Pre-op Instructions

Before surgery

  • Please do not take any medications up to 15 days before surgery Unless Dr. Urzola approves them. This includes those medications used for pain, headaches, colds, and those containing aspirin. If you take aspirin 15 days before your procedure, we will have to cancel the surgery.
  • Let us know if you are taking or have taken any medication to regulate blood pressure, blood clotting, heart conditions, treat diabetes, rheumatism, nervousness, depression, mental illness, birth control pills, tea, herbs, vitamin supplements, or drugs.
  • Please notify our office of any change of health (colds, infections, diarrhea).
  • Do not smoke for one month before surgery.
  • Do not drink alcoholic beverages one week before your surgery.
  • Eat healthily and build your immune system.
 

Day before surgery

  • Eat light. Do not take anything by mouth, food, or liquids (Total Fasting) eight hours before your surgery. For example: if your surgery is scheduled at 8:00 am, you shouldn’t drink or eat anything after midnight. If you need to take any prescribed medication allowed by Dr. Urzola on the morning of the surgery, do so with the smallest amount of water possible.
  • Wash your hair
  • Remove all piercings or rings that you might have the day before the surgery.
  • Do not eat or drink eight hours before your surgery. If you need to take any prescribed medication allowed by Dr. Urzola on the morning of the surgery, do so with the smallest amount of water possible.
  • You must go to Admissions as instructed by our personnel no less than one hour before surgery. At this time, all documents previously sent to your email by our staff must be completed and signed the day before the surgery. These documents must be read and understood before signing them.
  • Dress with comfortable and functional clothing, don’t wear makeup or jewelry, and remove all nail polish.
  • You must remove all metal objects (watches, rings, earrings, bracelets, piercings, etc.). It is best to leave this at the hotel or recovery center where you are staying.

The day of the Surgery

  • It would be best if you took a good shower with anti-bacterial soap. Extreme hygiene helps to prevent postoperative infections.
  • Do not bring valuables. Don’t bring any bags, luggage, or personal shopping bags with you on the day of the intervention; these must be kept at the hotel or recovery center that you are staying at.
  • Bring your purse in case there is something to pay for when the surgery is over. Remember that the OR fees are an estimated cost, it may be the amount quoted, or it can be a little more.

Medications to Avoid

LIST OF MEDICATIONS TO AVOID AT LEAST 3 WEEKS BEFORE SURGERY AND 3 WEEKS AFTER SURGERY

4-Way Cold Tablets
Acetilsalicylic Acid Actron
Acutrim
Adprin-B products Advil
Advil Cold & Sinus Aleve
Alka-Seltzer Amigesic
Anacin
Anaprox
Anexsia w/Codeine Ansaid
Arthra-G
Arthriten products
Arthritis Foundation Products
Arthritis Pain Formula
Arthritis Strength BC Powder
Arthropan
ASA
Asacol
Ascriptin products
Aspercreme
Aspergum
Asprimox products
Axotal
Azdone
Azulfidine products
B-A-C
Backache Formula
Bayer Aspirin
BC Cold and Sinus
BC Powder/Tablets
Beffex
Ben-Gay
Bismatrol products
Buffaprin
Buffered aspirin
Bufferin
Buffets II
Buffex
Butal/ASA/Caff
Butalbital Compound

Pabalate products

Pain Reliever Tabs
Pamprin
Panalgesic
Panasal
Pentasa
Pepto-Bismol
Percodan
Persantine (Dipyridamole)
Phed Fast
Phenaphen/Codeine #3
Phen
Piroxicam
Quiet World Analgesic
Relafen
Rhinocaps
Robaxisal
Rowasa
Roxeprin
Saleto-D
Salflex

Cama
Carisoprodol Compound
Cataflam
Cheracol
Choline Magnesium Trisalicylate
Choline Salicylate
Clinoril
Colcin
Cope
Coricidin Tablets Coumadin (Warfarin)
Damason-P
Darvon Compound-65
Darvon/ASA
Daypro
Deep-down Pain Rub Relief
Dexatrim
Diclofenac
Dicumarol
Diet Pills
Dimetapp Sinus Dipenturn
Disalcid
Doan’s
Dolobid
Dristan
Dristan Sinus Duragesic
Easprin
Ecotrin
Empirin
Entab-650
Enteric Coated Aspirin
Equagesic
Etodolac
Excedrin
Feldene
Fiorgen PF
Fiorinal
Flurbiprofen
Gelpirin
Gemnisyn
Genprin
Gensan

Salicylate products
Salsalate
Salsitab
Scot-Tussin
Sine-Aid IB
Sine-Off
Sinutab
Sodium Salicylate
Sodol Compound
Soltice Quick Rub
Soma Compound
St. Joseph Aspirin
St. Joseph Cold Tablets
Stanback Headache Powder
Sulfasalazine
Supac
Suprax
Synalgos-DC

Goody’s Headache Power
Halfprin products
Heet Analgesic Liniment
IBU
Ibuprofen
Indomethacin products
InfraRUB Analgesic Cream
Isollyl
Improved Kaodene
Lanorinal
Lobac
Lodine
Lortab ASA
MAO Inhibitors Magan
Magnaprin Salicylate
Magsal
Marthritic Mefenamic Acid
Mentholatum Deep Heating
Meprobamate Mesalamine
Methocarbarnol Micrainin
Midol
Mobidin
Mobigesic
Mobisyl Analgesic Crème
Momentum Muscular Mono-Gesic Backache Formula
Motrin
Motrin IB Sinus
Myoflex Creme Nalfon
Naprelan
Naprosyn
Naproxen
Night-Time Effervescent Cold
Norgesic/Norgesic Forte
Norwich products
Olsalazine
Omega-3 or Fish Oils
Orphengesic products
Orudis
Oxycodone

Ticlid
Toradol
Triaminicin
Tricosal
Trilisate
Tussanil DH
Tussirex products
Ursinus Inlay Tablets
Vanquish Aspirin Tablets
Vira-Med Tablets
Vitamin E Tablets
Voltaren
Warfarin
Wesprin
Willow bark products
Zorprin

Herb/Supplement Precautions Prior to Surgery To Avoid Problems with: ​

Avoid for 2 weeks prior to surgery:

Also:

  •  Discontinue use of Aspirin or aspirin products for 3 weeks prior to surgery.
  •  Consult your surgeon if you are using pain patches or any pain management medication before you continue to take the medication.
  • This is not a complete list of medications or supplements that should be avoided before surgery.
  • If you are currently taking any medications on an occasional basis, consult your physician or anesthesiologist.
  • Anti-inflammatory medications, medications containing aspirin, or MAO inhibitors should also be avoided.

Bleeding:

  • Bilberry
  • Cat’s Claw (Saventaro)
  • Feverfew
  • Garlic
  • Ginger
  • Ginkgo biloba
  • Omega 3 Oil, i.e. fish oil supplements, flaxseed oil, hemp oil
  • Red Clover
  • Vitamin C in doses greater than 4 gms per day
  • Vitamin E in doses greater than 400 IU per day
  • Cat’s Claws/Saventaro

Anesthesia:

Avoid for one (1) week prior to surgery:

  • Ephedra
  • Kava Kava
  • Lavendar
  • Lemon Balm
  • Licorice
  • Passion Flower
  • Skull Cap
  • St. John’s Wort
  • Valerian
  • Yohimbe

Other Problems:

  • Aloe – may cause low potassium levels
  • Ginseng – may cause hypertension and rapid heart rate and may decrease the effectiveness of certain anti-clotting agents.
  • Goldenseal – may worsen swelling and/or high blood pressure
  • Niacin – may increase liver function tests.
  • PC-SPES – may increase the risk of blood clots

Medications in General to Avoid

  • Amigesic (salsatate)
  • Disalcid (salsalate)
  • Doan’s (magnesium salicylate)
  • Dolobid (diflunisal)
  • Magsal
  • Pamprin (Maxium pain relief)
  • Amigesic (salsatate)
  • Disalcid (salsalate)
  • Doan’s (magnesium salicylate)
  • Dolobid (diflunisal)
  • Magsal
  • Pamprin (Maxium pain relief)
  • Mobigesic
  • Pabalate
  • Pepto-Bismol (bismuth subsalicylate)
  • Salflex (salalate)
  • Salsalate
  • Salsitab
  • Trilisate (choline salicylate, magnesium salicylate)

Ibouprofen Medications in General to Avoid

• Acular
• Ansaid
• Dimetapp Sinus
• Fenoprofen
• Indochron E-R
• Ketorolac
• Meclofenamate
• Midol-products
• Naprosyn products
• Ocufen (ophthalmic)
• Ponstel
• Rhinocaps
• Suprofen
• Torodal

  • Advil products
  • Clinoril
  • Dristan sinus
  • Genpril
  • Indocin products
  • Ibuprin
  • Meclomen
  • Nabumetone
  • Naprox X
  • Oruvail
  • Profenal
  • Sine-aid products
  • Tolectin products
  • Voltaren

• Anaprox products
• Daypro
• Feldene
• Haltran
• Ketoprofen
• Ibuprofen
• Menadol
• Nalfon products
• Nuprin
• Oxaprozin
• Ralafen
• Sulindac
• Tolmetin

Other Medications in General to Avoid

• 4-way codeine
• A.C.A
• A-A Compound
• Accutrim
• Actifed
• Anexsia
• Anisindione
• Anturane
• Arthritis bufferein
• BC Tablets
• Childrens advil
• Clinoril C
• Contac
• Coumadin
• Dalteparin injection
• Dicumerol
• Dupyridamole
• Doxycycline
• Emagrin
• Enoxaparin injection
• Flagyl

  • • Fragmin injection
    • Furadantin
    • Garlic
    • Heparin
    • Hydrocortisone
    • Isoityl
    • Levenox injection
    • Macrodantin

    • Mellaril
    • Miradon
    • Opasal
    • Pan-pac
    • Pentoxyfylline
    • Persantine
    • Phenylpropanolamine
    • Prednisone
    • Protarnine
    • Pyrroxate

• Ru-tuss
• Salatin
• Sinex
• Sofarin
• Soltice
• Sparine

• Stelazine
• Sulfinpyrazone
• Tenuate
• Tenuate dospan
• Thorizine
• Ticlid
• Ticlopidine
• Trental
• Ursinus
• Vibramycin
• Vitamin E
• Warfarin