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8530 W. Sunset Rd. Suite 130 Las Vegas, NV 89113 (702)822-2100 MEDICATIONS & SUPPLEMENTS TO STOP BEFORE SURGERY & INJECTIONS

Some medications and dietary supplements can contribute to bruising, bleeding or other problems if taken before
injections (Botox, Fil ers) or surgery. These must be stopped 2 weeks before!
Most of the supplements and drugs below can contribute to coagulation problems (Blood Thinners) and should be
stopped 2 weeks before injections or surgery. The asterisk (*) identifies those that could affect anesthesia and healing
and relate mostly to surgery.
If a medication on the list has been prescribed by your doctor for medical reasons (Palvix, Coumadin, Aspirin for a
stent, Prednisone, etc.), DO NOT STOP the medication without first discussing it with your physician. Please let us know if
you have been prescribed any of these medications so we can help you formulate a safe plan.
The list below is ever changing with new medications and more information on old ones. Therefore, it should not be
considered complete. If you are not sure about a product, ask us and we wil research it.
If you were prescribed Vitamedica Vitamins before surgery, these are safe to use and are designed for the peri-
operative period.
The doctors wil advise you when you can resume supplements and medications after surgery.
ASPIRIN & RELATED
Acetyl Salicylic Acid

Diflunisal
Salsalate
(Anacin, Alka Seltzer,
Trolamine
(Dolobid)
(Disalcid)
Ascriptin, Bufferin, Bayer ETC.)
Aminosalicylic Acid
Magnesium Salicylate
Sodium Salicylate
Mesalamine
Sulfasalazine
(Asacol, Apriso, Lialda,
(Pepto Bismol)
(Azulfidine)
Pentasa, Canasa, Rowasa)
Choline Salicylate
Olsalazine
Trisalicylate
(Arthorpan)
(Dipentum)
(Trilisate, Arthriten)
NSAIDS (NON STEROIDAL ANTI-INFLAMMATORY DRUGS)
Ibuprofen
Flurbiprofen
Mefanamic Acid
Piroxicam
(Mortin, Advil, Nuprin, ETC)
(Ansaid)
(Ponstel)
(Feldene)
Celecoxib
Indomethacin
Meloxicam
Sulindac
(Celebrex)
(Indocine)
(Clinoril)
Dicolofenac
Ketorolac
Nabumetone
Tolmetin
(Voltaren, Cataflam, Cambia,
(Toradol)
(Reflafen)
(Tolectin)
Arthrotec)
Etodolac

Ketoprofen
Naproxen
(Lodine)
(Actron, Orudis)
(Aleve, Naprosyn, Naprelan)
Fenoprofen
Meclodenamate
Oxaprozin
(Nalfon)
(Daypro)

BLOOD THINNERS (ANTI-COAGULANTS)
You must let us know if you are taking any of these prescribed drugs. DO NOT STOP without first discussing with your
doctor. Let us know so we can help formulate a plan.
Warfarin

Dabigatran
Injections
Ticlopidine
(Coumadin, Jantoven, Sofarin) (Pradaxa)
(Heparin, Lovenox, Fragmin)
(Ticlid)
Anisindione
Dipyridamole
Pentoxifylline
(Miradon)
(Persantine, Aggrenox)
(Trental)
Clopidogret
Fondaparinux
Prasugreal
(Plavix)
(Arixtra)
(Effient)

HERBS & SUPPLEMENTS

Fish Oils
Grape Seed
Prickley Comfrey
Vitamin E
Green Tea
Gotu Kola*
Red Clover
Angelica
Echinacea
Guarana*
Selenium
(Dong Quai)
Fenugreek
Hawthorn*
St. John’s Wort*
Asafoetida
Feverfew
Horse Chestnut Seed
Bilberry
Kava Kava*
Valerian*
Bladderwrack
Licorice Root*
Willow Bark*
Ma Huang*
Yohimbe*
(Ephedra)
Chamomile
Meadowsweet
Chondroitin
Glucosamine*
Melatonin*
Chromium Picolinate
Goldenseal*
(Yellow Root)

OTHER DRUGS

Many Medications for
Any Weight Loss Drug
Corticosteroids
Methotrexate
(Cortisone, Prednisone, Cortef)
Rheumatoid Arthritis

ANTIDEPRESSANTS
Some Antidepressants and Anti-Anxiety medications can affect anesthesia. We DO NOT recommend stopping prior to
surgery. However, please make us aware if you are on any Anti-Depressants or Anti-Anxiety Drugs:
Alprazolam

Diazeoam
Midazolam
Triazolam
(Valium)
(Halcion)
Chlordiazepoxide
Estazikan
Oxazepam
(Librium)
(Prosom)
Clonzaepam
Flurazepam
Quazepam
(Klonopin)
(Dalmane)
Clorazepatc
Lorazepam
Temazepam
(Tranxene)
(Ativan)
(Restoril)

Source: http://www.natureredefined.com/wp-content/uploads/2010/08/Medications-Supplements-to-Stop.pdf

Cvzelicoff2008

RESUME OF ALAN P. ZELICOFF, M.D. 801 Morningside Dr. NE Albuquerque, NM 87110 Business Phone: 1-505-255-6908 (updated 12/7/08) EDUCATION Princeton University, Princeton, NJ, 1971 – 1975 • A.B. Physics • Senior Thesis: “Computer Modeling of Drug Interactions” • Junior Thesis: "Prediction of Core Temperatures in the Tokomak" • Special Concentration: Rus

Doi:10.1016/s0140-6736(03)14629-6

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