Question about pre-op and post-op pain meds??

August 20, 2000

Dear Post-ops:

The patient manual states the following:

--------------------------------------------------------------------

WARNING: Stop Taking Any Aspirin, Motrin, Ibuprofen, Naproxen, Advil

or Other Arthritis or Pain Medicines

Make certain you do not take any aspirin or aspirin containing

medicines for two weeks before surgery because this can increase your

risk of bleeding. Aspirin and the other salicylates belong to a group

of drugs called nonsteroidal anti-inflammatory drugs (or NSAIDs for

short). You should avoid anti-inflammatory agents such as Ibuprofen

(Advil) and aspirin products as well as excessive quantities of

Vitamin E (the small amount contained in most multi-vitamin

preparations is not harmful) for two weeks before surgery, as these

inhibit the clotting mechanism and increase your chances of

unnecessary operative bleeding. Aspirin-like products, which

interfere with blood clotting, can promote bleeding during and after

your surgery.

----------------------------------------------------------------------

Does that also include Tylenol products as well, whether it's for

sinus, headache, or whatever? Or just the stuff that are aspirin-

like because it can cause ulcers? If that's the case, what can you

take...anything for pain or sinus two weeks pre-op? What about post-

op? Does he say anything about what pain meds can be taken? I've

searched throughout the manual, but couldn't find anything on

addressing specific types of pain meds?

If anyone has a follow-up to this question (which I'm sure was asked

somewhere along the way) I'd be very grateful to know.

Marsha

August 20, 2000

You can't take aspirin and aspirin-like products before surgery, period,

because of the bleeding problems -- that list now includes Vioxx.

You can't take Tylenol *after* surgery because of the damage it does to

the liver.

I'm not sure if you can take Tylenol before surgery or not -- better ask

the boss.

Kind regards,

Marsha Biggs wrote:

>

> Dear Post-ops:

>

> The patient manual states the following:

> --------------------------------------------------------------------

> WARNING: Stop Taking Any Aspirin, Motrin, Ibuprofen, Naproxen, Advil

> or Other Arthritis or Pain Medicines

>

> Make certain you do not take any aspirin or aspirin containing

> medicines for two weeks before surgery because this can increase your

> risk of bleeding. Aspirin and the other salicylates belong to a group

> of drugs called nonsteroidal anti-inflammatory drugs (or NSAIDs for

> short). You should avoid anti-inflammatory agents such as Ibuprofen

> (Advil) and aspirin products as well as excessive quantities of

> Vitamin E (the small amount contained in most multi-vitamin

> preparations is not harmful) for two weeks before surgery, as these

> inhibit the clotting mechanism and increase your chances of

> unnecessary operative bleeding. Aspirin-like products, which

> interfere with blood clotting, can promote bleeding during and after

> your surgery.

> ----------------------------------------------------------------------

> Does that also include Tylenol products as well, whether it's for

> sinus, headache, or whatever? Or just the stuff that are aspirin-

> like because it can cause ulcers? If that's the case, what can you

> take...anything for pain or sinus two weeks pre-op? What about post-

> op? Does he say anything about what pain meds can be taken? I've

> searched throughout the manual, but couldn't find anything on

> addressing specific types of pain meds?

>

> If anyone has a follow-up to this question (which I'm sure was asked

> somewhere along the way) I'd be very grateful to know.

>

> Marsha

>

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> Please visit our web site at http://clos.net

> Get the Patient Manual at http://clos.net/get_patient_manual.htm

>

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August 20, 2000

Not that I'm an authority on any of this, but the aspirin thing has to do

with bleeding. Aspirin thins the blood. As far as after surgery, all pain

meds have to be prescription.

Rosemary