Medications and Supplements to Avoid Prior to Your Procedure

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To prepare for your procedure, your doctor has asked you to avoid certain medications, vitamins, supplements and herbs. This is to avoid bleeding problems.

You should stop taking blood thinning medications and supplements a minimum of 1 week prior to your procedure. You may start taking them again 48 hours after your procedure. Do not stop taking your prescription blood thinner medication prior to checking with your prescribing physician.

Below is the list of medications and supplements you should avoid. Other medications and supplements may also cause bleeding problems. Please make sure to review all medications and supplements you are taking with your physician.

Prescription and Nonprescription Medications

  • Advil® – ibuprofen
  • Aggrenox® – aspirin/dipyridamole Aleve® – naproxen sodium Alka-Seltzer® products
  • Anacin® – aspirin/caffeine
  • Arixtra® – fondaparinux Asacol® – mesalamine Aspirin
  • Brilinta® – ticagrelor Celebrex® – celecoxib
  • Coumadin® – warfarin sodium Effient® – prasugrel
  • Eliquis® – apixaban
  • Excedrin® – paracetamol/aspirin/caffeine
  • Fiorinal® – butalbital/aspirin/caffeine
  • Fragmin® – dalteparin
  • Heparin
  • Ibuprofen
  • Indocin® – indomethacin
  • Lovenox® – enoxaparin
  • Midol® products
  • Mobic® – meloxicam
  • Motrin® – ibuprofen
  • Nuprin® – ibuprofen Persantine® – dipyridamole
  • Plavix® – clopidogrel
  • Pletal® – cilostazol
  • Pradaxa® – dabigatran etexilate
  • Ticlid® – ticlopidine
  • Triaminic® products
  • Xarelto® – rivaroxaban

Vitamins, Supplements and Herbs

  • Cayenne pepper tablets
  • Cinnamon tablets
  • Curcumin (turmeric)
  • Echinacea
  • Evening primrose oil/tablets
  • Fish oil/omega-3/DHA (Lovaza®)
  • Flax oil
  • Garlic tablets
  • Gingko biloba
  • Ginseng
  • Glucosamine
  • Green tea tablets
  • Herbal tea
  • Multivitamin
  • Resveratrol
  • St. John’s wort
  • Vitamin A
  • Vitamin E
  • Vitamin C

You may take acetaminophen (Tylenol® or Tylenol Extra Strength®) until the day before your procedure for minor aches and pains. You may use arnica montana for minor pain before and after your procedure.

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