What medications need to be adjusted before surgery?

Diabetic patients should not stop taking their oral medications the morning of surgery.  Metformin is the exception, and should be stopped 24 hours before surgery.  Insulin dosing should be adjusted on an individual basis.  In general, long acting insulin should be stopped and intermediate/short acting insulin doses should be decreased the night before/morning of surgery. 

All anti-hypertensive medications should be continued.  Beta Blockers (eg Atenolol) should be taken within 24 hours of surgery.

The following medications should be stopped one week prior to surgery:

•Any weight loss diet pill or supplement (eg Pheteramine)
•Ripped Fuel
•Herbal or Natural Supplements
•Vitamin E

Consult with your primary care doctor & surgeon regarding the necessity of stopping:
•Blood Thinners