Drugs discontinued before surgery

14 DAYS BEFORE SURGERY: discontinue PLAVIX, XARELTO, and NSAIDS such as Ibuprofen, Naproxen, Meloxicam, etc. 7 DAYS BEFORE SURGERY: discontinue SUPPLEMENTS such

Garlic (discontinue at least 7 days before surgery) Gingko (discontinue at least 36 hours before surgery) Ginseng (discontinue at least 7 days before surgery) Kava (discontinue at least 24 hours before surgery) St. John's Wort (stop at least 5 days before surgery) Valerian (slowly taper off before surgery) Ang-Lee (2024) JAMA [PubMed]

In the absence of either criteria, discontinue prior to surgery. Irreversible MAO antagonists may require 2 weeks after discontinuation of drug for normal MAO function to return. Therefore these medications should be tapered and discontinued two weeks before elective surgery.

For patients controlled on oral agents, discontinue drugs 1 day before surgery. Discontinue biguanides (metformin) on the day of surgery because

Before you proceed with surgery you should be aware that there are several medications that you need to discontinue before surgery. Pradaxa (Dabigatran).

In the absence of either criteria, discontinue prior to surgery. Irreversible MAO antagonists may require 2 weeks after discontinuation of drug for normal MAO function to return. Therefore these medications should be tapered and discontinued two weeks before elective surgery.

Garlic (discontinue at least 7 days before surgery) Gingko (discontinue at least 36 hours before surgery) Ginseng (discontinue at least 7 days before surgery) Kava (discontinue at least 24 hours before surgery) St. John's Wort (stop at least 5 days before surgery) Valerian (slowly taper off before surgery) Ang-Lee (2024) JAMA [PubMed]

The drugs canagliflozin (Invokana, Janssen) discontinued at least 4 days before a scheduled surgery, according to the FDA.

According to the relevant medical guidelines, the recommended time for discontinuation of antihypertensive/hypoglycemic drugs before surgery