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Angiotensin receptor blockers

Sinai Hospital of Baltimore
Patient Medications Prior to Surgery

DRUGS TO TAKE PRIOR TO SURGERY

Beta Blockers:
If you are on a Beta Blocker, continue your normal dose regimen and take with a sip of water.
Narcotic Analgesics:
If you have chronic pain and require pain medicine every day, continue your regular schedule and take your
medicine with a sip of water.

ANGIOTENSIN RECEPTOR BLOCKERS - DO NOT TAKE DAY BEFORE OR ON
DAY OF SURGERY

DIURETICS - DO NOT TAKE DIURETICS ON THE DAY OF SURGERY
RENESE (a component of MINIZIDE) - (Polythiazide) EDECRINE (Ethacrynic Acid)
ENDURON (Methyclothiazide)
ESIDRIX, HYDRODIURIL, MICROZIDE, ORETIC (Hydrochlorthiazide) (HCTZ)

DISCUSS WITH YOUR SURGEON ABOUT THE MANAGEMENT OF COUMADIN
AND THE ANTICOAGULANT AGENTS LISTED BELOW.
USUALLY YOU WILL BE TOLD TO STOP TAKING THEM 1-2 WEEKS BEFORE
SURGERY.
AGGRASTAT (TIROFIBAN)
ASPIRIN, AGGRENOX (IN COMBINATION WITH DIPYRIDIMOLE) -(ACETYLSALICYLIC ACID)
COUMADIN (WARFARIN)
HEPARIN
INNOHEP (TINZAPARIN)
INTEGRILIN (EPTIFIBATIDE)
PERSANTINE, AGGRENOX (IN COMBINATION WITH ASPIRIN)-(DIPYRIDIMOLE)
PLAVIX (CLOPIDOGREL)
PLETAL (CILOSTAZOL)
RHEOPRO (ABCIXIMAB)
TICLID (TICLOPDIPINE)
TRENTAL (PENTOXIFYLLINE)
Sinai Hospital of Baltimore
Patient Medications Prior to Surgery

NONSTEROIDAL ANTI-INFLAMMATORY DRUGS – DISCUSS WITH SURGEON

ANAPROX, NAPROSYN, ALEVE (NAPROXEN)
ANSAID,FROBEN (FLURBIPORFEN)
CLINORIL (SULINDAC) DAYPRO (OXAPROZIN) DOLOBID (DIFLUNSAL) FELDENE, FEXICAM (PEROXICAM) INDOCIN, INDOCID (INDOMETHACIN) LODIN, ULTRADOL (ETODALAC) MECLOMEN (MECLOFENAMATE) MOBIC (MELOXICAM) MOTRIN, NUPRIN, ADVIL, IBU-TAB, RUFEN, SALETO, PEDIAPROFEN (IBUPROFEN) NALFON (FENOPROFEN) ORUDIS, ORUVAIL, ORAFEN( KETOPROFEN) RELAFEN (NABUMETONE) TOLECTIN (TOLMENTIN) TORADOL (KETOROLAC) VIOXX (ROFECOXIB) PRESCRIPTION DRUGS CONTAINING ASPIRIN OR SALICYLATES –
DISCUSS WITH SURGEON
DARVON COMPOUND (PROPOXPHENE HYDROOCHLORIDE)
EMPIRIN WITH CODEINE (ASPIRIN AND CODIENE) SOMA COMPOUND (CARISOPRODOL AND ASPIRIN) SYNALGOS-DC CAPS (DROCODE BITARTRATE, ASPIRIN, CAFFEINE) TALWIN (PERTAZOCINE, NALOXONE, HDROCHLORIDE) TRILISATE (CHOLINE MAGNESIUM TRISALICYLATE) Sinai Hospital of Baltimore
Patient Medications Prior to Surgery

NON PRESCRIPTION DRUGS CONTAINING ASPIRIN OR SALICYLATES –
DISCUSS WITH SURGEON

ALKA-SELTZER ANTACID & PAIN RELIEVER EFFERVESCENT TABLETS

HERBAL MEDICATIONS – DO NOT TAKE WITHIN ONE WEEK OF SURGERY

Echinacea
Ephedra (Ma-Huang)
Feverfew
Garlic
Ginger
Ginkgo (Ginkgo biloba)
Ginseng
Goldenseal
Kava-kava
Licorice
Saw Palmetto
Valerian

P:\DEPT\Anesthesiology\Preoperative Guidelines\Patient Meds Prior to Surgery - Rev 2-2005.doc

Source: http://www.lifebridgehealth.org/uploads/public/Documents/riao/PatientMeds.pdf