What medications should i stop before surgery

Louis Children's Hospital St. Sprain, strain or jam? Orthopedic Injury Clinic! American Academy of Ophthalmology. This information is published to educate you about preparing for your surgical procedures. It is not intended to take the place of a discussion with a qualified surgeon who is familiar with your situation. The American College of Surgeons is a scientific and educational organization that is dedicated to the ethical and competent practice of surgery; it was founded to raise the standards of surgical practice and to improve the quality of care for the surgical patient.

The ACS has endeavored to present information for prospective surgical patients based on current scientific information; there is no warranty on the timeliness, accuracy, or usefulness of this content. Medications to discuss with your doctor: Blood thinning medications Diabetes blood sugar medications Pain, anxiety, and depression medications Nicotine, alcohol, marijuana, or other cannabidiol CBD products Download a medication list to fill out Anticlotting Blood Thinning Medications Antiplatelet medications: Help to prevent blood cells called platelets from clumping together to form a clot.

Examples: Natural ginkgo biloba, vitamin E, feverfew, garlic, ginger, ginseng, omega-3 fatty acids, fish oil, St. Your risk for a clot is higher if you have surgery within 3 months of a recent clot and if you are having a long or complex surgery. Depending on the type of surgery you're having, follow any further advice from your health care provider. One to two weeks before surgery, you may have been told to stop taking blood thinners. These are medicines that make it harder for your blood to clot, and could prolong bleeding during your surgery.

Examples of these drugs include:. Take only the medicines your doctor has told you to take before surgery, including prescription medicines. Some of these medicine have to be stopped a few days before surgery.

If you're confused about which medicines to take the night before or the day of surgery, call your doctor. Do not take any supplements, herbs, vitamins, or minerals before surgery unless your provider said it is OK. Bring a list of all your medicines to the hospital.

Include the ones that you were told to stop taking before surgery. Make sure you write down the dose and how often you take them. If possible, bring your medicines in their containers. Your provider may have given you a medicated soap to use.

Lithium should be stopped 24 hours before major surgery but the normal dose can be continued for minor surgery with careful monitoring of fluids and electrolytes.

Potassium-sparing diuretics may need to be withheld on the morning of surgery because hyperkalaemia may develop if renal perfusion is impaired or if there is tissue damage. Angiotensin-converting enzyme ACE inhibitors and angiotensin-II receptor antagonists can be associated with severe hypotension after induction of anaesthesia; these drugs may need to be discontinued 24 hours before surgery.

Herbal medicines may be associated with adverse effects when given with anaesthetic drugs and consideration should be given to stopping them before surgery. Home Treatment summary Surgery and long-term medication.