Pre-Procedural Checklist


Please follow these guidelines below:

  • Do NOT eat or drink anything after midnight
  • Have a driver with you the day of the procedure
  • You may take the following medications on the day of your procedure with a small sip of water:
    • Antidepressants
    • Anti-anxiety
    • Asthma medications/inhalers
    • Blood pressure medications (with the exception of ACE inhibitors or ARBs)
    • Cholesterol medication
    • Acid reflux medications
    • Seizure medications
    • Pain medications
    • Thyroid medications
    • Steroids if you take them regularly
    • ​​​​​If you take Insulin, please tell your doctor
  • Bring copies of any imaging (MRI/CT/X-ray)
  • If you are scheduled for a spinal cord stimulator trial or intrathecal catheter and pump placement STOP these medications prior to surgery
  • Non-steroidal anti-inflammatory (NSAIDs):
    • Ibuprofen and Diclofenac 1 day before the procedure; restart 24 hours after procedure
    • Stop Naporxen, Meloxicam, and Nabumetone 4 days before the procedure
    • Aspirin 325mg – stop 6 days prior to the procedure
    • Plavix (clopidogrel) – stop 7 days prior to the procedure
    • Warfarin (coumadin) – stop 5 days prior to the procedure and check INR
    • Rivaroxaban (Xarelto) – stop 3 days (75 hours) prior to the procedure
    • Dabigatran (Pradaxa) – stop 5 days prior to the procedure
    • Herbal (Garlic, Ginkgo) – stop 7 days prior to the procedure
  • If you are scheduled for an injection (epidural steroid injection, joint injection, sympathetic bloc) STOP these medications prior to surgery
    • Aspirin 325mg – stop 6 days prior to the procedure
    • Plavix (clopidogrel) – stop 7 days prior to the procedure
    • Warfarin (coumadin) – stop 5 days prior to the procedure and check INR
    • Rivaroxaban (Xarelto) – stop 3 days (75 hours) prior to the procedure
    • Dabigatran (Pradaxa) – stop 5 days prior to the procedure
  • If your procedure involves a Spinal Cord Stimulator or Intrathecal catheter and Drug Pump, bathe as directed with Hibiclens (Chlorohexidine) the night before your procedure

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