What medications should I take or avoid before surgery?

Before surgery, reviewing all current medications with your doctor—including prescription drugs, over-the-counter medications, vitamins, and herbal supplements—is essential. Some medications can interfere with anesthesia or increase the risk of complications. For example, blood-thinning drugs, certain antidepressants, and even herbal supplements can pose risks. Your doctor may advise stopping certain medications days or weeks before surgery to ensure safety. Always consult your doctor before making any changes.

Will blood-thinning drugs affect anesthesia? 

Blood thinners, such as warfarin (Coumadin), aspirin, clopidogrel (Plavix), and newer agents like apixaban (Eliquis) or rivaroxaban (Xarelto), are commonly prescribed to prevent blood clots but can increase the risk of excessive bleeding during surgery. Your anesthesiologist needs to know if you’re taking them. Depending on the type of surgery and your overall health, your doctor may recommend stopping these medications several days before the procedure or provide alternatives to manage your condition.

How should I discuss current medications with my doctor?

Be thorough and detailed when discussing medications with your doctor. Make a list of everything you take, including occasional medications for minor ailments like pain relievers or cold medicine. During your pre-surgery consultation, bring this list and be ready to discuss each item. Your doctor will evaluate the risks and benefits of continuing or stopping each medication in the context of your surgery.