Daniel I Richman, MD The Hospital for Special Surgery 429 East 75th Street New York, NY 10021 PLEASE READ THIS THREE PAGE DOCUMENT IN ADVANCE OF YOUR PROCEDURE. IF YOU HAVE ANY QUESTIONS, PLEASE CALL THE OFFICE AT at 212-606-1768.. 1. BLOOD THINNING MEDICATIONS MUST BE STOPPED PRIOR TO YOUR PROCEDURE, AS SPECIFIED BELOW. PLEASE MAKE SURE TO CHECK WITH THE PRESCRIBING DOCTOR BEFORE STOPPING ANY BLOOD THINNERS. • Pradaxa (Dabigatran) - stopped 4-5 days prior to procedure • Xarelto (Rivoroxaban) - stopped 3 days prior to procedure • Eliquis (Apixaban) - stopped 3-5 days prior to procedure • Effient (Prasugrel) - stopped 7 days prior to procedure, • Coumadin (Warfarin) - stopped 5 days prior to procedure and have bloodwork for PT/PTT and INR checked day of procedure upon admission to special procedures unit. • Plavix (Clopidogrel) - stopped 7 days prior to procedure. 2. ASPIRINS: • Ecotrin (baby a spirin-81mg) — stopped 24-48 hours prior to procedure • Regular Aspirin (325mg) — stopped 5 days prior to procedure. 3. NON ASPIRIN NON-STEROIDAL ANTI-INFLAMMATORIES (NSAIDS) • Advil, Motrin (Ibuprofen) — stopped 1 day prior to procedure • Alleve (Naproxen) — stopped 4 days prior to procedure • Naprosyn, Anaprox, Midol (Naproxen) —stopped 4 days prior to procedure • Mobic (meloxicam) — stopped 2 days prior to procedure • Voltaren, Arthrotec (Diclofenac)- stopped 1 day prior to procedure • Lodine (etodolac)—stopped 2 days prior to procedure • Celebrex (Celecoxib) —stopped 2 days prior to procedure • Indocin (indomethacin)—stopped 2 days prior to procedure • Toradol (etodolac) — stopped 1 day prior to procedure • Relafen (nabumetone) — stopped 6 days prior to procedure • Daypro (Oxaprozin) — stopped 10 days prior to procedure • Feldene (Prioxicam) — stopped 10 days prior to procedure • I.ovazza Fish Oil, Omega 3's — stopped 2 days prior to procedure GENERALLY, ALL THE ABOVE MEDICATIONS CAN BE RESUMED 24 HOURS POST PROCEDURE.