If you are taking any kind of blood thinner medicine, call your primary care provider to find out if or when your medicine should be stopped before surgery.
Examples of medicines that can thin your blood are:
Herbal or natural medicines can cause side effects or interfere with other medicines.
You should check with your primary care provider to see if any herbal medicines you are taking need to be stopped before surgery.
There are 15 commonly used herbals and supplements that have some known side effects that may occur when taken with other medicines. Check with your primary care provider if you are taking:
You should stop taking the following types of pain medicine (non-steriodal anti-inflammatory agent) two to seven days before surgery.
Please note: These are general guidelines for medicines not to take before surgery. Your primary care provider will tell you when to stop taking any medicines before surgery. Follow all directions you receive.
Do not take any of the listed diabetes medicines the morning of surgery. Talk with your health care provider who manages your diabetes before you stop taking your medicine. You may have other directions.
Blood thinner medicine
Ecotrin® or Bufferin® Plavix® Coumadin®or Jantoven® Xarelto® Pradaxa®
aspirin clopidogrel warfarin rivaroxaban dabigatran
Do not take 7 days before surgery.
Talk with your health care provider who manages your blood thinners before you stop taking your medicine. You may need to take other medicines when you are not taking them.
Nonsteroidal and anti-inflammatory (NSAID) medicine
Motrin® or Advil® Aleve®
Do not take 3 days before surgery.
Blood glucose medicine
Micronase® Glucotrol® Amaryl® Glucophage® Insulin
glyburide glipizide glimepiride metformin insulin
Herbal products, vitamins or minerals
Do not take any herbal supplement, product, vitamin or mineral at least 5 days before surgery.
Allina Health's Patient Education Department, Total Knee Replacement, third edition, ortho-ahc-90140
Allina Health's Patient Education Department experts
Talk with your primary care provider before you start taking any herbal or natural medicine.