Medications to Avoid & Bowel Protocol
Some medications and herbals should not be taken before surgery, as they may interfere with anesthesia or cause bleeding. If applicable, stop all products below 10 days prior to surgery. May resume 48 hours post-surgery.
Exception: If you currently take any blood thinner medication related to your cardiac or vascular medical history, you must contact the prescribing provider and advise of upcoming procedure/surgery. This can include, but not limited to:
Coumadin, Warfarin, Plavix, Xeralto, Eliquis, Pradaxa
Actron, Advil, Aleve, Alka-Seltzer, Anacin, Analgestine, A.P.C or A.S.A, Anaprox, Ansaid, Ascriptin, Asperbuf, Aspercin, Aspergum, Aspirin, Aspirin Suppositories, Aspir-phen, Aspirtab
Bayer, Buffdyne, Buffaprin
Darvon, Darvon Compound, Daypro, Diclofenac, Dristan, Duragesic
Ecotrin, Equagesic Tabs, Etodalac, Excedrin
Feldene, Fiogesic, Fiorinal, 4 Way Cold Tabs
Ibuprofen, Indocin, Indomethacin
Lortab ASA tabs
Medipren, Meprobamate, Midol, Motrin
Nambutone, Naprosyn, Naproxen, Norgesic, Norwich Aspirin, Nuprin
PeptoBismol, Pamprin, Percobarb, Percodan
Sineaid, Sine-off, SomaCompTabs, Sulindac
Talwin, Tolectin, Toradol, Triaminicin, Trigesic,
Feverfew, Fish oil caps
Garlic, Ginger, Ginkgo Biloba, Ginseng, Glucosamine,Green Tea
Ma Huang, Melatonin
Omega-3 Fish Oil
St. John’s Wort,
Valerian, Vitamin E
*If you need to take something for headache, menstrual cramps or other aches and pains, you may take Tylenol (acetaminophen) as directed for the time prior to surgery. Check the labels on any medicines or supplements you plan to take in pill, capsule or liquid form. Do not take anything containing acetylsalycetic acid or salicylates.
Constipation is a normal side effect after surgery. The combination of anesthesia and narcotic pain relievers will slow down the digestive tract. To help ease this side effect, please follow these guidelines:
To Help Avoid Constipation:
- Drink 8-10 glasses of water a day
- Take the Colace (docusate sodium 100mg) stool softener- start this a few days before surgery and continue after surgery until normal bowel movement is noted. This is a stool softener, not a laxative, so you will not have to change normal activity. Take 1 – 2 pills each morning and each evening.
- Taper off narcotic pain medication as soon as possible if tolerated. It is okay to take Tylenol (acetaminophen) or Advil (ibuprofen) to help ease pain. Remember that your prescription pain mediation may have acetaminophen in it, and you must not take more than 3,000 mg of acetaminophen in a day.
If constipation does occur:
- Take Milk of Magnesia as directed. Generally, 2 tablespoons every 4 hours until it takes effect.
- Drink a bottle of Magnesium Citrate, best served cold.
- You may use a laxative suppository as needed (eg dulcolax suppository)
- Use an enema as a last resort if none of the above has resolved the constipation.