Table of Contents

MSK MEDICATION POLICY

MSK MEDICATION POLICY

Medication policy should be administered with the referring MD's approval.
Patient should call his/her physician who prescribed the medications.

Blood Thinners

Procedures	NSAIDS, Aspirin	Coumadin	Others*
Arthrograms	No restrictions	No restrictions	No restrictions
Steroid injection	No restrictions	No restrictions	No restrictions
Joint aspiration	No restrictions	No restrictions	No restrictions
Bone and soft tissue biopsy	No restrictions	Stop 5 days prior to procedure^A	See below

Others*:

No Restrictions

Arixtra (fondarinus)
Ticlid (ticlopidine)
Effient (prasugrel)
Ibuprofen/Diciofenac/Ketoprofen/Indomethacin
Meloxicam/Nabumetone/Piroxicam
Naproxan/Sulindac/Diflunisal/Celecoxib

Hold

Plavix (clopidogrel) : Hold for 5 days
Eliquis (apixaban) : Hold for 2 days
Pradaxa : Hold for 2 days
Xeralto (rivaroxaban) : Hold for 2 days
IV Heparin : Hold for 4 hours
SQ Heparin : Hold one dose
LMWH (Lovenox) : Hold one dose

A: Check INR on the day of procedure

CBC and Platelet (Platelet: ≥ 50,000 within 30 days)
INR (INR: ≤ 2 on the procedure day). If INR is > 2, procedures should be rescheduled.

Metformin

No restrictions are necessary.

Contrast Allergy

Follow UW radiology premedication policies.

NPO

NPO is not necessary for arthrograms, steroid injections and joint aspirations.
6 hours of NPO is required for bone biopsies.