Vitamins and Drugs

Patient Pre-Operative Instructions:

  1. Do not eat or drink anything (including mints/candy and chewing gum) after midnight the night before your surgery.
  2. Your safety in surgery requires that you disclose all medications, vitamins and supplements that you take. In the days prior to surgery, you will be required to stop taking certain medications, vitamins and supplements, both those you regularly take, and those that may be taken incidentally for pain or other symptoms. Please notify our office of any and all medications you take during the 14 days prior to surgery.

If you have taken a medication that may put you at risk for a complication such as excess bleeding, it may require that your surgery be rescheduled or postponed. This is for your safety. Before you stop taking any prescription drugs, you must receive clearance from the prescribing physician. Please notify our office immediately if you do not receive clearance to stop taking your prescribed medications.

The following drugs could cause life-threatening problems with surgery. If you are on any of the following medication, you must discuss this with the doctor. Patients who take these drugs may require additional laboratory tests and consultation to determine if you are able to have a surgical procedure. These include but are not limited to:

  • Coumadin
  • Elmiron-IC
  • Accutane
  • Plavix Low Molecular Weight
  • Presantine Steroids Methotrexate
  • Fragmin Non-prescribed or Illicit

Aspirin, aspirin-containing medications and anti-inflammatory agents must not be taken in the 2 weeks prior to your scheduled surgery date. Always read the active ingredients on any over- the- counter or prescription medications. For your reference, we have attached is a list of common drugs containing aspirin. Aspirin and aspirin containing medications include, but are not limited to, the following:

  • Alka Seltzer Equagesic
  • ASA+Codine
  • Momentum
  • Carisprodal Propox Demi
  • Alka Seltzer + Excedrin
  • Anacin
  • Fiorinal APAC Tablets
  • Fiorinal #3 Sodium Salicylate
  • Doan’s Pills
  • Ascriptin
  • Norgesic
  • Asperbuf
  • Norgesic Forte
  • Aspergum
  • Orphengesic
  • APC Tablets
  • Lortab ASA
  • Cope
  • Robixisal
  • Darvon Compound Sine Off
  • Darvon Compound 65 Synalgos
  • Axotoal Orphengesic Forte
  • SOMA
  • Arthritis Pain Reliever
  • BAC
  • Ecotrin Synalgos DC
  • Magnaprin
  • Arthropan
  • PAC Bayer Aspirin
  • Emprin Compound
  • Measurin
  • Pamprin
  • Trigesic
  • Aspirin Tablets USP
  • Bufferin
  • Emprin Compound #3
  • Medipren
  • Percodan
  • Vanquish
  • ASA
  • Butalbital Compound
  • Encarprin
  • Midol
  • Percodan Demi Mobic

There are several medications that fall under a separate category that must also be discontinued 2 weeks prior to your scheduled surgery date. Anti-Inflammatory medications include, but are not limited to, the following: A list of these medications is as follows:

  • Advil
  • Cataflam
  • Ibuprofen
  • Motrin
  • Orudis
  • Toradol
  • Aleve
  • Clinoril
  • Ifen
  • Nalfon
  • Ovuvail
  • Voltarten
  • Anaprox
  • Daypro
  • Indocin
  • Naprosyn
  • Phenylbutazone
  • Ansaid
  • Dolobid
  • Indomethocin
  • Naproxen
  • Ruten
  • Butazoladin
  • Feldene
  • Meclomen
  • Nuprin
  • Tolectin

Additional medications to avoid include, but are not limited to the following:

  • Chloratrimeton
  • Elavil
  • Pamelor
  • Lioresal
  • Ru –Tuss
  • Zomax
  • Endep
  • Oraflex
  • St. John’s Wart
  • Vibramycin
  • Etiafon
  • Dospan
  • Phentermine
  • Imitrex
  • Tagamet
  • Triavil
  • Vitamin E
  • Flexeril
  • Mysteclin F
  • Tenuate
  • Phendimetrazine
  • Parnate
  • Surmontil
  • Flagyl
  • Nicobid
  • Tetracycline
  • Adderall
  • Vyvanse
  • Provigil
  • Strattera