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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)




Northern Virginia

6801 Whittier Avenue, Suite 301
McLean, Virginia 22101

2200 Opitz Boulevard, Suite 250
Woodbridge, VA 22191

Office: 703-832-4000
Fax: 703-832-4001


5530 Wisconsin Avenue, Suite 711
Chevy Chase, MD 20815
Office: 301-232-3000
Fax: 301-232-3333

After serious consideration, and in line with the recommendations from the Centers for Disease Control (CDC), we will be limiting our practice until April 7th. This may need to be extended further depending on how the situation evolves. Your health and well-being are our primary concern and we want to do our part to make sure that you are protected.

Effective immediately the following will occur:
All procedures and in-person consultations will be suspended until April 7th.

The office will be partially staffed, and we will see our urgent post-surgical follow-ups.

We are instituting Virtual Consultations for our large inquiry base.

Many surgeries are rescheduled and some of the ones that are committed will occur on a per case basis.

No patient will ever have any financial recourse for rescheduling their procedures.

We are constantly updating our services and staffing according to the local and national recommendations and will always place your health and well-being as our top priority.We continue to exercise all the latest recommendations that are handed down by the CDC. These include:

  • Staff have been fully informed and trained to understand the disease process and its modes of transmission.
  • All staff, vendors and ancillary personnel are being asked to refrain from coming to this office if they have any signs or symptoms of a cold or an upper respiratory tract infection.
  • Every patient is also being asked to refrain from coming to the office if they have any symptoms.
    We are asking our patients about any pertinent travel history.
  • Hand-washing continues to be the most important mode of prevention. Although it is a part of what we constantly do, now we are doing so with heightened vigilance and attention.
  • We have instituted a “no handshakes no hug” policy for now.
  • As we are a medical facility, we are constantly sanitizing all surfaces. We have now vamped that up and our routine, multiple times a day, wiping down all surfaces, desks, door handles, keyboards and restroom facilities.

Please do not hesitate to contact us. We are always here to answer your questions.

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