Meds Instruction For Patients
Meds Instruction For Patients
Meds Instruction For Patients
You may need to stop taking Tamoxifen (Tamofen) two weeks (14
days) before planned surgery. Ask the doctor who gave you this
prescription if and when you should stop taking it.
-1-
Medications containing aspirin:
Alka-Seltzer Anacin Aspirin Fiorinal
Glucosamine-
Gingko biloba Ginseng glutamine Goldenseal
Chondroitin
-2-
Department of Anesthesiology
Instructions for Taking Medications Before Your Surgery
You will need your doctors permission before stopping any of the
following medications:
o Aspirin (and medications that contain aspirin): Many non-
prescription (over-the-counter or OTC) medications contain aspirin.
If you are unsure whether a medication you take has aspirin, please
ask your pharmacist or your surgeons office. Make sure you ask
your surgical team if they want you to continue taking, or stop
taking aspirin before your surgery.
o Aspirin-Dipyridamole (Aggrenox): Make sure you ask your
surgical team if they want you to continue taking, or stop taking
Aggrenox before surgery and when.
o Cilostazol (Pletal): In most cases people are asked to stop taking
Pletal seven (7) days before surgery.
o Clopidogrel (Plavix) - In most cases people are asked to stop
taking Plavix seven (7) days before surgery.
o Dabigatran (Pradaxa) Make sure you ask your surgical team if
they want you to continue taking, or stop taking Dabigatran before
surgery and when.
o Isotretinoin (Accutane): In most cases people are asked to stop
taking Accutane (7) days before surgery.
o Prasugrel (Effient): In most cases people are asked to stop taking
Effient (7) days before surgery
o Suboxone: In most cases people are asked to stop taking
Suboxone (7) days before surgery
o Warfarin (Coumadin): In most cases people are asked to stop
taking Coumadin five (5) days before surgery. The pre-op team
will let you know if you need to switch to enoxaparin (Lovenox)
injections when stopping warfarin.
o Dofetilide (TIKOSYN): This medication should NOT BE STOPPED prior to
surgery without permission from a cardiologist prior to surgery. It is very
important that this medication be continued throughout the perioperative
period at the same dose you are currently taking. Your surgeon will consult
our cardiology team preoperatively to ensure proper management of this
medication before and after surgery
Turn the page to continue reading about medications you can take until the day
before surgery and on the day of surgery.
ACE inhibitors
Lisinopril (Lisodur,Lopril,
Fosinopril (Monopril)
Novatec, Prinivil, Zestril)
Valsartan (Diovan)
Hydrochlorothiazide (HCTZ,
Torsemide (Demadex)
Microzide, Hydrodiuril)
-4-
Department of Anesthesiology
Instructions for Taking Medications Before Your Surgery
Insulin: Your surgical team will tell you of any changes to the
dose(s) for the night before and/or the day of surgery.
Patient Education by University of Michigan Health System is licensed under a Creative Commons
Attribution-NonCommercial-ShareAlike 3.0 Unported License. Last Revised 1/23/2014
-5-
Department of Anesthesiology
Instructions for Taking Medications Before Your Surgery