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Medications & Supplements To Avoid Before
Plastic Surgery
It is often best not to ingest any brand of aspirin, or any of the following aspirin containing, MAO
inhibiting and seratonin drugs for 14 days prior to surgery and 14 days after surgery.
Although some medications may be deemed safe for your consumption by your
surgeon and anesthesiologist only (i.e. Prozac, Zoloft, etc.). Just let them
know. Disclose EVERY medication, oil, supplement,
suspension, etc. -- your life depends upon it. Aspirin and
aspirin-containing products, as well as some supplements and "nutraceuticals"
may inhibit blood clotting and cause difficulties
during and after surgery. If you need an aspirin-free fever reducer and pain
reliever, it is often suggested to take Tylenol, but be sure to ask your
surgeon. Also, if you smoke, you shouldn't smoke at least 2 weeks prior
and at least 2 weeks after your surgery date. Smoking
significantly reduces the quality of blood circulation and impedes
vascularization. This
means difficulty in bringing much needed oxygen to your tissues for proper
healing.
A
Aches-N-Pains, Actifed, Acuprin,
Addaprin,
Adprin - B Tablets,
Adult Analgesic Pain Relievers, Advil, AK Spore - HC,
Alka Seltzer, All
Arthritis Medicines, Allergy Relief Medicines (A.R.M.), Alpha
Omega (fish oil), Aluprin, Aleve, Amigesic Capsules,
Amitriptyline, Anacin, Anacin
Arthritis/P, Ansaid Tablets (generic brand of Ansaid is Flurbiprofen), Anodynos Tablets,
Analval, Anaprox, Anaprox-DS, Anaproxen, Anaproxen Anodynos, Ansaid, APAC Improved,
APC, Argesic Tablets, Arthra-G, Arthralgen Tablets,
Arthritis Pain Formula, Arthritis Strength Bufferin, Arthropan, Arthropan Liquid,
As-caff, Ascodeen, Ascriptin, Ascriptin AID tablets, Ascriptin with Codeine Tablets,
ALL ASCRIPTIN PRODUCTS, Aspir-lox, Asperi-mox, Aspirbuf, Aspercin,
Aspergum, Aspirin (of any kind), Aspirin Suppositories, Aspirin
with Codeine, ASpirTab, Asprimox Tablets, Asproject, A.S.A.
Tablets, A.S.A. Enseals, Axotal, Azdone Tablets
B
B-A-C Tablets, Bayer Aspirin,
Bayer Children's Aspirin Tablets,
Bayer
Children's Cold Tablets, Bayer Timed-Release Aspirin Tablets,
Bayer Select Pain Formula, BC Powder/Tablets, Bilberry
Tablets, Brufen, Buf Tab, Buff-A-Comp, Buff-A Comp No.3 Tablets with codeine,
Buffaprin, Buffasal, Bufferin, Bufferin 37%, Bufferin
Arth, Bufferin X/S Butalbit, Buffets
II, Buffex, Buffinol, Buropion, Buropion HCL, Butazolidin
C
C-Advil Cama, Cama Arthritis Pain Reliever,
Cama
Inlay Tabs, CataFlam Tablets, Carisoprodol Compoud Tablets, Cayenne,
Cephalgesic, Cheracol Tablets, Children's Advil Suspension, Children's Aspirin, Children's Motrin Suspension,
Chro,mium, Chromium Picolinate, Claritin, Clinoril, Concerta (for ADD/ADHD),
Congespirin, Contac, Cope, Coricidin
Tablets, Coricidin "D" Decongestant Tablets, Coricidin,
Coricidin
Demilets Tablets for Children, Coricidin Mediets Tablets for Children, Coumadin
D
Damason-P, Darvon, Darvon
with ASA, Darvon Compound, Darvon Compound-65,
Darvon w/Apspirin, Darvon-N with Apsirin, Dasin, Dipryridamole, Disalcid,
Diurex, Doan's, Dolcn, Dolobid, Dolphirn #3 Tablets, Drinopehn, Dristan,
Dristan Sinus, Duoprin-S Syrup, Duradyne Tablets
E
Vitamin E,
E-aspirin, Easprin EC, Echinacea, Ecolrin,
Ecotrin Tablets, EFFEXOR® XR, Elavil, Emagrin, Empirin, Empirin
with Codeine, Emprazil, Endodan
Tablets, Epromate Tablets, Equagesic, Equazine-M, Excedrin,
EFFEXOR® XR (venlafaxine HCl)
Extended-Release, ExPrazi
F
Feldene, Fenoprofen
Tablets, Feverfew, Fiogesic Tablets, Fioricett, Fiorinal, Fiorinal with Codeine, Florgen PF, Fluoxetin,
Flurbiprofen
Tablets, 4 Way Cold Tablets
G
garlic (allium
sativum) tabs & do not eat garlic excessively
(some say not at all - but if you accidentally get some or have a little garlic
toast, I am sure it's okay, it's more for garlic tablets), Genaced,
Genacote, Gelpirin
Tablets, Genprin, Gensan, Ghemnisym, Gingko, Ginbko Biloba, Gennin, Ginger,
Gingko, Ginkobiloba, GNP aspirin, Goody's
Headache Powder, Goody-s Extra Strength
H
Halfprin Tablets,
Haltran, Heparin, Hydroxycut
I
IBU, IBU-Tab, Ibuprofen,
Ibuprin, Ibuprohm, Indocin, Indochron E-R
Capsules , Indomethacin Caspules, Indomethacin Suspension, Infantol Pill, Isollyl
Improved Tablets & Capsules
J none
available
K
Ketoprofen Capsules
L
Lanorinal, Licorice Root,
Lodine, Lortab ASA
M
MAO inhibitors,
Magan, Magnaprin, Magnasprin, Magsal, Marnal, Marthritic Tablets, Maximum Bayer Aspirin,
Measurin, Meclomen, MecloFenamate Capsules, Medigistic-Plus, Medipren, Meditren,
Melatonin, Menadol, Meprogesic Q, Micraninin, Midol/Midol 200, Midol Original,
Midol PMS, Mobidin, Moblgesic, Momentum Back Ache Formula, Monogesic, Motrin,
Motrin IB, Multi-Vitamin
N
Nalfon, Nardil,
Nardilzine, Naprosyn,
Neomycin, Neogesic, Norgesic,
Norgesic Forte, Norwich Extra Strength Aspirin, Nov-naproxen, Nuprin, NyQuil/NyQuil P.M.
O
Orphenagesic, Orphenagesic
Forte, Orudis, Oruvail Capsules, Oxycodine, Oxycodone
P
P-A-C, Pabalate-SF,
Pabrin, Pacaps, Pain Reliever Tablets, Pamprin-IB, Panalgesic, Panodynes, Papaya,
PediaProfen, Pedrazil, Percodan, Percodan
Demi Tabs, Persantin, Persisrin, Persistin, PetoBismol, Phenaphen, Phenetron Compound, Piroxicam
Capsules, Polymyxin, Ponstel Capsules, Presalin, Propoxyphene Compound, Propoxyphene
Napsylate with Aspirin, Prozac
Q
Quagesic, Quiet World
Analgesic (sleeping aid), Quinine
R
Relafen Tablets,
Rexolate, Rhinex, Robaxin, Robasisal, Roxiprin Tablets, Rufin, Robaxisal
S
S-A-C, Salabuff,
Salatin. Saleto, Saleto 200, Saleto-400,600,800 Tablets, Salflex, Salicylamide,
Salocol, Salsalate, Salsitab, Serzone, Sign
Off Sinus Tablets, Sine Aid, Sine Off, SK-65 Compound Capsules, Soma Compound,
Soma Compound with Codeine, St. Joh'ns Wort, St. Josephs Aspirin, St. Joseph Cold
Tablets (for children), Stanback
Analgesic, Stanback Powder,
Sudafed, Sulindac Tablets, Supac, Synalogos
Capsules, Synalgos-DC Capsules
*Also a diet low in
sodium is beneficial before and after any surgery.
T
Talwin Compound,
Tenol-Plus,
Tolectin 200,600 Tablets, Tolectin DS Capsules, Tolmetin Tablets/Capsules,
Toradol Injection/Tablets, Tr-Pain Tablets, Trilisate Tablets and Liquid,
Trendar, Trental, Triaminicin Tablets, Tricosal tablets, Tri-Pain, Trigesic,
Trilisate, Tusal
U
Ultrapin, Unipro, Ursinos Inlay Tablets
V
Valesin, Valtrex, Vanquish,
Verin, Viro-Med
Tablets, Vivarin, Voltaren
W
Warafin (Coumadin), Wellbutrin, Wesprin Buffered
X
none
available
Y
none
available
Yohimbe
Z
Zactrin, Zoloft (Zoloft has anti-coagulant
properties so just advise your anesthesiologist if you take it) Zorprin, Zyban
Plus any other aspirin
containing medication, be it natural, prescription or over the counter. Alert
your doctor of any medications or supplements you may be taking. Even natural supplements
have their risks. Read below...
Other Supplements,
Vitamins and
Herbal Remedies
not
to ingest and
why...
I know
many people may take herbal supplements and some can be very good for you but
many are
contraindicated with anesthesia or surgery in general. Some reasons why you may
not wish to disclose your herbal supplement consumption information to your surgeon or
anesthesiologist may be because you believe that since these supplements
are over the counter (OTC) they must be safe to use. This isn't true --
many of
these are contraindicated and can severally hurt you when used in conjunction
with anesthesia, other medications or while undergoing surgery. You may also
think that because these products are from plants, therefore
"natural," and cannot be dangerous -- many medications and dangerous
drugs or even poisons are from plants, as well. So, please remember this. You may also think
that telling your surgeon or anesthesiologist would be embarrassing, especially
if you shouldn't be taking them, if you are taking them for weight loss, to increase your sexual stamina,
or for acne or for depression. Nothing is embarrassing when it comes
to safety. This is your life --
don't mess around!
-
Vitamin E is usually the #1 no-no. Vitamin
E has
anti-platelet properties and inhibits vital clot formation. Your surgeon
may more than likely ask you to cease
consuming Vitamin E in any form at least 2 to 3 weeks prior to any surgery and for
2 to 3 weeks
afterwards. However, some surgeons recommend consumption at 2 weeks
post-operatively for scar management and to help ward off capsular contracture
in breast augmentation surgeries. Always follow your own surgeon's
instructions.
-
Garlic
(allium sativum), Ginger, Alfalfa, Cayenne, Papaya, Feverfew,
Chamomile, Dong Quai root, Willow bark, Goldenseal, Guarana, Horse Chestnut and Bilberry
Tablets/Supplements also have anti-platelet properties and
may inhibit vital clot formation. These medications are normally taken to
remedy edema (fluid retention). Some surgeons may give the okay
for consumption of these supplements 2 to 3 weeks post-operatively.
- Gingko,
Gingko biloba, &
Selenium are powerful anti-coagulants.
It is considered to be 3 times stronger than
Vitamin E.
- Ginseng
may cause rapid heartbeat/and or high blood pressure in some individuals as
well as coagulation disruption.
- St. John's Wort, Yohimbe,
("The natural Viagra®") and Licorice root
have a mild monoamine oxidase (MAO) inhibitory effect and may intensify
the effects of anesthesia. (*note some well known and popular
anti-depressants are MAO inhibitors, disclose any and all medications you are
taking -- your life may depend on it)
- Melatonin
decreases
the amount of anesthesia needed for surgery.
- Kava Kava, Hawthorn,
Lemon verbena, Muwort, Lavender and Valerian/Valerian Root:
(taken to promote relaxation and sleep) have tranquilizing properties and
should not be combined with other sedative agents.
WARNING!
Tell your anesthesiologist/surgeon if you take either one of these.
- Echinacea
may
have a severe impact on the liver when general anesthesia is used. Please
advise your surgeon of all medications and supplements and alert him to the
possible effects of herbal supplements and remedies, he may not be aware of
the contraindications. It also has some coagulation disruption properties.
- Ma Huang (aka Ephedra):
Used by many people for weight loss and is a major component of most weight
loss supplements) has been associated with more than 800 adverse health
effects including DEATH. It is an amphetamine-like compound with the
potential for stimulating the central nervous system and heart.
WARNING!
we strongly discourage the use of this supplement in any form."In
large doses ephedrine causes nervousness, headaches, insomnia, dizziness,
palpitations, skin flushing, tingling and vomiting (Lawrence Review, 1989).
The Handbook of Nonprescription Drugs notes that "The principal adverse
effects of ephedrine are CNS stimulation, nausea, tremors, tachycardia [rapid
heartbeat], and urinary retention." (APhA 1986).
- Gotu Kola has a stimulant effect as well.
- Ackee fruit as well as, Alfalfa,
Aloe, Argimony, Barley, Bitter melon, Burdock root, Carrot oil, Chromium, Coriander,
Dandelion root, Devil's club, Eucalyptus, Fenugreek seeds, Fo-ti, Garlic, Ginseng,
Grape seed, Guayusa, Gmena, Juniper, Nem seed oil, Onions, Periwinkle, Yellow
root alter the blood glucose level.
- Garlic and Onions as a food: Even moderate
consumption of onions and garlic can affect the body negatively when the body
undergoes surgery. Try to limit your consumption for 2 weeks beforehand.
Special
Medication Alerts!
If you are
on Anti-depressants, please advise your doctor. Some monoamine oxidase (MAO)
inhibitors (also known as MAOI) intensify the effects of the anesthesia --
especially General. This could be quite dangerous in the operating room if your
doctor is unaware of your medication usage. If you advise your doctor or
anesthesiologist he or she
can make adjustments for your anesthesia or at least will watch for the slightest
decrease or increase in heart or breathing rate.
These
medications may include: Isocarboxazid, Marplan,
phenelzine (Nardil, Nardelzine) tranylcypromine (Parnate, Sicoton), Deprenyl, selegiline hydrochloride,
5 HTP, Amitriptyline, Prozac, Wellbutrin, Buropion, Buropion HCL, Fluoxetin, EFFEXOR® XR,
etc.. They are
used for the treatment of depression, obsessive-compulsive disorder, eating
disorders, essential hypertension (pargyline), chronic pain syndromes, and
migraine headaches. They work by inhibiting nerve transmissions in brain that
may cause depression. Tranylcypromine and phenelzine account for over 90% of all
MAO inhibitors currently prescribed.
It is
reported that drug interactions can occur even weeks after discontinued use of
an MAOI. Therefore, in patients undergoing General anesthesia, cessation of usage
is normally instructed several weeks prior to surgery to avoid possible
cardiovascular effects.
"Anesthetic
Requirements: Anesthetic requirements are increased, reflecting accumulation
of norepinephrine in the CNS." Ref: Stoelting, R.K, Pharmacology &
Physiology in Anesthetic Practice, pp. 378-381.
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