Prior to your surgery or procedure, some medicines may need to be stopped or reviewed by your Anaesthetist, GP or other medical specialist. During your pre operative consultation you MUST advise your anaesthetist of all medication recently used or currently being taken.

10-14 Days before Surgery

The following medicines should be reviewed at least 10 days before surgery. It is not uncommon for these to be continued through the operative period in many instances, but this will depend on the nature of the operation and your individual circumstances.

Pain relief or Anti-inflammatories

  • Aspirin (low dose Aspirin Astrix, Cardiprin, Cartia, DBl Aspirin, Solprin)

Previously Aspirin has been advised to be ceased pre operatively. This is no longer strictly applied. Hence this drug can be continued in most cases. However, as a precaution you should discuss continuing or stopping this drug with your GP, anaesthetist or surgeon.

Be aware that Aspirin is contained in many medications including those for coughs and colds. If in doubt please read the product labelling or speak to a pharmacist.

  • Piroxicam (Candyl, DBl Piroxicam, Feldene, Mobilis, Rosig, Pirohexal. Tenoxicam (Tilcoti)
  • Clopidigrel (Iscover, Plavix)

If you are taking this drug, its use MUST BE REVIEWED PRE-OPERATIVELY! The decision to cease or continue this drug will be made on an individual basis. Accordingly you MUST review this medication with your Anaesthetist, GP or other medical specialist at least 10 days before surgery.

  • Natural Health or Herbal Medicines

These medications should be stopped 7-14 days before surgery.
Some herbal medicines may be unsafe prior to surgery. These include: echinacea, ephedra, garlic, gingko, ginseng, kava, St. John’s wort and valerian.

PLEASE NOTE THAT PARACETOMOL (Panadol) can be continued without interruption.

Three Days before Surgery

The following should be stopped at least 3 days before surgery:


  • Diclofenac (Arthrotec, Diclohexal, Dinac, Fenac, Voltaren)
  • Diflunisal (Dolobid)
  • Ibobrufen (Act 3, Nurofen, Brufen, Generic Ibuprofen, Rafen, Triprofen, Actiprofen)
  • Indomethicin (Arthrexin, Indocid, Indospray)
  • Ketoprofen ( Orudis, Oruvail, Orudis Gel)
  • Ketorolac (Toradol)
  • Mefanamic Acid (Mefic, Ponstan)
  • Naproxen ( Inza, Proxen, Naprosyn)
  • Naproxen Sodium ( Aleve, Anaprox, Crysanol, Naprogesic, Genberic Naproxen)
  • Sulindac (Aclin, Clinoril)
  • Tiaprofenic Acid (Surgam)


Warfarin (Coumadin, Marevan)

  • This drug will need to be CEASED PRIOR TO NEARLY ALL SURGERY (except cataract surgery). This MUST be organised well before your operation and your surgeon and prescribing doctor MUST be involved in planning this stoppage. Injections may need to be organised to replace the Warfarin in the peri- operative period.


The Day of Surgery

Medicines that YOU need to speak to your Anaesthetist and Surgeon about.

  • Aspirin (low dose Aspirin Astrix, Cardiprin, Cartia, DBl Aspirin, Solprin)
  • Clopidigrel (Iscover, Plavix)
  • Accutane (Isotretinoin)
  • Dipyridamole (Asasantin, Persantin)
  • Diabetic medication & Insulin

You will almost certainly be required to fast on the day of surgery. This will impact on the management of your Diabetes, regardless of type. You MUST discuss any alteration to your diabetic drug therapy with your Diabetic medical specialist, Anaesthetist or GP before the day of surgery.

Take all other medicines as prescribed unless advised otherwise by your doctor.

  • Providing a pre-written detailed list of your medications (including dosages and timing) is a very good idea and will facilitate the proper ongoing management of your drug treatment(s) before during and after your operation or procedure.

If you have any queries or concerns regarding your medications you MUST contact us.