Medication Guide. Acetaminophen-Containing Medicines... 5

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1 Table of Contents Medication Guide Medications That Can Interfere With Blood Clotting... 2 Aspirin-Containing Medicines... 2 Anti-Inflammatory/NSAID-Containing Medicines... 3 Herbal Supplements and Vitamins... 3 Acetaminophen-Containing Medicines... 5 Prescription Pain Medication Tips... 6 Narcotic (Opioid) Safety... 6 Safety tips when using acetaminophen (Tylenol) in children... 7 Safety tips when using acetaminophen (Tylenol) in adults

2 Medications That Can Interfere With Blood Clotting Aspirin-Containing Medicines Acuprin Damason-P Micrainin Alka-Seltzer Easprin Miniprin Alor Ecotrin Minitabs Anacin Emagrin Momentum Ascriptin Empirin Norgesic Aspergum Endodan Orphengesic Aspidrox Entaprin Panasal Aspircaf Entercote Percodan Aspirtab Equagesic Robaxisal Aspir-Mox Excedrin Roxiprin Aspir-trin Fasprin Saleto Axotal Genacote Sloprin Azdone Gennin-FC Supac Bayer Aspirin Genprin Synalgos-DC BC Powder Goody's Powder Uni-Buff Bufferin Halfprin Uni-Tren Buffex Levacet Valomag Butalbital Compound Lortab ASA Vanquish Magnaprin Zorprin 2

3 Anti-Inflammatory/NSAID-Containing Medicines Advil Indocin Naprosyn Aleve Indomethacin Naproxen Anaprox Ketoprofen Orudis Celebrex Ketorolac Oruvail Clinoril Lodine Oxaprozin Daypro Meloxicam Piroxicam Diclofenac Menstridol Relafen Etodolac Mobic Sulindac Feldene Motrin Toradol Ibuprofen Nabumetone Voltaren 3

4 Herbal Supplements and Vitamins Some herbal supplements and vitamins may cause serious interactions with blood thinners or anesthesia, and you may need to stop taking them before your procedure. Below is a list of common herbal supplements and vitamins; it does not include all herbal and vitamin supplements. If you are not sure about a supplement or vitamin that you are taking, please call our office. Ajoene Ginkgo Biloba Noni Birch Bark Ginseng Omega-3 Fatty Acids Birch Leaf Glucosamine Onion Extract Bitter Orange Goldenseal Pau d arco Cascara Grapeseed Extract St. John s Wort Cayenne Green Tea Sarsaparilla Chinese Black Tree Fungus Hawthorn Saw Palmetto Chondroitin Horehound Senna Cumin Horse Chestnut Turmeric Eicosapentaenoic acid Hydrangea Valerian Root Ephedra (ma huang) Kava-Kava Vitamin C Evening Primrose Oil Kolanut (Kola) Vitamin K Feverfew Licorice Root Willow Bark Fish oil Melatonin White Willow Flax Seed Milk Thistle Yerba Mate Garlic Morinda Citrifolia Yohimbe Ginger Nettle 4

5 Acetaminophen-Containing Medicines Do Not Interfere with Blood Clotting Alka-Seltzer Plus Day Non- Drowsy Cold & Flu Alka-Seltzer Plus Cold & Cough Liquiprin Lortab Singlet Sedapap Contac Midol Tapanol Coricidin HBP Nyquil Theraflu Dayquil Percocet TYLENOL Products Dimetapp Cold & Flu Phenaphen Tylenol #3 Dristan Cold Multi-symptom Robitussin Cold + Flu Tylenol with Codeine Endocet Feverall Robitussin Nighttime Multi- Symptom Cold Tylox Ultracet Fioricet Robitussin Nasal Relief Vicodin Hydrocet Saint Joseph Aspirin-Free Zydone Hycotab Can Interfere with Blood Clotting Excedrin Goody s Powder Vanquish 5

6 Prescription Pain Medication Tips We may provide you with a prescription for pain medications (narcotics or opioids) for use at home. The goal of the pain medication is to manage your pain. However, it will not make the pain resolve completely. The pain medication will make you more comfortable during activities and sleeping. You may NOT drive while taking narcotic prescription pain medications. Narcotic (Opioid) Safety Always follow these important safety tips: Never take an opioid pain reliever unless it is prescribed for you. Take opioids only as directed. Do not take more opioid or take it more often than is prescribed by your healthcare provider. Do not use opioids with alcohol or any other drugs. Protect and/or lock your opioids in a safe place at all times. Properly dispose of any leftover medicine. Never share opioids with another person. It is illegal and dangerous. Be prepared for opioid emergencies. Know the signs of trouble and what to do in the event of overdose. Read the instructions that came with your opioid prescription. Contact your opioid prescriber or pharmacist with any questions. Allergy and addiction to opioids occur rarely when taken as prescribed for pain. Opioid medicines can have side effects. Most common side effects: Constipation Nausea Sedation, a feeling of being mildly tired or groggy Less common side effects: Itching, dry skin, confusion, muscle twitching, dry mouth, sweating, fatigue, weakness, mild headaches. These are usually temporary. 6

7 Take opioid pain relievers safely. Never chew, cut, crush, or dissolve open tablets. Never open opioid capsules unless you are specifically instructed to do so. Opioid patches must never be cut or folded. They should stick to the skin completely. Follow directions for use carefully. Do not drive or operate machinery; your judgment and/or ability to make important decisions may be impaired. Be alert for opioid overdose. (share this with your family and caregivers) The following are signs and symptoms of overmedication and possible overdose: Intoxicated behavior, confusion, slurred speech, and/or stumbling Feeling dizzy or faint Feeling or acting very drowsy or groggy Nodding off to sleep Unusual snoring, gasping, or snorting during sleep Difficulty waking up from sleep and becoming alert or staying awake A person who at first only seems to be overmedicated can quickly become much worse. They should be kept awake and watched closely. Please call your physician if you are concerned about overmedication and possible overdose. US residents can also call the national poison hotline at at any time of day or night. 7

8 Safety tips when using acetaminophen (Tylenol) in children If you give your child acetaminophen please use extra caution to be sure you are giving the correct dose. Double-check the concentration of the medication you have. Concentrated infant drops (80 mg/0.8ml) are no longer sold, but you may still have some at home. Also check to be sure that the medicine is not out of date and therefore expired. If expired, discard the medicine. Do not give your child more than 5 doses in 24 hours. Other important safety tips Carefully read and follow all labels on the medicine bottle and box. Know how much your child weighs. The correct dose for your child is based on weight (not age). Use only the measuring device (syringe or cup) that came with the medication not a kitchen spoon. Give, but do not exceed, the maximum recommended doses. Always dispense medication in a well-lit area where you can clearly see the measurements. 8

9 Safety tips when using acetaminophen (Tylenol) in adults When purchasing a nonprescription medicine, carefully read the label, including the list of ingredients. Check for "acetaminophen" in this list. If you need help, ask your pharmacist. Avoid taking more than one product that contains acetaminophen at the same time, unless you have been advised to do so by your prescriber or pharmacist. Be aware that acetaminophen may also be an ingredient in prescription medicines such as Tylenol #3, Percocet and others. Acetaminophen is also known as "paracetamol" or "APAP". Check the strength of acetaminophen in the product that you are taking. This will usually be labeled in milligrams (mg) for tablets and as milligrams per milliliter (mg/ml) or milligrams per 5 milliliters (mg/5 ml) for liquids. Keep track of the amount of acetaminophen you take each day and the time of day when you take each dose. If you use any form of acetaminophen, make sure to include this on your list of medicines and to share this list with your physician/care team. If you drink alcohol, ask your physician/care team for assistance in choosing a dose of acetaminophen that is safe for you. The maximum daily dose recommended on the label of nonprescription acetaminophen products may cause liver damage in people who consume alcohol regularly. 9