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Hello All, Just wondering if anyone can tell me if any of my meds are likely to be increased or stopped before my operation? Azathoprine,125mg prednislone 7mg thanks june
 

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Clearly this is a question for your doctors... the Imuran may be stopped briefly (or may not be) and usually physicians will give you a high IV dose of prednisone right at the time of surgery if you have been on it at all in the last year. This is because the body would normally produce more on its own in response to a major stressor like surgery but is likely unable to do so if you've been on prednisone at all in recent months.

Definitely something to ask your doctors about - in advance if it will help put your mind at ease to know which way to go - and to make sure you follow orders when you need to!

Best wishes for a smooth surgery, with a good recovery and outcome.
 

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I thought prednisone predispossed one to excessive bleeding, and was discontinued prior to surgery. Did I remember this one wrong (it would not be a first)?
 

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Not sure, but ive always been told if i was to be on Pred at least two weeks prior to surgery or at time of then this one would be increased at time of surgery and for a while after!

Not sure about the Aza though!

I'm sure the hospital will go through your drugs list with you and what is important will be increased/decreased at that time - just make sure the nurse knows reason you take aza and what its controlling. I have found some nurse dont even know what Plaq is and what its used for!

Take care June!!

Lesley
 

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Hi June
The BNF states that pred should be incresed prior to surgery to deal with the stress on the body.
Don't know about the Aza.

Leslie I have found some Docs who don't know about plaquinil
 

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Discussion Starter #6
Hello All, I spoke to my remy to day on telephone, She has stopped Aza until i see her on 13th, and increased my pred by double to 10mg. thanks for the info june
 

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wonder if it depends on what your having down, they didnt stop my Azathioprine or pred or plavix, but i was only having a bunion done, so said wasnt out that long, and would be min on blood loss


hope your ok now? Lin x
 

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This is interesting, as I am on both AZ and Pred. I am due to have a operation in the next few weeks. ( going to sleep for it) Didn't even think to ask if any of my meds needed stopping or changing etc, think it would be worth me giving them a ring.

JUNE B wishing you all the best with your operation.

Sheila x :)
 

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sheila they should have gone theough all this with you, unless you have not yet had your pre- op?, thats when they took my history, and had me in over night ,not because a bunoin needed over night, but beacuse of all my meds, and i was put asleep too.

( dr's should be asking sure they will hun x)
 
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