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Post-op Hypertension Meds

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Post-Operative Hypertension Medications

ACE Inhibitors/Angiotensin II Receptor Blockers:  If you are on an ACE inhibitor or Angiotensin II receptor blocker (for example: Lisinopril, Losartan, Ramipril, Valsartan, Candesartan, Enalapril, Irbesartan, or Benazepril) and were instructed to hold it 24 hours prior to surgery, you should resume it the morning of post-op day one.

Diuretics (water pills): Stop all diuretic medications (example: hydrochlorothiazide, furosemide/lasix, spironolactone, etc.) for the first week after surgery.  Discuss with surgical team at your first post-op visit about resuming these meds.

  • Continue all non-diuretic blood pressure medications.
  • Monitor your blood pressure (can use a cuff at home or go to the pharmacy).
  • If your BP is normal (110-150/60-85), continue your medications as instructed at the time of your discharge.
  • If your BP is consistently high (> 150/85) then contact prescribing physician for advice on whether to resume or add BP meds.
  • If your BP is consistently low (< 110/60) stop all blood pressure medications and call the surgical team as soon as possible.
  • If you experience any significant swelling in your legs, shortness of breath or chest pain, please call the office immediately or go to your nearest Emergency Room.