One Week Before Surgery
Certain medications can increase the risk of bleeding or other complications during anesthesia and surgery.
- For most surgeries, aspirin should be held for seven days and Plavix (Clopidogrel)
should be held for five days before surgery. However, patients having carotid endarterectomy surgery and some vascular surgeries, as well as many patients with the recent placement of a coronary stent, are to remain on these medications up to and including the day of surgery. Please check with your surgeon or cardiologist. Type of surgery and other medical problems will determine whether or not these medications will be stopped.
- Ticlid (Ticlopidine) should be stopped two weeks before surgery.
- If you are currently taking Coumadin, Heparin, Lovenox, or Fragmin, discuss this with your surgeon and/or the health care provider that manages this medication (usually your family physician or specialist). Discontinuing the medication depends on your medical condition, surgery, and past medical history.
- Your surgeon may want you to stop taking anti-inflammatory medications also known as NSAIDS (Ibuprofen, Naproxen, Aleve, Advil, etc.) four days before surgery. Medications such as Celebrex may be continued until the day before surgery.
- For your safety, herbal medicines should be stopped one week before surgery. These may interact with anesthesia or lead to increased bleeding.
- Diabetic patients will receive individual instructions regarding oral diabetic medications and insulin during their Anesthesia Clinic visit.
- You should usually continue beta blockers, such as metoprolol (Toprol, Lopressor), atenolol (Tenormin), or propranolol (Inderal); blood pressure medications; and anit-reflux medications, such as omeprazole (Prilosec), ranitidine (Zantac), rabeprozole (Aciphex), or esomeprazole (Nexium) up to and including the morning of surgery.
- You may continue taking narcotic medications or Tylenol for pain until you come to the hospital for surgery.
- All of your medications and instructions will be reviewed at your surgeon and/or anesthesiologist visit.
Common aspirin containing drugs which should be avoided seven days before your procedure.
These often will have salicylic acid or salicylate in the ingredients list:
- Alka Seltzer pain, cold, and flu preparations
- Aspirin (including chewable, low-dose)
- Bayer Aspirin (Bayer products)
- BC Powder
- Darvon compound
- Doan’s pills
- Fiorinal with codeine
- St. John’s Wort
- SOMA compound
- Synalogous DC capsules