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Surgery Pre-op Class-Medical

Blood Thinners

apixaban

There are numerous medications which will be prescribed for you at your pre-op/consent visit.  These include pain medication, nausea, and anti-spasm medications.

In some cases, you may be prescribed a medication to reduce the risk of blood clots after surgery. In the past we used an injectable medication called Lovenox, but recently we switched over to a newer oral medication called Eliquis (generic: apixaban). If prescribed, it should be started the morning after surgery and taken twice a day for the next 30 days.

Bridging Therapy: If you are already on coumadin or warfarin, you will still be given a prescription for injectable Lovenox to be started one week prior to surgery at the time you stop your coumadin.  Bridging therapy means that you are already on a long-acting blood thinner like coumadin and are being switched over to Lovenox so that your regular blood thinner has time to wear off before surgery.  If this is the case and you are using injectable Lovenox prior to surgery, DO NOT DO AN INJECTION THE NIGHT BEFORE, OR THE MORNING OF YOUR PROCEDURE!

Eliquis Coupon

eliquis coupon
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Bridging Therapy

If you are already on coumadin or warfarin, you will still be given a prescription for injectable Lovenox to be started one week prior to surgery at the time you stop your coumadin.  Bridging therapy means that you are already on a long-acting blood thinner like coumadin and are being switched over to Lovenox so that your regular blood thinner has time to wear off before surgery.  If this is the case and you are using injectable Lovenox prior to surgery, DO NOT DO AN INJECTION THE NIGHT BEFORE, OR THE MORNING OF YOUR PROCEDURE!