Medicines to Avoid Before Surgery Vietnamese Giaùo Duïc Beänh Nhaân Trung Taâm Chuyeân Kkoa Giaûi Phaãu Thuoác Caàn Traùnh Tröôùc Khi Giaûi Phaãu Khi baùc só cuûa quyù vò baûo quyù vò traùnh caùc loaïi thuoác hoaëc thuoác boå cuï theå tröôùc khi giaûi phaãu laø ñeå ngaên ngöøa vieäc bò ra maùu Ñeå chuaån bò cho buoåi giaûi phaãu hoaëc thuû thuaät cuûa quyù vò, baùc só cuûa quyù vò ñaõ yeâu caàu quyù vò traùnh moät soá caùc loaïi thuoác cuï theå, bao goàm thuoác aspirin vaø caùc saûn phaåm gioáng nhö thuoác aspirin, vaø caùc loaïi thuoác hoaëc thuoác boå khaùc. Baûn naøy lieät keâ caùc thuoác vaø thuoác boå (teân hieäu chung vaø caùc nhaõn hieäu noåi tieáng) maø quyù vò neân traùnh ñeå ngaên ngöøa vieäc bò ra maùu. Xin quyù vò vui loøng xem qua vôùi baùc só cuûa quyù vò taát caû caùc loaïi thuoác maø quyù vò ñang duøng. Chuaån Bò Cho Buoåi Giaûi Phaãu Baùc só cuûa quyù vò muoán quyù vò ngöng duøng thuoác aspirin, caùc saûn phaåm gioáng nhö thuoác aspirin, hoaëc caùc chaát choáng vieâm söng khoâng thuoäc loaïi steroid. Baûn naøy lieät keâ caùc loaïi thuoác vaø thuoác boå cuï theå ñeå traùnh tröôùc vaø sau khi giaûi phaãu hoaëc thuû thuaät. Ngöng duøng caùc saûn phaåm naøy ngaøy tröôùc khi coù buoåi thuû thuaät. Quyù vò coù theå tieát tuïc duøng caùc saûn phaåm naøy ngaøy sau buoåi thuû thuaät. Quyù vò coù theå ñöôïc duøng thuoác axeâtaminoâphen (hieäu Tylenol) cho caùc ñau nhöùc nheï khi caàn. Cuøng baùc só cuûa quyù vò xem qua taát caû caùc loaïi thuoác vaø thuoác boå maø quyù vò ñang duøng. Baûn lieät keâ trong baûn naøy khoâng hoaøn toaøn ñaày ñuû. Caùc saûn phaåm hoaëc thuoác boå khaùc cuõng coù theå laøm cho chaûy maùu. Ghi chuù quan troïng daønh cho beänh nhaân naøo coù ñaët oáng giaõn maïch hoaëc coù giaûi phaãu tim trong naêm tröôùc: Xin noùi vôùi baùc só tim maïch cuûa quyù vò tröôùc khi quyù vò ngöng duøng baát cöù saûn phaåm aspirin naøo hoaëc thuoác clopidogrel (hieäu Plavix). Fred Hutchinson Cancer Research Center UW Medicine Seattle Children's
Trang 2 Trung Taâm Chuyeân Kkoa Giaûi Phaãu Thuoác Caàn Traùnh Tröôùc Khi Giaûi Phaãu Traùnh Caùc Saûn Phaåm Naøy Trong Vaøi Ngaøy Tröôùc Vaø Sau Khi Giaûi Phaãu Nhö Baùc Só Quyù Vò Ñaõ Chæ Daãn Caùc thuoác mua theo toa coù aspirin hoaëc caùc chaát salicylate khaùc: Amigesic Ascomp vôùi codeine Alor Hôïp Chaát Carisoprodol Hôïp Chaát Darvon 65 diflunisal Dolobid Empirin vôùi codeine Fiornal Lobac Lortab ASA Magan Magsal Mobidin Monogesic Norgesic Novasal Orphengesic Panasol Saûn phaåm coù chaát percodan Roxiprin Salflex Saûn phaåm coù chaát salsalate Salsitab Saûn phaåm coù chaát soma Synalgos-DC Hôïp chaát talwin Trilisate Saûn phaåm coù chaát trisalicylate Zorprin Caùc thuoác mua theo toa baùc só coù chaát choáng vieâm söng khoâng thuoäc loaïi steroid (nhaõn hieäu naèm trong ngoaëc ñôn): diclofenac (Voltaren, Cataflam) etodolac (Lodine) fenoprofen (Nalfon) flurbiprofen (Ansaid) ibuprofen (Motrin) indomethacin (Indocin) ketoprofen (Orudis, Oruvail) ketorolac (Toradol) Caùc thuoác khaùc mua theo toa baùc só: celecoxib (Celebrex) cilastozol (Pletal) clopidogrel (Plavix) dipyridamole (Persantine) meclofenamate (Meclomen) mefenamic acid (Ponstel) nabumetone (Relafen) oxaprozin (Daypro) piroxicam (Feldene) sulindac (Clinoril) tolmetin (Tolectin) naproxen (Naprosyn, Anaprox) dipyridamole/aspirin (Aggrenox) valdecoxib (Bextra) ticlopidine (Ticlid)
Trang 3 Trung Taâm Chuyeân Kkoa Giaûi Phaãu Thuoác Caàn Traùnh Tröôùc Khi Giaûi Phaãu Caùc thuoác mua khoâng caàn toa baùc só coù chaát aspirin hoaëc salicylate: Caùc thuoác Alka-Seltzer Anacin Arthropan Ascriptin Aspergum Asprimox Caùc saûn phaåm cuûa Bayer Bufferin Doans Ecotrin Empirin Caùc saûn phaåm cuûa Excedrin Halfprin Mobigesic Pepto-Bismol Saleto Vanquish Caùc thuoác mua khoâng caàn toa coù caùc chaát choáng vieâm söng khoâng thuoäc loaïi steroid: Saûn phaåm cuûa Advil Saûn phaåm cuûa Aleve Dristan Sinus Coumadin (Warfarin) Xin hoûi baùc só cuûa quyù vò: Haltran Saûn phaåm coù chaát ibuprofen Menadol Midol Extra Strength Motrin naproxen Quyù vò caàn ngöng duøng thuoác naøy bao nhieâu ngaøy TRÖÔÙC KHI giaûi phaãu. Xem quyù vò coù caàn phöông phaùp trò lieäu giaùn ñoaïn (ngaén haïn) baèng thuoác tieâm choáng ñoâng maùu (laøm loaõng maùu) nhö laø heparin, hoaëc loaïi heparin coù troïng löôïng phaân töû thaáp nhö laø enoxaparin (Lovenox) hay khoâng. Caùc Saûn Phaåm Döôïc Thaûo vaø Caùc Loaïi Thuoác Boå Ñoâng Y Khaùc Ngöng duøng TAÁT CAÛ caùc saûn phaåm ñoâng y, döôïc thaûo, thuoác boå, vaø caùc thuoác boå khaùc 7 ngaøy tröôùc khi giaûi phaãu. Quyù vò coù theå tieáp tuïc duøng khi baùc só quyù vò cho pheùp. Treân trang keá laø phaàn lieät keâ caùc döôïc thaûo vaø caùc chaát khaùc ñaëc bieät nguy hieåm neáu duøng khi quyù vò saép coù giaûi phaãu vì caùc chaát ñoù coù theå laøm chaûy maùu nhieàu hôn.
Trung Taâm Chuyeân Kkoa Giaûi Phaãu Thuoác Caàn Traùnh Tröôùc Khi Giaûi Phaãu Coù thaéc maéc? Caùc thaéc maéc cuûa quyù vò ñeàu quan troïng. Xin goïi cho baùc só cuûa quyù vò hoaëc chuyeân vieân y teá neáu quyù vò coù thaéc maéc hoaëc quan ngaïi. Ban nhaân vieân cuûa y vieän UWMC vaø SCCA cuõng coù maët ñeå giuùp ñôõ. Döôïc Phoøng Beänh Nhaân Ngoaïi Truù UWMC: 206-598-4363 Döôïc Phoøng SCCA: 206-288-6500 Caùc thuoác boå ñoâng y vaø döôïc thaûo coù theå gaây chaûy maùu: long nha thaûo coû linh laêng tieåu hoài hoaøng cuùc ngaûi cöùu heï AÁn ñoä taêng thaûo rong bieån Nam phi thaûo caây thuûy nöõ hoa taùn thaûo ngöu baøng tinh chaát ôùt cassio hoät caàn taây cuùc cam kyû töû thuoác boå gaân chondroitin ñinh höông daàu gan caù khoaûn ñoâng thaûo döôïc hoï thôm boà coâng anh ñan saâm coû vöøng steroid loaïi dihydroepiandrosteroe (DHEA) baïch chæ coû ca-ri cuùc lieân daàu caù hoät lanh axít gama-loâ-ích toûi göøng baïch quaû nhaân saâm thuoác boå gaân glucosamine deû ngöïa caây caûi ngöïa cam thaûo caây raâu deâ kích thích toá melatonin vi khuaån melilot töông hoät Nhaät haønh sinh toá pantethine tinh daàu ñu ñuû ngoø taây laïc tieân caây döông taàn bì gai baïch moäc coû ba laù hoa ñoû chaát khaùng sinh resveratrol nhoùt bieån coû ba laù ngoït caây söõa ñoâng ñaäu höông cuû ngheä chaát vinpocetine vitamin E caø-roát daïi dieáp daïi voû caây lieãu chaát saùp policosanol Seattle Cancer Care Alliance is a collaboration of Fred Hutchinson Cancer Research Center, UW Medicine and Seattle Children s. UWMC Surgical Specialties Center Box 356165 1959 N.E. Pacific St. Seattle, WA 98195 University of Washington Medical Center Medicines to Avoid Before Surgery Vietnamese 06/2003 Rev. 03/2010 Reprints on Health Online: http://healthonline.washington.edu
Patient Education Surgical Specialties Center Medicines to Avoid Before Surgery When your doctor tells you to avoid certain medicines or supplements before surgery, to prevent bleeding problems To prepare for your surgery or procedure, your doctor has asked you to avoid certain medicines, including aspirin and aspirin-like products, and other medicines or supplements. This handout lists medicines and supplements (by generic and trade names) that you should avoid to prevent bleeding problems. Please review with your doctor all medicines that you are taking. Preparing for Surgery Your doctor wants you to stop taking aspirin, aspirin-like products, or non-steroidal anti-inflammatory agents. This handout lists specific medicines and supplements to avoid before and after your surgery or procedure. Stop taking these products days before your procedure. You may resume taking these products days after your procedure. You may take acetaminophen (Tylenol) as needed for minor aches and pains. Review with your doctor all medicines and supplements that you are taking. The lists in this handout are not complete. Other products or supplements may also cause bleeding problems. Important note for patients who have had cardiac stents or other heart surgery in the past year: Talk with your cardiologist (heart doctor) before you stop taking any aspirin product or clopidogrel (Plavix).
Page 2 Surgical Specialties Center Medicines to Avoid Before Surgery Avoid these Products in the Days Before and After Surgery as Indicated by Your Doctor Prescription products with aspirin or other salicylates: Amigesic Ascomp with codeine Alor Carisoprodol Compound Darvon Compound 65 diflunisal Dolobid Empirin with codeine Fiornal Lobac Lortab ASA Magan Magsal Mobidin Monogesic Norgesic Novasal Orphengesic Panasol Percodan products Roxiprin Salflex salsalate products Salsitab Soma products Synalgos-DC Talwin Compound Trilisate trisalicylate products Zorprin Prescription products with these nonsteroidal anti-inflammatory agents (brand name in parentheses): diclofenac (Voltaren, Cataflam) etodolac (Lodine) fenoprofen (Nalfon) flurbiprofen (Ansaid) ibuprofen (Motrin) indomethacin (Indocin) ketoprofen (Orudis, Oruvail) ketorolac (Toradol) meclofenamate (Meclomen) mefenamic acid (Ponstel) nabumetone (Relafen) naproxen (Naprosyn, Anaprox) oxaprozin (Daypro) piroxicam (Feldene) sulindac (Clinoril) tolmetin (Tolectin) Other prescription drugs: celecoxib (Celebrex) cilastozol (Pletal) clopidogrel (Plavix) dipyridamole (Persantine) dipyridamole/aspirin (Aggrenox) valdecoxib (Bextra) ticlopidine (Ticlid)
Page 3 Surgical Specialties Medicines to Avoid Before Surgery Nonprescription products with aspirin or salicylates: Alka-Seltzer products Anacin Arthropan Ascriptin Aspergum Asprimox Bayer products Bufferin Doans Ecotrin Empirin Excedrin products Halfprin Mobigesic Pepto-Bismol Saleto Vanquish Nonprescription products with nonsteroidal anti-inflammatory agents: Advil products Aleve products Dristan Sinus Haltran ibuprofen products Menadol Midol Extra Strength Motrin naproxen Coumadin (Warfarin) Ask your doctor: How many days BEFORE your surgery to stop taking this drug. If you need bridge (short-term) therapy with an injectable anticoagulant (blood-thinner) such as heparin, or a low molecular weight heparin such as enoxaparin (Lovenox). Herbal Products and Other Natural Supplements Stop taking ALL natural products, herbal medicines, vitamins, and other supplements 7 days before your surgery. They may be resumed when your doctor says it is OK. On the next page are herbs and other supplements that are especially harmful to take if you are having surgery because they can cause extra bleeding.
Surgical Specialties Center Medicines to Avoid Before Surgery Questions? Your questions are important. Call your doctor or health care provider if you have questions or concerns. UWMC and SCCA clinic staff are also available to help. UWMC Outpatient Pharmacy: 206-598-4363 SCCA Pharmacy: 206-288-6500 Natural supplements and herbs that may cause bleeding problems: agrimony alfalfa aniseed arnica artemesia asa foetica bishop s weed bladderwrack bochu bogbean boldo bromelains burdock capsicum cassio celery seed chamomile Chinese wolfberry chondroitin clove cod liver oil coltsfoot dandelion danshen (salvia) devil s claw dihydroepiandrosteroe (DHEA) dong quai (angelica) fenugreek feverfew fish oil flax seed gamma linoleic acid garlic ginger ginkgo ginseng glucosamine horse chestnut horseradish licorice meadowsweet melatonin melilot nattokinase onion pantethine papain (papaya extract) parsley passionflower policosanol poplar prickly ash quassia red clover resveratrol sea buckthorn sweet clover sweet woodruff tonka beans turmeric vinpocetine vitamin E wild carrot wild lettuce willow bark UWMC Surgical Specialties Center Seattle Cancer Care Alliance is a collaboration of Fred Hutchinson Cancer Research Center, UW Medicine and Seattle Children s. Box 356165 University of Washington Medical Center 1959 N.E. Pacific St. Seattle, WA 98195 06/2003 Rev. 03/2010 Reprints on Health Online: http://healthonline.washington.edu