Some medications may increase the chance of bleeding after surgery.

​

General recommendations (recommendations may differ on an individual basis):

​

• Aspirin: stop 1 week before and after surgery

• Celebrex: stop 1 week before and after surgery

• Ibuprofen*: aka Advil, Motrin; stop 1 week before and after surgery

• Naproxyn: aka Aleve; stop 1 week before and after surgery

*It is generally ok to resume ibuprofen sooner if stronger pain meds are not required.

​

Supplements/herbs:

• Some supplements/herbs may increase bleeding risk, and examples include fish oil, ginseng, ginkgo, ginger and garlic pills, and chondroitin.

​

Prescription blood thinners:

• Coumadin, plavix, others: consult your PCP and surgeon to get individualized recommendations.

​

IMPORTANT NOTES REGARDING SMOKING:

• No smoking, nicotine use, or inhalational products (including vaping, marijuana, and 2nd hand smoke) around 3 months before and after surgery (ideally 6 months before and after surgery).

• This includes chewing tobacco and nicotine free inhalational products.

• Use of these products can cause about a 5-fold increase in complications. Use within this 3-6 month window before surgery may prompt rescheduling of the surgery to a later time when then the patient has reliably stopped smoking.

​

​