Preoperation Medication Guide

Dear Patient,

Thank you for your participation in your personal health care management. If you have any questions about which medications to continue before your surgery, please call your primary care doctor, surgeon, or the Wesley Medical Center Pre-Op Clinic. It is acceptable to take medications with 1 ounce of water on the day of surgery. Please call the Pre-Op Clinic at 316-962-7269 or 1-800-732-0189 if you have questions. Be sure to let your health care provider know after your surgery if one of your home medications is not restarted. For more information to prepare for your surgery, visit our hospital stay page.

Sincerely,

Wesley Medical Center

CONTINUE TAKING on the day of surgery

*Let your health care provider know if you are not restarted on your Beta-Blocker after surgery.

Other Medications to Consider

Talk to your doctor about these medications before surgery

• Anti-Parkinson’s Medications
  • Selegiline (Eldepryl®, Emsam®)

• Blood Thinning Medications
  (Anticoagulants/Antiplatelet Agents)
  • Aggrenox®
  • Anagrelide (Agrylin®)
  • Apixaban (Eliquis®)
  • Aspirin
  • Cilostazol (Pletal®)
  • Clopidogrel (Plavix®)
  • Dabigatran (Pradaxa®)
  • Dipyridamole (Persantine®)
  • Prasugrel (Effient®)
  • Rivaroxaban (Xarelto®)
  • Ticagrelor (Brilinta®)
  • Ticlopidine (Ticlid®)
  • Pentoxifylline (Trental®)
  • Warfarin (Coumadin®)

• Erectile Dysfunction Medications
  • Avanafil (Stendra®)
  • Sildenafil (Revatio®, Viagra®)
  • Tadalafil (Adcirca®, Cialis®)
  • Vardenafil (Levitra®, Staxyn®)

• Contraceptives
  • birth control pill
  • Depo-Provera Shot®
  • NuvaRing®
  • Ortho Evra Patch®

• Hormone Replacement Therapy
  • Any form of estrogen and/or progesterone/progestin (pills, cream, vaginal ring, vaginal tablet, patch, troche)

• Muscle Relaxants
  • Cyclobenzaprine (Flexeril®)
  • Metaxalone (Skelaxin®)
  • Tizanidine (Zanaflex®)
  • Carisoprodol (Soma®)
  • Orphenadrine (Norflex®)

• Rheumatoid Arthritis Medications
  • Methotrexate (Rheumatrex®)
  • Hydroxychloroquine (Plaquenil®)
  • Sulfasalazine (Azulfidine®)
  • Adalimumab (Humira®)

Stop Taking on day of surgery

Oral Medications for diabetes treatment to stop taking on the day or surgery are listed below.

Blood Pressure Medications to STOP TAKING the night before surgery

Continue taking clonidine (Catapres®) THE DAY OF SURGERY

Non-Steroidal Anti-Inflammatory Drugs to STOP TAKING

Stop 7 days before surgery

• Celecoxib (Celebrex®)
• Diclofenac (Voltaren®, Cataflam®)
• Diflunisal (Dolobid®)
• Ibuprofen (Advil®, Motrin®)
• Indomethacin (Indocin®)
• Ketoprofen
• Ketorolac (Toradol®)
• Naproxen (Naprosyn®, Aleve®)
• Sulindac (Clinoril®)

Stop 7-10 days before surgery

• Meloxicam (Mobic®)
• Oxaprozin (Daypro®)
• Piroxicam (Feldene®)
• Nabumetone (Relafen®)v

Herbal Supplements to STOP TAKING

**Check all energy drinks and vitamins for these products!**

Stop 7 days before surgery

• Bromelain
• Echinacea
• Feverfew
• Garlic tablets
• Ginger
• Ginseng

Stop 14 days before surgery

• Diet Pills
• Ephedra
• Ginkgo Biloba
• Kava kava
• Licorice
• St. John’s Wort
• Valerian

Stop 14-21 days before surgery

• Chondroitin
• Dong Quai
• Omega-3 (Fish Oil)
• Saw Palmetto
• Vitamin A

Insulin products and Medications for Diabetes

Insulin Pumps - Set pump to deliver your basal rate. If possible, set to “sick day” or “sleep” basal rates.

• Long Acting Insulin - Take 50% of your usual dose the night before surgery
  • Lantus®
  • Levemir®

• Intermediate-Acting Insulin - Take 75% of your normal nighttime dose the night before surgery and none of your morning dose the day of surgery
  • Humulin N®
  • Novolin N®

• Short-Acting Insulin - Do Not Take Morning Dose
  • Apidra®
  • Humalog®
  • Humulin R®
  • Novolog®
  • Novolin R®

Short-Acting Sliding Scale Regimen - Decrease dose by 50% the day of surgery.

• Non-Insulin Injectables - DO NOT TAKE THE DAY OF THE SURGERY
  • Albiglutide (TanzeumTM)
  • Dulaglutide (TrulicityTM)
  • Exenatide (Bydureon®, Byetta® 5 mcg Pen, Byetta® 10 mcg Pen)
  • Liraglutide (Saxenda®, Victoza®)

Oral Medications to STOP TAKING 24 hours before surgery