but also have vicoprofen, (hydrocodone and ibuprofen) reprexain, ibudone, zyydone, maxidone, stagesic, hycet,... Read More
A 30-year-old member asked:
Dr. Neil Manago
37 years experience
No: A "spinal headache" is actually a post dural puncture headache resulting from leakage of cerebral spinal fluid from the subarachnoid space through the... Read More
A 43-year-old member asked:
Dr. Neil Manago
37 years experience
Same drug: Viscous Lidocaine contains 2% Lidocaine whereas regular Lidocaine is supplied in various concentrations depending on useage. Viscous form is for intra... Read More
A 30-year-old female asked:
Dr. Neil Manago
37 years experience
Could be?: Your heart "almost stopping" could refer to few things. Heart rate getting very slow, arrhythmia causing ineffective and/or slow normal beats. Some c... Read More
A 29-year-old female asked:
Dr. Neil Manago
37 years experience
Post dural puncture : A spinal or post dural puncture headache occurs when you receive a lumbar puncture, usually in a work up in er for headache. It can occur after spinal... Read More
A 35-year-old member asked:
Dr. Neil Manago
37 years experience
You will be fine: Depending on what surgical procedure you are having and the type of sedatives and analgesics you are having, when having surgery under local anesthesi... Read More
A 48-year-old member asked:
Dr. Neil Manago
37 years experience
Dibucaine: Dibucaine is a local anesthetic that in the cream form can help with the itching associated with yeast infections but is not a treatment of yeast infe... Read More
A 43-year-old member asked:
Dr. Neil Manago
37 years experience
Depends: The anesthetic agents and type of anesthesia depends on what type of face and neck surgery you have. Depending on the type and any comorbidities that ... Read More
A 33-year-old member asked:
Dr. Neil Manago
37 years experience
Caution: If you are referring to cyclobenzaprine, yes they can be taken together but may potentiate each other's effects which include sedation be very careful... Read More
A 41-year-old member asked:
Dr. Neil Manago
37 years experience
Likely yes: 7 hours after a single dose of hydrocodone is generally safe to drive but there is individual variability so be cautious. You should be totally free ... Read More
A 31-year-old member asked:
Dr. Neil Manago
37 years experience
Depends: Not sure recover means here but in general, there is nothing you can do to expedite the recovery from general anesthesia and the anesthetics used tod... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
59
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Manago is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Manago is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! Those were the surgeon's words, clearly you see how I was confused :)
HealthTap member
Thank you, your answer was very helpful! thank you very much I appreciate appreciate it
HealthTap member
Thank you, your answer was very helpful! Thank you so much! Headed to the er now...

Education & Training

Medical/Graduate school

Creighton University School of Medicine, NE
Graduated 1985MD

Residency

UNIVERSITY OF IOWA HOSPITAL & CLINICS

Awards

Top Anesthesiologist, First Place, Hawaii - Summer
2013
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less