Preoperative ConsiderationsRisk Factors for Bleeding- Certain medications, significant alcohol use, severe hypertension
| | | | | Medications | | Comment | | Aspirin | | Discontinue (if used for primary prevention and not medically indicated) 10–14 days prior to surgery | | NSAID | | Varies, may discontinue 2–3 days prior to surgery | | Warfarin | | Varies, most do not discontinue | | Clopidogrel (Plavix) | | Varies, most do not discontinue (can d/c 5 days before surgery) | | Others: feverfew, garlic, gingko, ginger, ginseng, dong quai root, chondroitin, vitamin E, bilberry |
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