Manuel A. Lopez, MD, FACS

Board Certified Facial Plastic Surgeon

(210) 495-5771 (LPS1)
(210) 495-2367          
Lopez Plastic Surgery
1314 E. Sonterra Blvd, Suite 5104
San Antonio, Texas 78258

Medications to Avoid Before and After Surgery

If you are taking any medications on this list, they should be discontinued 14 days prior to surgery and Tylenol should be taken for pain. All other medications that you are currently taking must be specifically cleared by Dr. Lopez prior to surgery. It is absolutely necessary that all of your current medications be specifically cleared by Dr. Lopez and his staff.

 

Aspirin Medications to Avoid

4-Way Cold Tabs 5-Aminosalicylic
Acid
Acetylsalicylic
Acid
Aspirin by-products Alka-Seltzer   products Amigesic
Anacin products Anexsia   w/Codine Argesic-SA
Arthra-G Arthriten   products Arthritis   Foundation products
Arthritis Pain   Formula Arthritis   Strength BC Powder Arthropan
ASA Asacol Ascriptin   products
Aspergum Asprimox   products Axotal
Azdone Azulfidine   products B-A-C
Backache   Maximum Strength Relief Bayer Products BC Powder
Bismatrol   products Buffered   Aspirin Bufferin   products
Buffetts 11 Buffex Butal/ASA/Caff
Butalbital   Compound Cama Arthritis   Pain Reliever Carisoprodol   Compound
Cheracol Choline   Magnesium Trisalicylate Choline   Salicylate
Cope Coricidin Cortisone   Medications
Damason-P Darvon   Compound-65 Darvon/ASA
Dipentum Disalcid Doan’s products
Dolobid Dristan Duragesic
Easprin Ecotrin   products Empirin   products
Equagesic Excedrin products Fiorgen PF
Fiorinal   products Gelpirin Genprin
Gensan Goody’s Extra   Strength Headache
Powders
Halfprin   products
Isollyl   Improved Kaodene Lanorinal
Lortab ASA Magan Magnaprin   products
Magnesium   Salicylate Magsal Marnal
Marthritic Meprobamate Mesalamine
Methocarbamol Micrainin Mobidin
Mobigesic Momentum Mono-Gesic
Night-Time   Effervescent Cold Norgesic   products Norwich   products
Olsalazine Orphengesic   products Oxycodone
Pabalate   products P-A-C Pain Reliever   Tabs
Panasal Pentasa Pepto-Bismol
Percodan   products Phenaphen/Codeine   #3 Pink Bismuth
Propoxyphene   Compound products Robaxisal Rowasa
Roxeprin Saleto products Salflex
Salsalate   Salsitab Salsalate Salsitab
Scot-Tussin   Original 5-Action Sine-off Sinutab
Sodium   Salicylate Sodol Compound Soma Compound
St. Joseph   Aspirin Sulfasalazine Supac
Suprax Synalgos-DC Talwin
Triaminicin Tricosal Trilisate
Tussanil DH Tussirex   products Ursinus-Inlay
Vanquish Wesprin Willow Bark   products
Zorprin

 

Ibuprofen Medications to Avoid

Actron Acular   (opthalmic) Advil products
Aleve Anaprox   products Ansaid
Cataflam Clinoril Daypro
Diclofenac Dimetapp Sinus Dristan Sinus
Etodolac Feldene Fenoprofen
Flurbiprofen Genpril Haltran
IBU Ibuprin Ibuprofen
Ibuprohm Indochron E-R Indocin products
Indomethacin   products Ketoprofen Ketorolac
Lodine Meclofenamate Meclomen
Mefenamic Acid Menadol Midol products
Motrin products Nabumetone Nalfon products
Naprelan Naprosyn   products Naprox X
Naproxen Nuprin Ocufen   (opthalmic)
Orudis products Oruvail Oxaprozin
Piroxicam Ponstel Profenal
Relafen Rhinocaps Sine-Aid   products
Sulindac Suprofen Tolectin   products
Tolmetin Toradol Voltaren

 

Other Medications to Avoid

4-Way w/   Codeine A.C.A. A-A Compound
Accutrim Actifed Anexsia
Anisindione Anturane Arthritis   Bufferin
BC Tablets Childrens Advil Clinoril C
Contac Coumadin Dalteparin   injection
Dicumerol Dipyridamole Doxycycline
Emagrin Enoxaparin   injection Flagyl
Fragmin   injection Furadantin Garlic
Heparin Heparin   Hydrocortisone Isollyl
Lovenox   injection Macrodantin   Mellaril Mellaril
Miradon Opasal Pan-PAC
Pentoxyfylline Persantine Phenylpropanolamine
Prednisone Protamine Pyrroxate
Ru-Tuss Salatin Sinex
Sofarin Soltice Sparine
Stelazine Sulfinpyrazone Tenuate
Tenuate Dospan Thorazine Ticlid
Ticlopidine Trental Ursinus
Vibramycin Vitamin E Warfarin

 

Tricyclic Antidepressants Medications to   Avoid

Adapin Amitriptyline Amoxapine
Anafranil Asendin Aventyl
Clomipramine Desipramine Doxepin
Elavil Endep Etrafon   products
Imipramine Janimine Limbitrol   products
Ludiomil Maprotiline Norpramin
Nortriptyline Pamelor Pertofrane
Protriptyline Sinequan Surmontil
Tofranil Triavil Trimipramine
Vivactil

VITAMINS/HERBAL SUPPLEMENTS: The vitamins and herbal supplements can cause abnormal bleeding problems and can affect your cardiovascular system. Below is a list of herbal supplements/vitamins that may affect surgical outcome and safety. These vitamins/herbal supplements should be avoided for at least four weeks prior to surgery.

Dong Quai
Gingko Biloba
St. John’s Wort (all types)
Echinacea
Ginseng
Valerian
Ephedra
Glucosamine
Feverfew
Goldenseal
Vitamin E (more than 400 IU daily)
Fish Oils (Omega‐3 Fatty acids)
Kava
Garlic
Licorice

DIET PILLS: Patients having surgery must discontinue any diet pills for at least 2 weeks prior to surgery. This includes but is not limited to Phentermine, Reduze, Ephedra (any type), and both Prescription and Over‐the‐counter Non‐Prescription Diet Pills.  Please let Dr. Lopez know if you have any questions about this policy, but the unknown risks of these substances (however small they may be) are simply not worth it when having an elective procedure.

NICOTINE PRODUCTS: Nicotine reduces the blood flow to the skin any may impair healing. Quitting smoking drastically improves the body’s response to surgery. In order to be scheduled for an elective procedure, Dr. Lopez requires cessation of all nicotine products listed below for six before surgery and six weeks after surgery.

Nicotine Gum
Cigarettes/Cigar
Patches

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