Managing medication prior to surgery could be critical
Managing medications before surgery, is a vital step to ensure patient safety and a smooth recovery. Certain medications can increase the risk of complications, such as excessive bleeding, blood clots or unexpected reactions during the procedure.
Understanding which medications to stop – or adjust – is a critical part of surgical preparation.
“Medications can alter how your body works and increase your risk of complications during surgery,” said Olivia Bishop, pharmacy resident. “That’s why it’s so important to know which medications to stop and when.”
Some drugs, such as those used for diabetes and weight loss, can delay how quickly the stomach empties. This can leave food in the stomach, even after fasting, increasing the risk of regurgitation or choking during surgery.
Similarly, blood-thinning medications, such as anticoagulants, can heighten the risk of excessive bleeding, if not properly managed.
Herbal supplements and over-the-counter medications can also increase the risk of complications, if not stopped before surgery. According to the National Center for Biotechnology Information, supplements like ginkgo biloba, garlic and melatonin, may increase bleeding risks, especially when combined with certain medications.
For those experiencing persistent feelings of hopelessness, Schaefer advises seeking professional help.
“If these feelings last for more than a couple of weeks or if someone experiences suicidal thoughts, reaching out to a healthcare provider is critical,” said Schaefer. “A primary care provider can guide individuals to the resources they need.”
Patients are generally advised to stop these supplements at least two weeks prior to surgery, or as directed by their provider, to reduce the risk of complications.
“If you take anticoagulants, herbals or supplements, it’s important to talk to your provider,” said Bishop. “We want to ensure you aren’t putting yourself at an increased risk of bleeding.”
Patients typically receive detailed pre-operative instructions that outline which medications to stop and when. If instructions are unclear or missing, patients need to contact their surgeon or healthcare provider for clarification.
“Some medications might be more dangerous to stop suddenly,” said Bishop.
Medications like antidepressants, anti-anxiety drugs and certain blood pressure treatments may need to be continued, or gradually tapered off under a doctor’s supervision. Proactively discussing medications with a healthcare team, is one of the best ways to ensure a safe and smooth surgical experience.
“It’s always better to ask your surgeon or healthcare provider, and get clear guidance,” said Bishop.
