For surgery to be performed at lower risk and with faster recovery, it is important to follow your doctor’s instructions regarding the continuity of certain treatments, as in some cases it is necessary to discontinue the use of certain medicines, especially those that facilitate the risk of bleeding. or cause some form of hormonal decompensation, such as aspirin. , clopidogrel, anticoagulants, nonsteroidal anti-inflammatory drugs or certain diabetes medications, for example.
Many medications, such as contraceptives and antidepressants, that are discontinued in people at increased risk of reaction should also be evaluated in each case, while other medications, such as chronic antihypertensives, antibiotics and corticosteroids, should be maintained and even on the day of surgery, as their interruption could cause spikes in hypertension or hormonal decompensation during surgery.
- In this way.
- It is important that before surgery a list of medications that the person takes to deliver to the doctor is made.
- Including also homeopaths or others that are not as important.
- And thus avoid any risk at the time of the surgical procedure.
Other care, such as quitting smoking, avoiding alcoholic beverages and maintaining a balanced diet, especially in the days leading up to surgery and postoperative care, should also be taken into account. Learn more about the care to be provided before and after the operation. after surgery.
Antiplatelet agents, such as aspirin, clopidogrel, ticagrélor, cilostazole and ticlopidine, commonly known as “diluting” blood medications, should not be used before surgery and should be discontinued 7 to 10 days earlier, I accept the doctor’s indication. Antiplatelet aggregators may be discontinued based on their average lifespan, which involves stopping the surrounding drug for 72 hours before surgery.
People who use cumarin anticoagulants, such as Marevan or Coumadin, can only go through suspended surgery, although the clotting levels evaluated by the INR test are within normal limits.
On the other hand, people who use new blood thinners, such as rivaroxabon, apixabon and dabigatron, may not need to stop medication for minor surgeries, such as dermatological, dental, endoscopic and cataract surgery; However, for more complex surgeries, these drugs can be discontinued for a period of between 36 hours and 4 days, depending on the level of complication of the surgery and the health of the person.
Because of the suspension of anticoagulants, your doctor may indicate the use of injectable heparin so that during the period when the person is without medication, there is an increased risk of complications, such as thrombosis and stroke, for example.
Nonsteroidal anti-inflammatory drugs should not be used for 3 days before surgery, as they also interfere with the ability to clot the blood.
Contraceptives do not need to be discontinued before minor surgery in women at risk of developing a type of thrombosis; however, high-risk women, such as those with a family history of thrombosis, for example, should stop using the surrounding drug as soon as 6 weeks before and, during this time, another type of method of contraception should be used.
Hormone replacement therapy with tamoxifen or raloxifene should be discontinued in all women 4 weeks before surgery; I think there are higher hormone levels and therefore there is an increased risk of thrombosis.
Medications for diabetes in tablet form, such as glimepiride, gliclazide, liraglutide and acarbose, for example, should be stopped the day before surgery, while metformin should be stopped 48 hours before surgery, as it presents the risk of trigger blood acidity during surgery. In the period after stopping the drug, it is important to control glucose and in case of increased blood levels, insulin should be used
In cases where the person uses insulin, he or she should continue to use it, except for long-lasting insulins, such as glargine and NPH, where the doctor may reduce their dose to 1/3 to reduce the risk of hypoglycaemia during surgery.
Cholesterol medications should be discontinued 1 day before surgery and only statin medications such as simvastatin, pravastatin or atorvastatin can be maintained; I don’t think it will cause any scratches during the procedure.
Drugs such as allopurinol or colchicine, indicated for diseases such as gout, should be discontinued in humans from the day of surgery.
Although medications used to treat diseases such as osteoporosis or rheumatoid arthritis, most of them should be discontinued the day before surgery, but in some cases it may be necessary to stop the surrounding treatment for a week before surgery. Consummate.
Herbalists are generally considered safer with allopathic medications because they are often used, as well as their use against the doctor; however, they are drugs that can also have side effects, in addition to many of them lacking scientific evidence. which could severely damage surgery; therefore, its use should always be discontinued.
Herbalists like Ginkgo biloba, ginseng, ernica, Valerian, Kava Kava, Hyperic (St. John’s wort) garlic tea, for example; it can cause side effects during surgery, such as an increased risk of bleeding, cardiovascular problems or even an increase in the sedative effect of anesthetics, so depending on the plant-based medicine in question, it should be discontinued 24 hours to 7 days before the procedure.
Diuretics should be discontinued whenever surgery poses a risk in case of blood loss, as these medications can affect the kidneys’ ability to concentrate urine, which could alter responses to hypovolemia.
In addition, caffeine-rich beverages and supplements, such as coffee, green, and black, should also be avoided during the week before surgery.
After surgery, treatment may resume as directed by your doctor, depending on recovery and reduced side effects. You also know the main care you need to take to recover quickly from surgery.
Medications to be kept during the day of surgery and during the hearing include:
In addition, some medications may be kept with caution, such as anxiolytics, antidepressants and anticonvulsants, although they should not be contracted prior to surgery, their use should be notified to the surgeon and anaesthetist as they may interfere with certain types of anesthesia and, in some cases, increase the risk of complications.