Medications:
Take your medications for blood pressure, heart, anxiety asthma/lung the day of your procedure. If you are having iv conscious sedation, then take them with enough water to get the medication down (less than 3oz.) Bring your inhalers with you. If you are diabetic and having iv sedation, do not take oral diabetic medication or insulin the morning of your procedure. If there are any issues regarding the interruption of your medication, contact your prescribing physician.
Blood thinner medications: (Our office will be consulting your cardiologist. Unless otherwise told, the following recommendations for temporarily discontinuing your blood thinner/s is listed below.)
Dabigatran (Pradaxa)- hold off 48 hours and wait to begin 48 hrs after treatment
Rivaroxaban (Xarelto)- hold off 48 hrs prior to the procedure and begin 48hrs after treatment
Apixaban (Eliquis)- hold off 48 hrs prior to the procedure and begin 72 hrs after
Edoxaban (Savaysa, Lixiana)- hold off 48 hrs prior to the procedure and begin 48hrs after
Warfarin (Coumadin, Jantoven)-If instructed, hold off 3 days prior and begin 48hrs after
*Ticagrelor (Brilinta)- hold off 5 days prior to the procedure and begin 48 hours after
*Ticlopidine (Ticlid)- hold off 5 days prior to the procedure and begin 48hrs after
*Clopidogrel (Plavix)- If instructed, hold off 5 days prior to the surgery and begin 48 hrs after
*Prasugrel (Effient)- hold off 5 days prior to the procedure and begin 72 hrs after
*Cilostazol (Pletal)- hold off 3 days prior to the procedure and begin 4 days after
*Aspirin 325mg or greater- hold off 1 week prior to the procedure and begin 48 hrs after
*Dipyridamole (Aggrenox)- hold off 5 days prior to the procedure and begin 48 hrs after
(*) anti-platelet meds
***Patients with mechanical artificial heart valves cannot stop their anticoagulant medications (blood thinners) without discussion with their cardiologist and the periodontist!!
Supplements are non-prescribed medications. If you are taking any of the supplements listed below, please stop 1 week prior to your surgical procedure.
Dong Quai (Angelica sinensis), feverfew (Tanacetum parthenium), Fish oil, Garlic, Ginkgo Biloba, Ginseng (Panax quinquefolium/Panax ginseng), Licorice Root (Giycyrrhiza glabra), Red Clover (Trifolium pretense), Vitamin E.
