Medications to Avoid

Dr Jason Roth (MED0001185485) — Specialist Otolaryngologist & Head and Neck Surgeon, specialist registration in Otorhinolaryngology, Head & Neck Surgery.

The medications and supplements listed below should be ceased at least two weeks before surgery, as they increase the risk of bleeding during and after the procedure. Please check this list carefully. If you are unsure whether it is safe to stop any medication — particularly any medication prescribed for your heart, blood vessels, or stroke prevention — please contact your GP or the prescribing specialist before stopping it. Do not stop blood-thinning medications without medical guidance.

If you are taking warfarin, apixaban (Eliquis), rivaroxaban (Xarelto), dabigatran (Pradaxa), clopidogrel, or any other anticoagulant or antiplatelet medication, do not stop without speaking to your GP or prescribing specialist first. A management plan for perioperative anticoagulation will be arranged in consultation with Dr Roth.

Aspirin-Containing Medications

Alka-Seltzer	Asasantin SR
Aspalgin+	Aspro Clear Extra Strength
Aspro preparations	Aspirin
Astrix	Astrix 100
Cardiprin 100	Cartia
Codis+	Codox
Codral Forte	DBL Aspirin
Disprin / Disprin Forte	DuoCover
Mayne Pharma Aspirin	Solprin
Spren

Clopidogrel-Containing Medications

APO-Clopidogrel	Clopidogrel RBX
Clopidogrel Sandoz	Clopidogrel Winthrop
Clopidogrel Winthrop Plus Aspirin	CoPlavix
Iscover	Pharmacor Clopidogrel
Piax	Plavicor
Plavix

Anticoagulants (Blood Thinners) — Discuss With Your Doctor Before Stopping

Warfarin (Coumadin, Marevan)	Apixaban (Eliquis)
Rivaroxaban (Xarelto)	Dabigatran (Pradaxa)
Edoxaban (Lixiana)	Ticagrelor (Brilinta)

Non-Steroidal Anti-Inflammatory Medications (NSAIDs)

Note: Although celecoxib (Celebrex) and meloxicam (Mobic) may be prescribed by Dr Roth post-operatively for pain management, they must be ceased pre-operatively along with all other NSAIDs. Do not take them in the two weeks before surgery.

Ibuprofen	Nurofen (ibuprofen)
Diclofenac	Voltaren (diclofenac)
Celebrex (celecoxib)	Mobic (meloxicam)
Naprosyn / Naprogesic (naproxen)

Herbal and Natural Products

Fish oil (high-dose)	Garlic supplements
Ginger supplements	Ginseng
Ginkgo biloba	Vitamin E supplements
Echinacea	St John’s Wort
All Chinese herbal teas or Chinese herbal medicines

If you have any questions about this list, please contact the rooms well before your surgery date: (02) 9982 3439.

Admissions Information → | Pre-Operative Information → | Contact the Rooms →

Dr Jason Roth | MBBS, FRACS (ORL-HNS) | MED0001185485
Specialist Otolaryngologist & Head and Neck Surgeon
Specialist registration — Otorhinolaryngology, Head & Neck Surgery
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