Pre-prodedural Medication Instructions:

Take your routine required medications (including heart, lung, high blood pressure, and
diabetic pills) before the procedure with sips of water only. If you use an asthma inhaler, bring
it with you. Have nothing to eat or drink for four hours before the procedure except sips of water needed to take routine required medications.

Medications to be held before pain management procedures:

Do not take your regular pain medicine for 6 hours before the procedure so that the physician can better assess your condition. If you are receiving a diagnostic procedure it will be best to not take pain medication in the first 6 hours after the procedure so that optimal diagnostic information is obtained.

Many medications can thin the blood and/or affect the clotting mechanism increasing the risk of bleeding. Excessive bleeding following a procedure can, at times, have serious effects including permanent nerve injury. Your physician may not perform a scheduled procedure if the medications below are not held before the procedure. Please call the office if you are on one of these medications listed below. You may resume these medications the night of the procedure.

DRUGS HOLD BEFORE PROCEDURE

Subcutaneous: Heprin, Lovenox (Enoxaparin), Innohep ........at least 12 hours
(Tinzapaarin), Fragmin (Dalteparin), Normiflo (Ardeparin)

Coumadin (Warfarin), Orgaran (Damaparoid) ............6 days
We will need to arrange a blood draw (INR) the day of the procedure if you are on coumadin

Plavix (Clopidogrel) …………10 days

Ticlid (Ticlopidine) ……… 14 days

Aspirin (Cervical Procedures Only) ……..…7 days

Garlic, Ginseng, Vitamin E (more than 400 IU/day), Feverfew, Ginger,
Saw Palmetta, Dong Quai, Bromelain, Omega –3, Chondroitin (Cervical ProceduresOnly).......7 days

Ginko biloba (Cervical Procedures Only) …………2 days

Pre-prodedural General Instructions