Aspirus shines light on ‘critical role’ of medication management before surgery

WISCONSIN – Aspirus Health recently provided information on managing medications before surgery.

“Managing medications before surgery is a vital step to ensure patient safety and a smooth recovery,” Aspirus stated in a release. “Certain medications can increase the risk of complications, such as excessive bleeding, blood clots or unexpected reactions during the procedure. Understanding which medications to stop – or adjust – is a critical part of surgical preparation.” 

“Medications can alter how your body works and increase your risk of complications during surgery,” explained Olivia Bishop, a pharmacy resident at Aspirus Health. “That’s why it’s so important to know which medications to stop and when.” 

Aspirus said ome drugs, such as those used for diabetes and weight loss, can delay how quickly the stomach empties. This can leave food in the stomach even after fasting, increasing the risk of regurgitation or choking during surgery. Similarly, blood-thinning medications, such as anticoagulants, can heighten the risk of excessive bleeding if not properly managed. 

Herbal supplements and over-the-counter (OTC) medications can also increase the risk of complications if not stopped before surgery. According to the National Center for Biotechnology Information (NCBI), supplements like ginkgo biloba, garlic and melatonin may increase bleeding risks, especially when combined with certain medications.

“Patients are generally advised to stop these supplements at least two weeks prior to surgery, or as directed by their provider, to reduce the risk of complications,” Aspirus said.

“If you take anticoagulants, herbals or supplements, it’s important to talk to your provider,” Bishop stated. “We want to ensure you aren’t putting yourself at an increased risk of bleeding.” 

Patients typically receive detailed pre-operative instructions that outline which medications to stop and when.

“If instructions are unclear or missing, Aspirus Health experts urge patients to contact their surgeon or healthcare provider for clarification,” Aspirus said.

“Some medications might be more dangerous to stop suddenly,” Bishop stated.

Aspirus said medications like antidepressants, anti-anxiety drugs and certain blood pressure treatments may need to be continued or gradually tapered off under a doctor’s supervision.

“It’s always better to ask your surgeon or health care provider and get clear guidance,” he noted. 

“Proactively discussing your medications with your health care team is one of the best ways to ensure a safe and smooth surgical experience,” Aspirus stated.