Medication To Stop Before Surgery- The Checklist
Medication To Stop Before Surgery or those that may have to be adjusted before your operation. Some medication can affect your recovery and response to anesthesia. Write down all of the medications you are taking for your surgeon. Although many of you may take herbal supplements and some are good but MANY are contraindicated with anesthesia or surgery in general.
Your list should include:
- Any prescription medications
- Over-the-counter (OTC) medications (such as aspirin or Tylenol)
- Herbs, vitamins, and supplements
- Whether you smoke and how often you drink alcohol or use other recreational drugs
Check with your doctor about:
- When to stop taking all vitamins, herbs, and diet supplements. This could be 10–14 days before and up to 7 days after your test or operation.
- How to take your medication on the morning of your operation. You may be instructed to take some of your medications even though you won’t be able to eat that morning. Take your medications with a sip of water only.
- How to adjust your insulin the morning of your operation since you will not be eating. The doctor who normally manages your insulin often develops the plan for your operation.
- If you need to adjust your medication that affects blood clotting. These drugs may be adjusted up to 7 days before your operation. Your doctor will let you know when to restart taking these drugs.
Some reasons why you may not wish to disclose your herbal consumption information to your surgeon or anesthesiologist may be because you believe that since these supplements are over the counter (OTC) they must be safe to use. This isn’t true – may of these are contraindicated and can severally hurt you when used in conjunction with anesthesia, other medications or while undergoing surgery.
You may also think that because these products are safe – Most medications, supplements, dangerous drugs and poisons are made from plants. So please remember this.
You may also think that telling your surgeon or anesthesiologist would be embarrassing – especially if you shouldn’t be taking them, if you are taking them for weight loss, increase your sexual stamina, for acne or for depression. This is your life – don’t mess around! There is nothing embarrassing about any of this.
List of medications that affect blood clotting:*
- Antiplatelet Medication: Anagrelide (Agrylin®), aspirin (any brand, all doses), cilostazol (Pletal®), clopidogrel (Plavix®), dipyradamole (Persantine®), dipyridamole/aspirin (Aggrenox®), enteric-coated aspirin (Ecotrin®), ticlopidine (Ticlid®)
- Anticoagulant Medication: Anisindione (Miradon®), Arixtra, enoxaparin (Lovenox®) injection, Fragmin, heparin injection, Pradaxa, pentosan polysulfate (Elmiron®), warfarin (Coumadin®), Xerelto
- Nonsteroidal Anti-Inflammatory Drugs: Celebrex, diclofenac (Voltaren®, Cataflam®), diflunisal (Dolobid®), etodolac (Lodine®), fenoprofen (Nalfon®), flurbiprogen (Ansaid®), ibuprofen (Motrin®, Advil®, Nuprin®, Rufen®), indomethacin (Indocin®), ketoprofen (Orudis®, Actron®), ketorlac (Toradol®), meclofenamate (Meclomen®), meloxican (Mobic®), nabumeton (Relafen®), naproxen (Naprosyn®, Naprelan®, Aleve®), oxaprozin (Daypro®), piroxicam (Feldene®), salsalate (Salflex®, Disalcid®), sulindac (Clinoril®), sulfinpyrazone tolmetin (Tolectin®), trilisate (salicylate combination)
- Herbs/Vitamins: Ajoene birch bark, cayenne, Chinese black tree fungus, cumin, evening primrose oil, feverfew, garlic, ginger, ginkgo biloba, ginseng, grape seed extract, milk thistle, Omega 3 fatty acids, onion extract, St. John’s wort, tumeric, vitamins C and E
You can download a full list of medications and supplements to avoid prior to having surgery.
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