should i stop vascepa before surgery10 marca 2023
Medications to Avoid Before Surgery Some medications contain aspirin and/or have effects that may cause more bleeding and bruising. Standing all day at work? Symptoms of a mild allergic reaction can include: A more severe allergic reaction is rare but possible. Before taking Vascepa, tell your doctor about all medications you may be taking. Get emergency medical help if you have signs of an allergic reaction to Vascepa: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Diarrhea, abdominal discomfort, and pain in the extremities have also been reported. Serious side effects of Vascepa that have been reported include: Some people may have an allergic reaction to Vascepa. Limiting heavy foods and avoiding big meals can help you feel better before and after the procedure. yellowing of the skin, whites of the eyes, and nails. 11. For years, doctors have advised patients to stop taking fish oil before surgery. Note that this list is not all-inclusive and includes only common medications that may interact with Vascepa. Ask them what other medications are better options for you. In animal studies, there were no clinically relevant adverse developmental effects noted when rabbits were given the equivalent of 5 times the recommended dose. Let's discuss how to quickly improve your. Eat light. Cuts or lacerations can cause a delay of your surgery. Hair loss is a side effect of statin medications that you might take with Vascepa. Generally, a physical exam is not required for patients who are scheduled for a low-risk surgical procedure; are not taking any prescriptions; and don't have chronic health conditions, like high blood pressure, diabetes, obesity or heart disease. Speak to your doctor about how drug interactions should be managed. increase the risk of complications, including coma or death . 5. You should not take more than 4 capsules of Vascepa each day. * Lovazas active ingredients are a combination of omega-3 ethyl esters, including eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Your doctor may ask you to take Vascepa with a statin, a drug that helps decrease cholesterol. No, Vascepa isnt fish oil. If you have liver problems, your doctor may still prescribe Vascepa for you. For information about the generic form of Vascepa, talk with your doctor. Other factors may also affect whether Vascepa is a good treatment option for you. But since it changes the way blood clots, it can increase the risk of bleeding during surgery. Understanding how this drug may treat your condition will help you decide whether its a good option for you. Praluent, Ozempic, rosuvastatin, simvastatin, Xarelto, Trulicity, fenofibrate, Crestor, Victoza, Brilinta. Both Lovaza and Vascepa are used to lower high triglycerides; however, Vascepa is also approved to be used with a statin to lower the chance of a heart attack or stroke. Do not break, crush, dissolve, or chew Vascepa capsules before swallowing. You may have questions about Vascepa and your treatment plan. Kaliannan, K. et al. 4 0 obj I then tried a couple of anti-arrhythmic medications which I could not tolerate, so my cardio sent me for an eval to an EP. Fish oil supplements are usually safe but may not benefit everyone. Allow yourself time to recover after your surgery or procedure. In this situation, patients are often prescribed unnecessary antibiotics when a bowel movement could be the simplest solution. But Vascepa can also help lower the risk of heart problems in certain people. should i stop vascepa before surgery. Review your medication list, with recommendations for how to take your medications prior to surgery. Uses: Omega-3 Polyunsaturated Fatty Acids in the Prevention of Postoperative Complications in Colorectal Cancer: A Meta-Analysis. Here are a few questions you might want to ask your doctor about Vascepa: For more information about treatment options and lifestyle changes that might help lower your triglycerides, see these articles: For advice on improving and managing your heart health, subscribe to Healthlines online newsletter. In others cases, low-dose aspirin may be continued based on your medical condition. Some medicines can affect how icosapent ethyl works. The team discovered that patients with higher EPA/DHA blood levels actually had a lower risk of bleeding and saw a reduction in the number of blood transfusions (7). 3 0 obj The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. If you dont understand something related to your condition or treatment, ask your doctor to explain it to you. Your doctor will explain how you should take Vascepa. Starting from the day of their surgery until their release from hospital, the omega-3 group continued to take 1.7g of EPA/DHA. Anacin products. The risk of bleeding is higher in people who also take other medications or supplements that increase bleeding risk such as aspirin, clopidogrel, dabigatran, warfarin, NSAIDs, feverfew, ginkgo, garlic, or ginseng. Other alternatives for lowering triglyceride levels in people with hypertriglyceridemia include: To learn about other alternatives to Vascepa, talk with your doctor or pharmacist. should i stop vascepa before surgery. May be given in addition to diet to adults with extremely high triglyceride levels ( 500 mg/dL) in addition to dietary changes aimed at reducing cholesterol intake. Tapering can help reduce or eliminate withdrawal signs and symptoms. However, you should call your healthcare provider before you stop taking this medication. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. But if you have severe symptoms, immediately call 911 or your local emergency number. Find answers to some commonly asked questions about Vascepa. Atrial fibrillation or atrial flutter. It is unclear how Vascepa helps decrease your risk of heart problems outside of lowering your triglyceride levels. STOPPING all sources of Aspirin or other Pain medicine or Cold Preparations 10 days before surgery is typically recommended. Your surgical team will determine if a physical exam is required before your surgery. Vascepa works by decreasing the bodys production of very low-density lipoprotein (VLDL) triglycerides, a kind of fat produced by the liver. May also be given to people with diabetes mellitus and 2 or more additional risk factors for cardiovascular disease (eg, high blood pressure, smoking, inactivity, obesity, family or personal history). Bleeding. You may have received this information at your preoperative physical exam in the POE clinic. Icosapent is used together with other medicines (such as statins) to reduce the risk of heart attack, stroke, and some types of heart problems that need hospitalization in adults. Dr. William Kennedy a leading US orthopedic surgeon explains that constipation often results in rising body temperatures, leading many overseeing physicians to believe that their patient is experiencing an infection. Open Heart, 5(2), e000946. Herring Oil and Omega Fatty Acids Inhibit Staphylococcus aureus Biofilm Formation and Virulence. Some of these medicines have to be stopped a few days before surgery. Your primary care provider should complete a preoperative physical exam within 30 days of your scheduled surgery date. Vascepa pregnancy and breastfeeding warnings. The review concluded that the risk of problematic bleeding was virtually nonexistent, even when combined with other medications known to increase the risk of bleeding (1). Vascepa is a prescription medication used to: help lower blood levels of triglycerides in adults with certain conditions help lower the risk of heart problems in certain people Vascepa is not. how often are general elections held in jamaica; allison transmission service intervals; hays county housing authority; golden dipt breading recipe; measuring communication effectiveness ppt; kim coles child; door county cherry vodka recipes; endobj But it can block platelets, a kind of blood cell, from bunching up in your blood. %PDF-1.5 Before initiating Vascepa, assess the person's lipid levels and try to identify other causes of high triglycerides such as diabetes, hypothyroidism, or medications and manage as appropriate. (An active ingredient is what makes the drug work.) Docosahexaenoic Acid Inhibits Helicobacter Pylori Growth In Vitro and Mice Gastric Mucosa Colonization. Eat healthy foods, such as fruits, vegetables, lean meats and whole grains, and drink enough fluids to stay well-hydrated. One review from 2018 found it safe to consume doses of up to 10g of EPA/DHA per day in the short-term (3). Continue reading. Most patients need to arrive at the hospital at least one hour before the surgery start time. A Preoperative Exam Clinic, also called POE, is an option at some Mayo Clinic Health System locations if you do not have a primary care provider or cannot schedule an appointment with your primary care provider during this time frame. In those with atherosclerotic cardiovascular disease (ASCVD), the risk of events decreased by 35% after 4.9 years. These effects are called interactions. These lists do not include all possible side effects. Triglycerides are a type of fat in the blood (called a lipid). 13. Read on to find out more about these factors. The U.S. Food and Drug Administration today approved the use of Vascepa (icosapent ethyl) as an adjunctive (secondary) therapy to reduce the risk of cardiovascular events among adults with. Risk of Post-Procedural Bleeding in Children on Intravenous Fish Oil. (2015). This risk occurred more often in people taking medications for preventing blood clots, such as warfarin (Jantoven), aspirin, or clopidogrel (Plavix). A list of materials or medications that you are allergic to or that have caused adverse reactions, such as latex or iodine. The risk of atrial fibrillation is greater in those with a previous history of atrial fibrillation or atrial flutter. It may also be called an omega-3 fatty acid. Address 7515 Greenville Avenue Suite 706 Dallas, Texas 75231 Tel: 214.360.9877 Fax: 214.360.9256 Version: 3.01. Vascepa may not be right for you if you have certain medical conditions. The median change in LDL-C from baseline after one year was 2 mg/dL (an increase of 3%) in the Vascepa group and 7 mg/dL (an increase of 10%) in the placebo group. Your doctor may tell you to stop taking Vascepa. Follow your doctor's instructions very closely. fast or irregular heartbeats, dizziness, shortness of breath, chest discomfort, fainting, or if you feel light-headed; or. Post author: Post published: January 31, 2022 Post category: side effects of aspirin 75mg Post comments: 2 week italy honeymoon itinerary 2 week italy honeymoon itinerary But the drug may affect your liver function if you already have problems with your liver. Dr. Chalmers practiced medicine for many years, serving both at high-tech hospitals and as a community health worker in rural Norway. Dont take more Vascepa than your doctor prescribes. While Vascepa can make you bleed more easily, its uncertain whether this side effect is significant with Vascepa. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Talk with your doctor if youd like to know about taking generic icosapent ethyl. Vascepa (icosapent ethyl). Other treatments for lowering triglyceride levels, such as fibrates, may also cause hair loss. Frontiers in Microbiology, 9, 1241. (2018). Both of these factors can disrupt the microbiome, which is why it is important to help support the good bacteria as best as possible. It is not known whether Vascepa will lower your risk of pancreatitis (inflammation of your pancreas). Uncategorized. What should be considered before taking Vascepa? There are two main reasons doctors ask that you limit your medications prior to surgery. Categories large black pillows for couch; Posted by ; car phone holder charger iphone . Signs and symptoms of withdrawal include: Runny nose, watery eyes and yawning. Check with your health care provider before you start, stop, or change the dose of any medicine. Your doctor can also tell you about other treatments you can use for your condition. While many factors contribute to microbial health, the types of nutrients we consume including omega-3 fatty acids make a big difference. First, if you are undergoing general anesthesia it is preferred that you have an empty stomach. What supplements should not be taken before surgery? Omega-6: Omega-3 PUFA Ratio, Pain, Functioning, and Distress in Adults With Knee Pain. By only containing EPA, Vascepa reduces high triglycerides without raising levels of bad cholesterol or LDL-C. Vascepa is also up to four times stronger than most OTC fish oils, more expensive, carries a higher risk of bleeding and heart rythym disturbances, and is only available on prescription to people who meet certain criteria. Not : Not necessarily. Herring Oil and Omega Fatty Acids Inhibit Staphylococcus aureus Biofilm Formation and Virulence. Available for Android and iOS devices. This decreases triglyceride levels in the body. It contains icosapent ethyl, which is a modified version of EPA, a kind of omega-3 fatty acid found in fish oil. Just as you would for a weekend getaway, take time to pack necessities and a few comfort items when you have surgery. Review your medical, surgical and family history. If you are going home the same day, you may return to the preoperative area. (2012). These issues can affect your surgery and your treatment. Do not change your dose or stop taking Vascepa without talking to your doctor. Like most drugs, Vascepa may cause mild or serious side effects. Bring someone with you to your appointment if doing so will help you feel more comfortable. Both aspirin and Vascepa may increase your risk of bleeding, so taking them together further increases this risk. Vascepa is much more expensive than OTC fish oils, costing around $300 per month without insurance. Quit smoking. But, It started with a runny nose and a slight cough. It is uncertain whether Vascepa is safe to take during pregnancy. Importance of Maintaining a Low Omega-6/Omega-3 Ratio for Reducing Inflammation. You should also be following a healthy lifestylesuch as getting moderate exercise and following a healthy dietbefore and while taking Vascepa. Patients with such allergies should discontinue VASCEPA if any reactions occur. If you do experience an allergic reaction after taking Vascepa, discontinue it immediately, and seek immediate medical attention. Prior to surgery, its common to feel increased anxiety and fear, and more research suggests that omega-3s can help manage some of the emotional stress. A nurse or care team member will call a few days before your surgery with information about your procedure, what you can eat or drink, visitor guidelines and how to be notified of your arrival time for surgery. And that's a firm rule: No food or drink means no food or drink. In the REDUCE-IT trial, Vascepa significantly reduced the risk of cardiovascular events, such as cardiovascular death, heart attack, stroke, coronary revascularization, or hospitalization for unstable angina by about 25%. Fish Oil and Perioperative Bleeding. To learn more about high triglycerides and how Vascepa is used, see the What is Vascepa used for? section below. The daily dose of VASCEPA is 4 grams per day taken as either: four 0.5 gram capsules twice daily with food; or as; two 1 gram capsules twice daily with food. Medications that pose the most risk during surgery are those that increase the chance of bleeding and interfere with anesthesia medications. JAMA Network Open, 1(5), e182327. You may even feel anxious, confused or scared. BioCeuticals. Amarin Pharma Inc. Elective surgery should be postponed beyond these periods, whereas vital, semiurgent, or urgent operations should be performed under continued dual antiplatelet therapy. What are some frequently asked questions about Vascepa? A few commonly taken herbal supplements to avoid are: Ginko Biloba, Garlic, Ginseng, Ginger, Dong Quai, Ephedra, Feverfew, St. John's Wort and/or Omega 3 fatty acids. The microbiome the name used to describe the bacteria that live in and on us can either support or hurt our health, depending on the composition and types of germs. Also, describe any vitamins, herbs, or supplements you use. The results? Choose your carbohydrates wisely. Vascepa reduces triglyceride production in the liver and enhances the clearance of triglycerides from lipid particles, via a number of different mechanisms. >_QV4NUo=w_|"w@6\? kM;}l;T }. These patients took fish oil supplements at doses ranging from 1.6 to 21g of EPA/DHA per day. Talk with your cardiologist (heart doctor) before you stop taking any aspirin product or clopidogrel (Plavix). $-Sx*5=z{|kX.ldJ\ *kT1~)YMt2^rg|@GlE+n2R/vY2k,qtE M+Zb{RjFJZKIGhDR8>-xAvh(5 Warfarin (Coumadin) is usually stopped 5-7 days before your colonoscopy. 12. Unsaturated fats and oils from plants and fish bring down triglycerides. Stop 2 days before surgery; Creatinine Clearance . Acetylsalicylic Acid. Your pharmacist may also recommend tools to help make it simpler to open the drugs container. If you have questions about taking Vascepa, talk with your doctor or pharmacist. Omega-6: Omega-3 PUFA Ratio, Pain, Functioning, and Distress in Adults With Knee Pain. "Eating healthy is always important, but even . 9. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Tell your doctor if you are breastfeeding. There is insufficient data to determine the risk of administering Vascepa to pregnant women, and there is no data about its effects on a newborn when breastfeeding. Patients who smoke get more infections. 6.2 Postmarketing Experience 5-Aminosalicylic Acid. Vascepa is usually taken 2 times per day. But if you think youre having a medical emergency, you should call 911 or your local emergency number. If you take too much Vascepa, your doctor may closely monitor you for signs and symptoms of overdose. Do not stop using this medicine suddenly. The capsules should be taken with food and should not be crushed, chewed, or cut in half. Patients should engage in appropriate nutritional intake and physical activity before receiving VASCEPA, which should continue during treatment with VASCEPA. Read on to find out more about healthy cholesterol levels, and if a cholesterol level of 250 ml/dL is considered, Heart disease is a top cause of death in the U.S. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. Icosapent is used to lower the risk of heart complications such as dying from heart disease, heart attack, or stroke; hospitalization for unstable angina; or the need for certain types of heart surgery. Some medications you can skip just a day ahead of time, but others, like fish oil, you usually need to avoid long before you go under the knife. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Always consult your healthcare provider first. You may have many thoughts and questions running through your head, whether it is a minor, same-day procedure or a complex operation that requires you to stay in the hospital overnight. This includes lowering high triglyceride levels, which is what Vascepa is used to treat. And as the above research demonstrates, consuming omega-3s from fish oil prior to surgery is similarly safe, unless a person has a bleeding disorder or is on lots of blood thinning medications. Available for Android and iOS devices. . Vascepa works in the liver and bloodstream to reduce very low-density triglycerides. Before taking any fish oil supplement with Vascepa, talk with your doctor. But do not stop taking Vascepa without talking with your doctor first. Mild side effects of Vascepa that have been reported include: Mild side effects of many drugs may go away within a few days to a couple of weeks. Check the label on the medicine for exact dosing instructions. Vascepa can increase the risk of unusual bleeding as a side effect. Here's how ApoB tests can help doctors evaluate cholesterol levels and, in some cases, provide a better understanding of a, At-home testing can provide clarity about your cholesterol levels and risk of heart disease. To make sure Vascepa is safe for you, tell your doctor if you have ever had: liver disease; diabetes; a thyroid disorder; problems with your pancreas; a bleeding or blood-clotting disorder; or if you are allergic to fish or shellfish. In these situations, other health problems could be addressed before proceeding with surgery to ensure you have the safest possible operation. % As a result, such supplements may also contain certain toxins found in fish. This drug combination helps lower your risk of heart problems if you have high triglyceride levels and: To lower your risk of heart problems, your doctor may recommend taking aspirin, too. Its important to discuss all your concerns with your doctor. In some people, hair loss may be due to a medical condition, another medication, diet or stress levels. We strongly recommend stopping these drugs five to seven days before surgery to reduce your risk of bleeding, but discussion with your cardiologist and surgeon is advised. If you think youre bleeding inside your body, call 911 immediately. In addition, data suggests that getting an effective omega-3 dose can make a difference on you road to recovery. While more clinical studies need to be done with larger sample sizes, these initial findings are promising. These actions help lower the amount of triglycerides in people with high levels of this substance, which is one reason why doctors prescribe Vascepa. In addition to taking Vascepa, modify your diet to try to lose some weight if you are overweight or obese. The risk of bleeding is higher in people receiving Vascepa who also take other medications that increase the risk of bleeding, such as aspirin, clopidogrel, dabigatran, warfarin, or NSAIDs, such as ibuprofen or diclofenac. Aka: Preoperative Guidelines for Medications Prior to Surgery, Preoperative Fasting Recommendation, Nothing by Mouth Prior to Surgery Guideline, Perioperative NPO Guidelines, Perioperative Medication Guidelines, Medication Management in the Perioperative Period, Medications to Avoid Prior to Surgery Surgery Pharmacology Chapter Anesthesia Tell your doctor if you are pregnant or plan to become pregnant. These werent reported side effects in studies of Vascepa. The principle here may be the same. In the medical community today, theres excitement that omega-3 fatty acids may actually reduce the risk of infections and complications post-surgery. Avoid eating foods that are high in fat or cholesterol. Expert Opinion: Omega-3 fatty acids and bleedingCause for concern? Synthetic progestins and estrogens may have a negative effect on vasculature and lipid metabolism, leading to clotting, stroke and heart attacks. Vascepa works by lowering how much fat your liver produces. A 2018 study co-authored by Dr. William Harris also investigated the risk of bleeding during cardiac surgeries. Stop taking VASCEPA and tell your doctor right away or get emergency medical help if you . Clinical Nutrition, 37(3):948-957. Alcohol increases triglycerides so avoid excessive drinking and have several alcohol-free days per week. Any special equipment that you use, such as a cane, walker or continuous positive airway pressure machine (CPAP), as well as ostomy or insulin pump supplies. So, you should stop smoking weeks before any scheduled surgery and inform your doctor of your habit of smoking occasionally, weekly, or daily. For years, doctors have advised patients to stop taking fish oil 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 Yne!q:#gYt:XnOwS?,8I6~**`@`?us\qh]?7+.DV=Pu?4`Al.9iu@"uP:zh5JW Y=|: C@g ,20 This is not the case with Vascepa because it is not a fish oil. After your surgery, you will be brought to the Post Anesthesia Care Unit, also known as the PACU or the recovery room. Despite this, having a history of an allergic reaction to fish is a contraindication of Vascepa. It is not known whether icosapent will harm an unborn baby. Light to moderate alcohol consumption may lower the amount of triglycerides in your blood. For patients and practitioners thinking about omega-3 supplementation, however, it is crucial to consider the dose and quality of the oil. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. If. For more on that, read Fresh Fish Oil: Why It Matters to Your Health.. Each patient and surgery is unique. This is because its unknown whether Vascepa helps lower the risk of pancreatitis in people with severely high triglycerides. 2. Because omega-3 fish oil and cod liver oils have a noted blood thinning effect, it was long believed that consuming these kinds of oils could increase a patient's risk of bleeding during an operation. Celebrex - stop 1 week prior to surgery. Braun, L. (2013). An active ingredient is what makes the drug work. Call your doctor right away if you have an allergic reaction to Vascepa. Another review from 2008 similarly found that no published studies had reported clinically significant bleeding episodes among patients treated with antiplatelet drugs and fish oil at doses ranging from 3 to 7g every day (2). Copyright 1996-2023 Cerner Multum, Inc. Please review all your medications-both over the counter and prescription drugs-with your surgeon. If you think your liver function is getting worse, talk with your doctor immediately. NPO), Stopping before orthopedic procedures (esp. Weight loss can also occur due to diet modification (Vascepa should be taken alongside a low-fat, low-cholesterol diet) and increased physical activity. Vascepa only contains eicosapentaenoic acid (EPA), whereas most other fish oils (including prescription fish oils) contain both EPA and docosahexaenoic acid (DHA). The health benefits of fish oil supplements and Vascepa may be different. th VASCEPA at an incidence 1% more frequent than placebo based on pooled data included arthralgia and oropharyngeal pain. Use the medicine exactly as directed. They may check you for bleeding during treatment. American Journal of Cardiology, 99.6A: 44C-6C. The man was sent to the intensive-care unit for close monitoring. Drug class: miscellaneous antihyperlipidemic agents. Fish oil supplements can contain natural forms of oils from one or a variety of fish, including mackerel, salmon, trout, and tuna. The efforts to analyze the hypothetical bleeding risk of omega-3s have been ongoing for years. If you need to take both drugs, your doctor will check you for bleeding during Vascepa treatment. Vascepa is a prescription, high purity eicosapentaenoic acid (EPA - a type of omega-3 fatty acid), that may be used to lower the risk of cardiovascular disease in people with high triglyceride levels and diabetes or cardiovascular disease, or who are already taking the maximum dose of statins. We talked to experts about. During surgery, patients are typically both exposed to new types of bacteria and are also given antibiotics that kill off many existing microbial team-players. The main differences between Vascepa and fish oil is that Vascepa only contains eicosapentaenoic acid (EPA), whereas supplemental fish oils contain both EPA and docosahexaenoic acid (DHA). Fish Oil LC-PUFAs Do Not Affect Blood Coagulation Parameters and Bleeding Manifestations: Analysis of 8 Clinical Studies with Selected Patient Groups on Omega-3-Enriched Medical Nutrition. (2018). Strengthen your lungs. Born and raised in the United States, Dr. Chalmers graduated from Brown University and completed her medical training at the University of Oslo in Norway. In clinical trials, over 45% of trial participants were aged 65 years and over. Serious side effects from Vascepa can occur, but they arent common. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. An indication is a condition that a drug is used to treat. apple juice), Not allowed as clear liquid: Milk, milk products or, No clear liquids within 2 hours of surgery, Includes orange juice, soda, infant formula and milk, No fried foods, fatty foods or meats within 8 hours of surgery, Exceptions - cardiovascular medications to stop, Risk of withdrawal when abruptly stopped perioperatively, Despite case reports of infection and delayed healing risks, Oral diabetes medications are typically held on the day of surgery (see below), Medications associated with bleeding risk, Short-acting agents: Stop 1 day before surgery, Mid-acting agents: Stop 3 days before surgery, Long-acting agents: Stop 10 days before surgery, Do not stop antiplatelet agents without carefully reviewing indications and minimum duration from stenting, Cardiology should be consulted before stopping P2Y agents in post-stenting patients, Stop at least 5 days before surgery if no contraindication to stopping, Stop at least 7 days before surgery if no contraindication to stopping, Restart 24 hours after procedure or per surgeons discretion, Patients with high thrombosis risk (e.g.
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