Pre-Operative Instructions

Please review the following instructions carefully to prepare for your procedure.

1

Arrange for a Driver

Please arrange for a driver to pick you up from your appointment.

2

Eating Before Your Appointment

Stop eating 4 hours prior to the appointment.

3

Staying Hydrated

Stop consuming liquids 1 hour before the appointment. Make sure to stay hydrated and drink plenty of water before, especially if the patient is receiving a PRP injection.

4

Blood Thinning Medications

Do not take blood thinning medications including, but not limited to, aspirin, advil, motrin, ibuprofen, naproxen, and aleve 7 days prior.

See comprehensive list of blood-thinning medications
  • Warfarin (Coumadin, Jantoven)
  • Apixaban (Eliquis)
  • Rivaroxaban (Xarelto)
  • Dabigatran (Pradaxa)
  • Edoxaban (Savaysa)
  • Heparin (Hep-Lock)
  • Enoxaparin (Lovenox)
  • Dalteparin (Fragmin)
  • Tinzaparin (Innohep)
  • Fondaparinux (Arixtra)
  • Aspirin (Bayer, Ecotrin, Excedrin)
  • Clopidogrel (Plavix)
  • Prasugrel (Effient)
  • Ticagrelor (Brilinta)
  • Dipyridamole (Persantine)
  • Dipyridamole + ASA (Aggrenox)
  • Ibuprofen (Advil, Motrin)
  • Naproxen (Aleve)

Important Note on Medications

If you are on any prescribed blood thinning medications (Plavix, Coumadin, Aggrenox, Lovenox, Xarelto, Aspirin) please notify our office so that we may give you specific instructions.These changes must be approved by your prescribing doctor (PCP, cardiologist, neurologist, etc.).

General Medication Guidelines:

Plavix - Plavix - Stop for 7 days prior to appointment. You will need clearance from your cardiologist if you have cardiac stents in place.
Coumadin - Coumadin - Stop 5 days prior to appointment with an INR drawn the day before your appointment.
Aggrenox - Aggrenox - Stop 7 days prior to appointment.
Lovenox - Lovenox - Stop 24 hours prior to appointment.
Xarelto - Xarelto - Stop 3 days prior to appointment.
Aspirin - Aspirin - For cervical injections, stop 7 days prior. No need to stop before lumbar procedures.
Anti-inflammatory (Motrin, ibuprofen, Advil, Alleve, etc.) - Anti-inflammatory (Motrin, ibuprofen, Advil, Aleve, etc.) - For cervical injections, stop 7 days prior.

Questions or Concerns?

If you have any questions about these instructions or need to discuss your medications, please contact our office.

(408) 356-5900
mindandbodypain@gmail.com
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