Pre-Admission Medication Information
Prior to your admission to hospital, it is important to follow specific instructions regarding your medications. Certain medications can affect blood clotting and may need to be stopped before surgery. Please read the following guidelines carefully and consult with your healthcare provider if you have any questions.
Cardiac Stents and Medication
If you have cardiac stents, DO NOT stop any medications without first consulting both your Cardiologist and Urologist.
Diabetic Medications
If you are diabetic, please check with your Endocrinologist or Urologist for specific instructions regarding your medications before surgery.
Medications to Stop Before Surgery
Please contact your doctor as soon as possible to determine if you need to stop taking any of the following medications:
Painkillers Containing Aspirin - Cease 7-10 days prior to surgery
*Please check with your doctor to find out if you should take other medications in place of these.
- Action Cold & Flu
- Alka Seltzer
- Aspirin
- Aspalgin
- Aspro Preparations
- Bayer Aspirin
- Bex tablets and Powders
- Codiphen
- Codis
- Codox
- Codral Forte
- Codral Cold Tablets
- Decrin Powders
- Disprin Forte
- Ecotrin
- Herron Aspirin
- Home Brand Clear Aspirin
- Morphalgin
- Soilprin
- Spren
- Veganin Subject
- Vincent’s Powders
Anti-Inflammatory Medications (NSAIDs) - Cease 10 days prior to surgery
* Please check with your doctor to determine if you need to take alternative medications.
- Aclin
- ACT-3
- Acriprofen
- Aleve
- Anaprox
- Arthrexin
- Arthrotec 50
- Brufen
- Bugesic
- Candul
- Celebrex
- Celecoxib
- Clinoril
- Crysanal
- Diclofenac
- Diclohexal
- Dinac
- Dolobid
- Feldene
- Fenac
- Fensaid
- Hexal Diclac
- Ibuprofen
- Indocid
- Inza
- Ketaprofen
- Mefic
- Meloxicam
- Mobic
- Mobilis
- Naprogesic
- Naorisyn
- Naproxern
- Nurofen
- Nurolasts
- Orudis
- Oruvail
- Pirohexal-D
- Piroxicam
- Ponstan
- Proxen SR
- Rafen
- Rosig
- Sulindac
- Surgam
- Tenixicam
- Tilcotil
- Toradol
- Tri-Profen
- Vioxx
Natural Therapy Preparations - Cease 10 days prior to surgery
All natural therapy preparations, including the following, should be stopped as they may interfere with blood clotting:
- Fish Oil
- Omega-3 Supplements
Anticoagulant Medications (Blood Thinners)
Consult with your specialist before stopping these medications
You may need to switch to other medications while temporarily discontinuing anticoagulants. Medications in this category include:
- Aggrastat
- Arixtra
- Asasantin
- Astrix
- Calciparin
- Cardiprin
- Cartia
- Clexane
- Clopidogrel (Plavix)
- Coumadin (Warfarin)
- Dindevan
- Fragmin
- Fraxiparine
- Isocover
- Marevan
- Orgaran
- Persantin
- Rivaroxaban
- Reapro
- Thrombotrol VF
- Ticlid
- Ticlohexal
- Ticlopidine Hexal
Diabetes Medications
SGLT-2 Inhibitors - Cease 3 days before surgery if general anaesthetic is required
- Jardiance (Empagliflozin)
- Jardiamet (Empagliflozin/Metformin)
- Xigduo (Dapagliflozin/Metformin)
- Forxiga (Dapagliflozin)
- Invokana (Canagliflozin)
- Qtern (Dapagliflozin / Saxagliptin)
- StegluroMet/Steglatro/Steglujan (Ertugliflozin)
Metformin
Do not take on the day of surgery
GLP-1 Receptor Agonists (for Diabetes/Weight Loss)
If you are taking GLP-1 medications, please follow these instructions:
If ceased 4 weeks prior to surgery normal fasting instructions. If not, take as per normal then 24-hour clear fluid diet applies. 6 hours prior to procedure – nil by mouth
- Liraglutide (Victoza, Saxenda)
- Semaglutide (Ozempic, Wegovy)
- Dulaglutide (Trulicity)
- Tirzepatide (Mounjaro)
Cease 72 hours prior to surgery if your dose is over 6mg:
- Naltrexone/Bupropion (Contrave)
Other Regular Medications
You should continue taking all other regular medications unless specifically instructed otherwise by your healthcare provider.
Bring Your Medications to Hospital
Please bring all your regular medications with you on the day of your admission, including those that you are currently taking and any that you may need to stop temporarily.
For any questions or clarifications, please contact your doctor or specialist directly.
Thank you for your attention to these important pre-surgery instructions.
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