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Probiotic                               Probiotic                     Continue until and including day of surgery                         Supplement

                                             Propranolol                                Inderal                      Continue until and including day of surgery                         Beta-Blocker
                                               Quinapril                                Accupril                   Continue until day before; Stop day of surgery                       ACE Inhibitor

                                               Ramipril                                  Altace                    Continue until day before; Stop day of surgery                       ACE Inhibitor
                                             Reboxetine                                 Edronax                      Continue until and including day of surgery                       Anti-Depressant

                                              Rituximab                                 Rituxan                             Stop 6 months prior to surgery                           Immuosuppressant

                                             Rivaroxaban                                Xarelto                               Stop 3 days prior to surgery                             Blood Thinners
                                             Semaglutide                          Ozempic / Wegovy                           Stop 14 days prior to surgery                            Diabetic / GLP-1

                                              Sertraline                                 Zoloft                      Continue until and including day of surgery                       Anti-Depressant

                                               Sildenafil                                Viagra                               Stop 2 days prior to surgery                                    ED
                                                Sotalol                                Betapace                      Continue until and including day of surgery                         Beta-Blocker

                                               Steroids                                 Steroids                          Ideally stop weeks before surgery                         Immunosuppressant
                                            Sulfasalazine                              Azulfidine                    Continue until and including day of surgery                      Anti-Inflammatory

                                               Sulindac                                 Clinoril                             Stop 10 days prior to surgery                                 NSAIDS
                                             Supplement                               Supplement                             Stop 10 days before surgery                                Supplements

                                             Tacrolimus                           Prograf / Protopic                 Continue until and including day of surgery                    Immunosuppressant

                                               Tadalafil                                 Cialis                               Stop 3 days prior to surgery                                    ED
                                             Telmisartan                                Micardis                   Continue until day before; Stop day of surgery             Angiotensin Receptor Blockers

                                              Ticagrelor                                Brilinta                              Stop 7 days prior to surgery                             Blood Thinners
                                              Ticlopidine                                Ticlid                               Stop 7 days prior to surgery                             Blood Thinners

                                             Tirzepatide                        Zepbound / Mounjaro                          Stop 14 days prior to surgery                            Diabetic / GLP-1
                                              Tizanidine                               Zanaflex                      Continue until and including day of surgery                       Muscle Relaxer

                                              Tofacitinib                               Xeljanz                               Stop 7 days before surgery                                 Rheumatoid

                                               Tolmetin                                 Tolectin                             Stop 10 days prior to surgery                                 NSAIDS
                                             Trandolapril                                Mavik                     Continue until day before; Stop day of surgery                       ACE Inhibitor

                                              Trazodone                                 Desyrel                      Continue until and including day of surgery                       Anti-Depressant

                                              Valsartan                            Diovan / Entresto               Continue until day before; Stop day of surgery             Angiotensin Receptor Blockers
                                             Venlafaxine                                Effexor                      Continue until and including day of surgery                       Anti-Depressant

                                             Vilazodone                                 Viibryd                      Continue until and including day of surgery                       Anti-Depressant
                                              Viloxazine                                Vivalan                      Continue until and including day of surgery                       Anti-Depressant

                                              Vitamin E                                Vitamin E                             Stop 10 days prior to surgery                               Supplement
                                             Vortioxetine                               Brintellix                   Continue until and including day of surgery                       Anti-Depressant

                                               Warfarin                                Coumadin                               Stop 5 days prior to surgery                             Blood Thinners
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