STOPPING MEDICATIONS PRIOR TO SURGERY

Know the Medications that Must Not be Taken Prior to Surgery

When you schedule an appointment for surgery, your physician will review lots of things about you. This includes the list of medications, vitamins, supplements, and herbs you consume. For instance, there are certain medications, vitamins, supplements, and herbs that can lead to negative effects on your surgery. This could also affect your post-treatment recovery. Some medications can increase the risk of bleeding, swelling, or blood clots or cause other problems if taken.

Healthcare professionals will ask you to avoid some medications before surgery. So this is very important and patients should discuss their medications with their doctors for better results and safety.

Medications to Stop Before Surgery

7 DAYS before surgery:

• Blood Thinners: Plavix, Pradaxa, Eliquis
• Aspirin
• Anti-inflammatory medications (except Celebrex):
• Ibuprofen (Advil, Motrin, Midol, Nuprin, Pamprin)
• Naprosyn (Aleve, Naproxen, Anaprox)
• Voltaren
• Herbal supplements
• Vitamins: Multivitamins, etc.

5 DAYS before surgery:

• Coumadin (warfarin)

Stopping Medications Prior to Surgery

It is crucial to review the complete list of the medications you are taking with your physician before surgery. If there are any changes to this list prior to surgery, please notify your physician. We need to have an updated list at all times when you are scheduled for surgery.

If you take medicines for heart or blood clotting conditions, such asEliquis, Coumadin (warfarin), aspirin, or antiplatelet medicine, you must consult with your doctor. It’s always smart to discuss your treatment with your doctor before discontinuing any medicine. Your doctor may need to speak with your prescribing professional. This helps doctors know how to manage your medicines before and after surgery.

Additionally, make sure to check all medicine labels, even those which you have purchased over the counter. So that you are not taking anything that contains aspirin, NSAIDs, or anti-inflammatory properties.  Tylenol (acetaminophen) is generally good to consume. It does not promote any type of bleeding in your body. Also, you need to carefully review the page in the “Surgery Guide” that your doctor gives you. This helps to review the list of medications to stop consuming.

Discuss Stopping Medications Prior to Surgury with Your Doctor

Preparing for surgery involves more than just physical readiness; it requires careful management of your current medical regimen. Please take a moment to speak with your medical doctor about your regular prescription medications. Depending on which medications you are on, such as blood thinners or other critical drugs, you may need to stop them or continue them prior to surgery. This conversation is essential to ensure your safety and the success of your procedure.

Know the Medications that Must Not be Taken Prior to Surgery

When you schedule an appointment for surgery, your physician will review lots of things about you. This includes the list of medications, vitamins, supplements, and herbs you consume. For instance, there are certain medications, vitamins, supplements, and herbs that can lead to negative effects on your surgery. This could also affect your post-treatment recovery. Some medications can increase the risk of bleeding, swelling, or blood clots or cause other problems if taken.

Healthcare professionals will ask you to avoid some medications prior to surgery. So this is very important and patients should discuss their medications with their doctors for better results and safety.

What to Expect on the Day of Surgery After Stopping Medications Prior to Surgery

Preparation is Key

On the day of your surgery, you’ll want to be as prepared and relaxed as possible. Typically, you’ll be asked to arrive at the hospital or surgical center a few hours before your procedure begins. This allows time for necessary paperwork and any last-minute instructions from the medical staff. Make sure you’ve followed any fasting or medication guidelines provided by your healthcare provider.

Pre-Op Procedures

Once checked in, you’ll change into a hospital gown. A nurse will likely take your vital signs—blood pressure, pulse, and temperature—to ensure you’re fit for the surgery. You may also have a brief consultation with your anesthesiologist, who will describe the type of anesthesia you’ll receive and how it will be administered.

Meeting the Surgical Team

Before heading into the operating room, you’ll meet your surgical team. This includes not just your surgeon, but also surgical nurses and anesthesiologists who will be assisting. This is your opportunity to voice any last-minute questions or concerns.

Anesthesia

Once in the operating room, anesthesia will be administered to ensure you are comfortable and pain-free throughout the procedure. Depending on the surgery, this could be local, regional, or general anesthesia. Your anesthesiologist will monitor you constantly to ensure your safety.

The Surgery Itself

The length of the surgery will depend on its complexity. During this time, a nurse may provide updates to your family or friends waiting in the designated area. Rest assured, practitioners will be working diligently to ensure the procedure is successful and meets your anticipated outcomes.

Recovery Room

After the surgery, you’ll be moved to a recovery room where medical staff will monitor you as you wake from anesthesia. You might feel groggy, and it’s normal to experience some disorientation at first. Nurses will check your vital signs and manage any immediate post-operative pain you may experience.

Post-Operative Care Instructions

Once you’re more alert, the medical team will provide detailed post-operative care instructions. These will cover any necessary medicinal prescriptions, dietary restrictions, activity limitations, and follow-up appointment scheduling. Make sure you understand these instructions clearly before you leave.

Heading Home

Typically, you’ll need someone to drive you home, as anesthesia can leave you feeling lethargic or disoriented for hours after the procedure. It’s a good idea to have someone stay with you at least the first night to help with basic needs.

By understanding what to expect, you can approach your surgery day with confidence and peace of mind. Remember, clear communication with your healthcare providers is crucial for a smooth surgical experience.

What Medications Might I Need After Surgery?

After surgery, managing pain is crucial for a smooth recovery. You might be prescribed:

• Over-the-Counter Pain Relievers: Medications like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) are common for mild to moderate pain.
• Prescription Pain Medications: For more severe pain, your doctor may recommend opioids, such as oxycodone or hydrocodone. Use these sparingly and follow the doctor’s guidance closely to avoid dependence.

Antibiotics

To prevent infection, antibiotics may be prescribed post-surgery. These medications are crucial, especially if your surgery involved implants or had a high risk of bacterial infection.

Anti-inflammatory Medications

Reducing inflammation can significantly aid in recovery. Nonsteroidal anti-inflammatory drugs (NSAIDs) might be recommended, either over-the-counter like ibuprofen or prescription-strength options.

Anticoagulants

Depending on the type and duration of your surgery, you might be at risk for blood clots. Anticoagulants, also known as blood thinners, like warfarin (Coumadin) or new generation drugs such as apixaban (Eliquis), help reduce this risk.

Stool Softeners or Laxatives

Opioid pain medications, along with changes in diet and activity level, can cause constipation. Doctors often prescribe stool softeners or laxatives to help maintain regular bowel movements.

Other Medications

Your specific surgery might require additional medications, such as:

• Antiemetics: To prevent nausea and vomiting, especially after anesthesia.
• Topical Treatments: Creams or ointments may be recommended for wound care or to alleviate certain skin-related symptoms.

Final Notes

Always follow your healthcare provider’s instructions when taking post-operative medications. Ensure you understand the dosage, possible side effects, and any necessary dietary restrictions before starting any medication regimen. Keeping regular appointments can help address any concerns that arise during your recovery.

What to Do if You Encounter Problems or Have Questions About Stopping Medications Prior to Surgery

Experiencing issues or having questions post-surgery is not uncommon. Here’s a guide to help you navigate this period smoothly:

Contact Your Surgeon

• Immediate Concerns: If you experience severe pain, unexpected symptoms, or anything that feels urgent, reach out to your surgeon or their team immediately. They are most familiar with your case.
• Office Hours: Make a note of your surgeon’s office hours and after-hours contact information. Having this at hand ensures you can speak with someone knowledgeable.

Review Discharge Instructions

• Provided Information: Hospitals and clinics usually provide discharge instructions tailored to your surgery. Review these instructions carefully.
• Follow-up Appointments: Double-check the dates and times for any scheduled follow-up appointments. These are critical for monitoring your recovery.

Reach Out to a Healthcare Professional

• General Queries: For non-urgent questions, consider contacting a nurse hotline or your general practitioner. Services like Teladoc or similar telehealth options can also provide quick guidance.
• Available Resources: If you have access to a patient portal, use it to send questions or concerns directly to your healthcare provider.

Monitor Your Symptoms

• Pain Management: Keep a record of your symptoms, especially pain levels. Use pain medications as prescribed and report any changes.
• Physical Symptoms: Pay attention to symptoms like fever, excessive swelling, or redness, as these can be early signs of infection.

Get Support from Family and Friends

• Assistance at Home: Enlist the help of family or friends for daily tasks that might be challenging during recovery.
• Emotional Support: Recovery can be taxing, so don’t hesitate to lean on your support network for emotional encouragement as well.

Make sure you address any concerns proactively and consult your healthcare provider to ensure the best possible recovery trajectory.

What Can I Expect After Surgery?

Undergoing surgery can be a daunting experience, but knowing what to anticipate during the recovery process can help ease your mind. While individual experiences vary, here are some common post-surgery expectations:

Immediate Post-Surgery Period

• Recovery Room: Right after surgery, you’ll wake up in a recovery room. Nurses will monitor your vital signs as the anesthesia wears off.
• Pain Management: Expect some discomfort or pain. Medical staff will administer pain relief to keep you comfortable, personalized to your needs.

Hospital Stay

• Observation Period: You might spend a few hours to a few days in the hospital, depending on the type and complexity of your surgery.
• Mobility: Early movement is encouraged to promote circulation and prevent complications. Physical therapists may assist you.

At Home Recovery

• Rest and Nutrition: Adequate rest is crucial. A balanced diet rich in proteins and vitamins can help your body heal faster.
• Wound Care: You’ll receive specific instructions for caring for any incisions, including how to recognize signs of infection.

Emotional and Mental Health

• Mood Swings: It’s normal to feel a range of emotions after surgery. Be patient with yourself and seek support if needed.
• Cognitive Effects: Some anesthesia can cause temporary confusion or forgetfulness. These symptoms typically resolve over time.

Physical Activity and Rehabilitation

• Gradual Increase: Follow a gradual plan for resuming physical activity. Overexertion can delay healing or cause setbacks.
• Rehabilitation Services: For certain surgeries, physical therapy will be a critical component of recovery, helping restore strength and functionality.

Follow-up Appointments

• Regular Check-ups: Post-surgical appointments ensure your recovery is on track and address any complications timely.
• Adjustment of Medications: Doctors may adjust medications based on your progress and any side effects you experience.

Having a clear understanding of the post-surgery process prepares you both physically and mentally, facilitating a smoother recovery journey. Remember, your healthcare team is there to assist you every step of the way, so don’t hesitate to communicate any concerns you may have.