Drugs discontinued before surgery

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Actual: Gingko (discontinue at least 36 hours before surgery) e. Ginseng (discontinue at least 7 days before surgery) f. Kava (discontinue at least 24 hours before surgery) g. St. John s Wort (stop at least 5 days before surgery) h. Valerian (slowly taper off before surgery) i. Ang-Lee (2024) JAMA [PubMed]
4.7 rating 2025-04-25
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Garlic (discontinue at least 7 days before surgery) Gingko (discontinue at least 36 hours before surgery) Ginseng (discontinue at least 7 days before surgery) Kava (discontinue at least 24 hours before surgery) St. John's Wort (stop at least 5 days before surgery) Valerian (slowly taper off before surgery) Ang-Lee (2024) JAMA [PubMed]

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14 DAYS BEFORE SURGERY: discontinue PLAVIX, XARELTO, and NSAIDS such as Ibuprofen, Naproxen, Meloxicam, etc. 7 DAYS BEFORE SURGERY: discontinue SUPPLEMENTS such

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In the absence of either criteria, discontinue prior to surgery. Irreversible MAO antagonists may require 2 weeks after discontinuation of drug for normal MAO function to return. Therefore these medications should be tapered and discontinued two weeks before elective surgery.

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According to the relevant medical guidelines, the recommended time for discontinuation of antihypertensive/hypoglycemic drugs before surgery is as shown in

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Garlic (discontinue at least 7 days before surgery) Gingko (discontinue at least 36 hours before surgery) Ginseng (discontinue at least 7 days before surgery) Kava (discontinue at least 24 hours before surgery) St. John's Wort (stop at least 5 days before surgery) Valerian (slowly taper off before surgery) Ang-Lee (2024) JAMA [PubMed]

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In the absence of either criteria, discontinue prior to surgery. Irreversible MAO antagonists may require 2 weeks after discontinuation of drug for normal MAO function to return. Therefore these medications should be tapered and discontinued two weeks before elective surgery.

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