MSK MEDICATION POLICY
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 procedureA | 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.
No restrictions are necessary.
Contrast Allergy
NPO
NPO is not necessary for arthrograms, steroid injections and joint aspirations.
6 hours of NPO is required for bone biopsies.