Pre-op Medication

  • Stop ALL aspirin or non-steroidal anti-inflammatory drugs 7 days before surgery. These medications affect your blood platelets and may results in increased bleeding during and after surgery.
  • If you are on blood thinners other than aspirin, you will be instructed when to stop this medication prior to your surgery, during your pre-operative testing.
  • Stop ALL hormone replacement therapy 3 weeks BEFORE and AFTER surgery. These medications can increase your risk for blood clots after surgery.
  • All dietary supplements and herbal preparations should be stopped 7 days prior to surgery.
  • If you are taking any medications for Rheumatoid Arthritis, please notify the office. These may have to be held 3 weeks before and 3 weeks after your surgery to help reduce the risk of infection and wound healing complications.
  • During your pre-admission testing, you will be provided specific instructions with regard to all your prescription medication. It is important that you continue all your prescribed medication until you received instruction during your pre-admission testing office visit.
  • Remember to bring a list of all your medication to your pre-admission testing.
  • If you have any questions about your medication, please contact Dr. Jacob’s office at 405-424-5426.

** Herbal Preparations & Dietary Supplements that have potential to interact with anesthesia

Compound Potential Problems When to Stop Taking
Bromelain Increased risk for bleeding 7 days prior
Chondroitin Irregular heartbeat, increased risk of bleeding 7 days prior
Chromium Interaction with anesthetics to cause Hypoglycemia (low blood sugar) 7 days prior
Cysteine Interaction with anesthetics to cause abnormally low blood pressure 7 days prior
Echinacea Immunosuppression, poor wound healing 7 days prior
Ephedra Increased heart rate and blood pressure 7 days prior
Fish Oil Increased risk for bleeding, hemorrhagic stroke 7 days prior
Garlic Increased risk for bleeding 7 days prior
Ginko Increased risk for bleeding 7 days prior
Ginseng Increased risk for bleeding, hypoglycemia 7 days prior
Glucosamine Hyperglycemia (high blood sugar), increased risk of infection, increased risk of bleeding 7 days prior
Kava Increased risk for sedation 7 days prior
L-tryptophan Increased risk for confusion and respiration depression (stop breathing) 7 days prior
Omega-3 fatty acids Increased risk for bleeding, hemorrhagic stroke 7 days prior
Phenylalanine Increase risk of muscle spasms 7 days prior
Saw Palmetto Increased risk for bleeding 7 days prior
St. John’s Wort Increased risk for confusion and respiration depression (stop breathing) 7 days prior
Turmeric Increased risk for bleeding 7 days prior
Valerian root Increased risk for sedation 7 days prior
Vanadium Increased risk for bleeding 7 days prior
Vitamin A Increased risk for bleeding, liver damage 7 days prior
Vitamin C Dehydration 7 days prior
Vitamin D Toxic reaction to digoxin 7 days prior
Vitamin E Increased risk for bleeding, increased blood pressure 7 days prior
Zinc Lupus-like reaction 7 days prior

Dr. Paul Jacob
Oklahoma Joint
Reconstruction Institute

9800 Broadway Ext.
Suite 201
Oklahoma City, OK 73114

Dr. Gerardo Myrin
Oklahoma Joint
Reconstruction Institute

3115 SW 89th Street
Oklahoma City,
OK 73159