Antidepressants:
Monoamine Oxidase Inhibitors (MAOI): Selegiline (Zelapar, Eldepryl, Emsam), Isocarboxazid (Marplan), Tranylcypromine (Parnate), Phenelzine (Nardil) – stop 14 days before surgery
Diet Meds including but not limited to:
Phentermine, Qsymia, Bontril, Belviq, Termate, Contrave, etc. – stop 14 days before surgery
Opioid Antagonists:
Naloxone (Narcan), Naltrexone (Vivitrol) – stop 3 days before surgery Erectile Dysfunction Meds: Sildenafil (Viagra), Tadafil (Cialis), Vardenafil (Levitra) stop 3 days before surgery
Anti-manic:
Lithium (Eskolith, Lithobid) – stop 1 day before surgery
Oral Antidiabetics:
Do NOT take day of surgery
SGLT2is: canagliflozin (Invokana), Empagliflozin (Jardiance), Dapagliflozin (Forxiga), Bexagliflozin (Brenzarvvy) and Ertugliflozin (Steglatro) - Stop 3 days prior to surgery for all except Ertugliflozin (Steglatro) which is stopped 4 days prior to surgery
Insulin:
Do NOT take sliding scale insulin or quick-acting Insulin day of surgery; if taking long-acting Insulin or if you are on an Insulin pump, check with your doctor that prescribes the Insulin regarding the dosage the night before if taking at night.
Anticoagulants:
Warfarin (Coumadin)- Stop as instructed by prescribing physician, either cardiologist or primary care; PT/INR – 24 hours preop/per surgeon
Anticoagulants/Antiplatelets:
Clopidogrel (Plavix), Apixaban (Eliquis), Ticlodipine (Ticlid), Dipyridamole (Aggrenox), Dabigatran (Pradaxa), Dalteparin (Fragmin), Tinzaparin (Innohep), Heparin, etc. - Stop as instructed by prescribing physician, either cardiologist or primary care physician
NSAIDs:
Ibuprofen (Motrin, Advil), Naproxen (Aleve, Naprosyn), Celecoxib (Celebrex), Meloxicam (Mobic), Diclofenac (Voltaren), Etodolac, Diflunisal, Nabumetone, Ketorolac (Toradol), etc.- Stop as instructed by surgeon
NSAIDS:
Aspirin (Ecotrin, Aspirn 81), etc.- Stop as instructed by prescribing physician, either cardiologist or primary care physician
Glucagon-like Peptide Agonists:
Adlyxin, Albiglutide, Bydureon, Byetta, Dulaglutide, Exenatide, Liraglutide, Lixisenatide, Mounjaro, Ozempic, Pramlintide, Rybelsus, Saxenda, Semaglutide, Symlin, Tanzeum, Tirzepatide, Trulicity, Victoza, Wegovy - Stop 7 days prior to surgery
