What medications should I take?

Medications should be taken with a small amount of water on the day of your surgery. These may include:

  • Cardiac/heart medications
  • Most blood pressure medications (exceptions)
  • Cholesterol medications
  • Bronchodilators (inhaled medications for the lungs)
  • Acid reflux/heart burn medications
  • Anticonvulsants (anti-seizure medications)
  • Thyroid replacement medications
  • Steroids (Prednisone and others)
  • Parkinson’s Disease medications
  • Oral contraceptive pills
  • Opioids and narcotic medications (only if they do not contain aspirin or ibuprofen)

Medications and supplements to be avoided on the day of surgery:

  • Diuretics (fluid pills such as Lasix or hydrochlorothiazide)
  • Insulin
  • Oral diabetic medications (Metformin)
  • Aspirin
  • Non-steroidal anti-inflammatory drugs (Motrin, Advil, ibuprofen, Mobic, Orudis, and others)
  • Weight reduction medications
  • Vitamins
  • Herbal medications or supplements

It is recommended to avoid the following for at least one week prior to surgery:

  • Garlic
  • Gingko
  • Ginseng
  • Vitamin E
  • Fish oil
  • Alfalfa
  • Chamomile
  • Kava
  • Licorice

The risks and benefits of taking aspirin, coumadin, Plavix, Eliquis and other blood thinners should be discussed with your prescribing physician (typically your primary care physician or cardiologist), your surgeon and your anesthesiologist well in advance of the date of your procedure. A decision on whether or not to continue these medications is best made jointly by the patient and all of the physicians involved.

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