International Pain Specialists in Napperville, IL

Click to Call: 1-877-87DrJim

Tuesday, December 12, 2017

Anticoagulants, Antiplatelet drugs, or Blood Thinners must be discontinued prior to interventional spinal procedures to minimize the risk of bleeding. You must consult with your cardiologist, primary care physician or prescribing physician prior to discontinuing any of these medications AND to obtain approval and clearance for you to stop these medications temporarily. You may restart the day following (24 hours) the procedure unless otherwise noted.

  • Coumadin (Warfarin) must be discontinued 5 days prior to the procedure. In addition, you MUST obtain a PT/INR level the day before your procedure. INR needs to be 1.2 or less Restart the evening following your procedure.
  • Ticlid (ticlopidine), Iprivask (desirudin), Refludan (lepirudin), Angiomax (bivalirudin), Novastan (argatroban), Exanta (elagatran/ximelagatran) must be discontinued 14 days prior to the procedure. 
  • Vitamin E products and the following supplements: Fish Oil, Garlic, Ginseng, Vitamin A, Ginger, Kava Kava, Clove, White Willow bark, or Gingko Biloba must be discontinued   7 days prior to the procedure. 
  • Aggrenox (aspirin/dipyridamole), Persantine (dipyridamole), Arixtra (fondaparinux), and Orgaran (danaparoid) must be discontinued 7 days prior to the procedure. 
  • Plavix (clopidogrel), and Pletal (cilostazol) must be discontinued 7 days prior to procedure. May be restarted 3 hours after the procedure is completed.
  • Aspirin or aspirin containing products must be discontinued 5 days prior to procedure. Aspirin-containing products include but are not limited to: “Baby” aspirin, Anacin, Alka-Seltzer, Bufferin, Excedrin, Ecotrin, etc.
  • NSAID’s (Non-Steroidal Anti-Inflammatory Drugs) such as Ibuprofen, Motrin, Advil, Aleve, Voltaren, Arthrotec, DayPro, Indocin, Relafen must be discontinued 5 days prior to procedure.  
  • Xarelto (rivaroxaban), Pentoxil, and Pradaxa must be discontinued 4 days prior to procedure. 
  • ReoPro (abciximab) must be discontinued 48 hours prior to procedure.
  • Heparin must be discontinued 24 hours prior to procedure. Heparin may be restarted 3 hours after the procedure is completed. 
  • Lovenox (enoxaparin), Fragmin (Dalteparin), and Normiflo (Ardeparin) must be discontinued 24 hours prior to procedure. 
  • Aggrastat (tirofiban) and Integrilin (eptifibatide) must be discontinued 8 hours prior to a procedure. 

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