Medications and Herbal Supplements to Avoid Before and After Surgery

For your procedure, there are a number of medications (both prescription and over-the-counter) and herbal supplements to avoid. If you are taking any of these, please let Dr. Sailon know during your consultation.

Any of the following will increase your risk of bleeding or other complications and should be stopped at least 2 weeks before and after your procedure, if possible. Please note this list is not exhaustive and only reflects the most commonly encountered problematic drugs.

Over-the-counter medications:

Aspirin (includes Alka-Seltzer, Bayer, Excedrin)
Ibuprofen (includes Advil, Motrin)
Naproxen (includes Aleve, Naprosyn)

Tylenol (acetaminophen) will NOT increase your bleeding risk and can be used as directed for pain, fever, or headaches.

Herbal Supplements

  • Chromium
  • Echinacea
  • Ephedra
  • Feverfew
  • Fish Oil
  • Flaxseed
  • Garlic
  • Goldenseal
  • Ginger
  • Ginkgo
  • Ginseng
  • Licorice
  • Kava-Kava
  • Saw Palmetto
  • St. John’s Wort
  • Valerian Root
  • Vitamin C & E

Prescription medications

  • Apixaban (Eliquis)
  • Cialis
  • Enoxaparin (Lovenox)
  • Heparin
  • Indomethacin (Indocin)
  • Ketorolac (Toradol)
  • Nitroglycerin
  • Omega 3 fatty acids
  • Percodan (Percocet is different and may be used)
  • Plavix
  • Salsalate (Salflex)
  • Viagra
  • Warfarin (Coumadin)




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