Medicamentos que se deben evitar antes de la cirugÃÂa
Medicamentos que se deben evitar antes de la cirugÃÂa
Medicamentos que se deben evitar antes de la cirugÃÂa
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Medicines to Avoid Before Surgery – Spanish<br />
Para preparar<strong>se</strong><br />
para su cirugía o<br />
procedimiento, su<br />
médico le pidió <strong>que</strong> evite<br />
ciertos medicamentos,<br />
incluyendo aspirina y<br />
productos simi<strong>la</strong>res, y<br />
otros medicamentos o<br />
suplementos.<br />
Este folleto <strong>de</strong>tal<strong>la</strong><br />
los medicamentos<br />
y suplementos (por<br />
nombres genéricos y<br />
comerciales) <strong>que</strong> usted<br />
<strong>de</strong>bería <strong>evitar</strong> para<br />
prevenir problemas <strong>de</strong><br />
sangrado. Por favor<br />
revi<strong>se</strong> con su médico<br />
todos los medicamentos<br />
<strong>que</strong> está tomando.<br />
Educación <strong>de</strong>l paciente<br />
Centro <strong>de</strong> Especialida<strong>de</strong>s Quirúrgicas<br />
<strong>Medicamentos</strong> <strong>que</strong><br />
<strong>se</strong> <strong><strong>de</strong>ben</strong> <strong>evitar</strong> <strong>antes</strong><br />
<strong>de</strong> <strong>la</strong> cirugía<br />
Cuando su médico le indica <strong>evitar</strong> ciertos<br />
medicamentos o suplementos <strong>antes</strong> <strong>de</strong> <strong>la</strong><br />
cirugía, para <strong>evitar</strong> problemas <strong>de</strong> sangrado<br />
Preparación para <strong>la</strong> cirugía<br />
Su médico <strong>de</strong><strong>se</strong>a <strong>que</strong> usted <strong>de</strong>je <strong>de</strong> tomar aspirina, productos simi<strong>la</strong>res a<br />
<strong>la</strong> aspirina, o agentes antiinf<strong>la</strong>matorios no esteroi<strong>de</strong>os.<br />
Este folleto <strong>de</strong>tal<strong>la</strong> los medicamentos y suplementos específicos <strong>que</strong> <strong>se</strong><br />
<strong><strong>de</strong>ben</strong> <strong>evitar</strong> <strong>antes</strong> y <strong>de</strong>spués <strong>de</strong> su cirugía o procedimiento.<br />
•<br />
•<br />
•<br />
•<br />
Deje <strong>de</strong> tomar estos productos _______ días <strong>antes</strong> <strong>de</strong> su procedimiento.<br />
Pue<strong>de</strong> volver a tomar estos productos _______ días <strong>de</strong>spués <strong>de</strong> su<br />
procedimiento.<br />
Pue<strong>de</strong> tomar acetaminofeno (Tylenol) <strong>se</strong>gún <strong>se</strong>a necesario para<br />
molestias y dolores menores.<br />
Revi<strong>se</strong> con su médico todos los medicamentos y suplementos <strong>que</strong><br />
esté tomando.<br />
Las listas en este folleto no son completas. Otros productos o<br />
suplementos también podrían causar problemas <strong>de</strong> sangrado.<br />
Nota importante para los pacientes <strong>que</strong> han recibido cánu<strong>la</strong>s (stents)<br />
cardiacos u otra cirugía cardiaca durante el año anterior:<br />
Conver<strong>se</strong> con su cardiólogo (médico <strong>de</strong>l corazón) <strong>antes</strong> <strong>de</strong> <strong>de</strong>jar <strong>de</strong><br />
tomar cualquier producto con aspirina o clopidogrel (P<strong>la</strong>vix).<br />
Fred Hutchinson Cancer Re<strong>se</strong>arch Center<br />
UW Medicine<br />
Seattle Children's
Página 2<br />
Centro <strong>de</strong> Especialida<strong>de</strong>s Quirúrgicas<br />
<strong>Medicamentos</strong> <strong>que</strong> <strong>se</strong> <strong><strong>de</strong>ben</strong> <strong>evitar</strong> <strong>antes</strong> <strong>de</strong> <strong>la</strong> cirugía<br />
Evite estos productos durante los días anteriores y<br />
posteriores a <strong>la</strong> cirugía, <strong>se</strong>gún lo indi<strong>que</strong> su médico<br />
Productos <strong>de</strong> receta con aspirina u otros salici<strong>la</strong>tos:<br />
• Amigesic • Lortab ASA<br />
• Ascomp con co<strong>de</strong>ína • Magan<br />
• Alor • Magsal<br />
• Carisoprodol • Mobidin<br />
Compuesto<br />
•<br />
• Monogesic<br />
Darvon Compuesto 65<br />
•<br />
• Norgesic<br />
Diflunisal •<br />
• Novasal<br />
Dolobid •<br />
• Orfengesic<br />
Empirin con co<strong>de</strong>ína<br />
•<br />
• Panasol<br />
Fiornal •<br />
• Lobac<br />
Percodan<br />
Productos con<br />
• Roxiprin<br />
• Salflex<br />
• Productos con salsa<strong>la</strong>to<br />
• Salsitab<br />
• Productos con Soma<br />
• Synalgos-DC<br />
• Talwin Compuesto<br />
• Trilisato<br />
• Productos con<br />
trisalici<strong>la</strong>to<br />
• Zorprina<br />
Productos <strong>de</strong> receta con estos agentes antiinf<strong>la</strong>matorios no<br />
esteroi<strong>de</strong>os (nombre comercial en paréntesis):<br />
• diclofenaco (Voltaren, Cataf<strong>la</strong>m) •<br />
• etodo<strong>la</strong>co (Lodine)<br />
• fenoprofeno (Nalfon)<br />
• flurbiprofeno (Ansaid)<br />
• ibuprofeno (Motrin)<br />
• indometacina (Indocin)<br />
• ketoprofeno (Orudis, Oruvail)<br />
• ketoro<strong>la</strong>co (Toradol)<br />
Otros medicamentos <strong>de</strong> receta:<br />
• celecoxib (Celebrex)<br />
• ci<strong>la</strong>stozol (Pletal)<br />
• clopidogrel (P<strong>la</strong>vix)<br />
•<br />
dipiridamol (Persantine)<br />
•<br />
meclofenamato (Meclomen)<br />
• ácido mefenámico (Ponstel)<br />
• nabumetona (Re<strong>la</strong>fen)<br />
•<br />
• oxaprozina (Daypro)<br />
• piroxicam (Fel<strong>de</strong>ne)<br />
• sulindaco (Clinoril)<br />
• tolmetina (Tolectin)<br />
naproxeno (Naprosyn, Anaprox)<br />
dipiridamol/aspirina (Aggrenox)<br />
• val<strong>de</strong>coxib (Bextra)<br />
• ticlopidina (Ticlid)
Página 3<br />
Centro <strong>de</strong> Especialida<strong>de</strong>s Quirúrgicas<br />
<strong>Medicamentos</strong> <strong>que</strong> <strong>se</strong> <strong><strong>de</strong>ben</strong> <strong>evitar</strong> <strong>antes</strong> <strong>de</strong> <strong>la</strong> cirugía<br />
Productos con aspirina o salici<strong>la</strong>tos sin receta:<br />
• Productos Alka-Seltzer<br />
• Anacin<br />
• Artropan<br />
• Ascriptina<br />
• Aspergum<br />
• Asprimox<br />
• Productos Bayer<br />
• Bufferin<br />
• Doans<br />
• Ecotrin<br />
•<br />
• Empirin<br />
• Productos Excedrin<br />
Halfprin<br />
• Mobigesic<br />
• Pepto-Bismol<br />
• Saleto<br />
• Vanquish<br />
Productos sin receta con agentes antiinf<strong>la</strong>matorios no<br />
esteroi<strong>de</strong>os:<br />
• Productos Advil •<br />
• Productos Aleve<br />
• Dristan Sinus<br />
Haltran<br />
• Productos con<br />
ibuprofeno<br />
• Menadol<br />
• Midol Extra Strength<br />
• Motrin<br />
• naproxeno<br />
Coumadina (Warfarina)<br />
Pregunte a su médico:<br />
•<br />
•<br />
Cuántos días ANTES <strong>de</strong> su cirugía <strong>de</strong>be <strong>de</strong>jar <strong>de</strong> tomar este<br />
medicamento.<br />
Si necesita terapia <strong>de</strong> transición (<strong>de</strong> corto p<strong>la</strong>zo) con un anticoagu<strong>la</strong>nte<br />
inyectable (diluyente sanguíneo) tal como <strong>la</strong> heparina, o una heparina<br />
<strong>de</strong> peso molecu<strong>la</strong>r bajo, tal como <strong>la</strong> enoxaparina (Lovenox).<br />
Productos a ba<strong>se</strong> <strong>de</strong> hierbas y otros suplementos<br />
naturales<br />
Deje <strong>de</strong> tomar TODOS los productos naturales, medicamentos a ba<strong>se</strong><br />
<strong>de</strong> hierbas, vitaminas y otros suplementos 7 días entes <strong>de</strong> su cirugía.<br />
Se pue<strong>de</strong>n volver a tomar cuando su médico le dé <strong>la</strong> autorización para<br />
hacerlo.<br />
En <strong>la</strong> siguiente página figuran hierbas y otros suplementos <strong>que</strong> son<br />
especialmente peligrosos <strong>de</strong> tomar si usted <strong>se</strong> someterá a cirugía,<br />
<strong>de</strong>bido a <strong>que</strong> pue<strong>de</strong>n causar sangrado adicional.
Centro Regional <strong>de</strong>l Corazón/Servicios Cardíacos 5-Noreste<br />
Cirugía <strong>de</strong> reparación <strong>de</strong>l músculo rotatorio<br />
¿Preguntas?<br />
Sus preguntas son<br />
import<strong>antes</strong>. Si tiene<br />
preguntas o inquietu<strong>de</strong>s,<br />
l<strong>la</strong>me a su médico o<br />
proveedor <strong>de</strong> atención a<br />
<strong>la</strong> salud. El personal <strong>de</strong> <strong>la</strong><br />
clínica <strong>de</strong> UWMC y SCCA<br />
también <strong>se</strong> encuentra<br />
disponible para ayudar.<br />
Farmacia para pacientes<br />
externos <strong>de</strong> UWMC:<br />
206-598-4363<br />
Farmacia <strong>de</strong> SCCA:<br />
206-288-6500<br />
UWMC Surgical Specialties Center<br />
Box 356165<br />
1959 N.E. Pacific St. Seattle, WA 98195<br />
Suplementos naturales y hierbas <strong>que</strong> podrían causar<br />
problemas <strong>de</strong> sangrado:<br />
• agrimonia<br />
• alfalfa<br />
• anís<br />
• árnica<br />
• artemisia<br />
• asa fétida<br />
•<br />
egopodio (Angélica<br />
menor o Hierba <strong>de</strong><br />
San Andrés)<br />
• fucus<br />
• bochu<br />
baca<strong>la</strong>o<br />
• tusi<strong>la</strong>go<br />
• diente <strong>de</strong> león<br />
• salvia<br />
• uña <strong>de</strong>l diablo<br />
• dihidroepiandrosterona<br />
(DHEA)<br />
• angélica sinesis<br />
(angélica)<br />
• fenogreco (alholva)<br />
• poca fiebre<br />
• aceite <strong>de</strong> pescado<br />
• <strong>se</strong>mil<strong>la</strong> <strong>de</strong> lino<br />
• bogbean (trébol <strong>de</strong> • ácido gama-linoléico<br />
pantano, amargo,<br />
mirto <strong>de</strong>l pantano) • ajo<br />
• boldo • jengibre<br />
• brome<strong>la</strong>nia • ginkgo<br />
• burdana • gin<strong>se</strong>ng (ginsén)<br />
• ají pe<strong>que</strong>ño (chile • glucosamina<br />
pe<strong>que</strong>ño, pimiento) • castaña <strong>de</strong> indias<br />
• cassio • rábano (rábano<br />
picante)<br />
• <strong>se</strong>mil<strong>la</strong> <strong>de</strong> apio<br />
• manzanil<strong>la</strong> • regaliz<br />
• wolfberry chino (Goji) • reina <strong>de</strong> los prados<br />
• condroitín • me<strong>la</strong>tonina<br />
• c<strong>la</strong>vo <strong>de</strong> olor • melilotus (trébol <strong>de</strong><br />
• aceite <strong>de</strong> hígado <strong>de</strong><br />
olor)<br />
• nattokinasa<br />
• cebol<strong>la</strong><br />
• pantetina<br />
•<br />
papaína (extracto<br />
<strong>de</strong> papaya)<br />
• perejil<br />
• granadil<strong>la</strong> (pasionaria)<br />
• policosanol<br />
• á<strong>la</strong>mo<br />
• fresno espinoso<br />
• quassia (cuasia)<br />
• trébol rojo<br />
• resveratrol<br />
• espino cerval <strong>de</strong> mar<br />
• meliloto<br />
•<br />
aspéru<strong>la</strong> olorosa<br />
(rubil<strong>la</strong>, asperil<strong>la</strong>)<br />
•<br />
haba tonka (camaruna,<br />
cambarú)<br />
• azafrán <strong>de</strong> <strong>la</strong> india<br />
(cúrcuma, palillo)<br />
• vimpocetina<br />
• vitamina E<br />
•<br />
zanahoria <strong>de</strong><br />
acanti<strong>la</strong>do<br />
• lechuga silvestre<br />
• corteza <strong>de</strong> sauce<br />
Seattle Cancer Care Alliance is a col<strong>la</strong>boration of<br />
Fred Hutchinson Cancer Re<strong>se</strong>arch Center,<br />
UW Medicine and Seattle Children’s.<br />
© University of Washington Medical Center<br />
Medicines to Avoid Before Surgery<br />
Spanish<br />
06/2003 Rev. 03/2010<br />
Reprints on Health Online: http://healthonline.washington.edu
Patient Education<br />
Surgical Specialties Center<br />
Medicines to<br />
Avoid Before<br />
Surgery<br />
When your doctor tells you to avoid certain<br />
medicines or supplements before surgery, to<br />
prevent bleeding problems<br />
To prepare for your surgery<br />
or procedure, your doctor<br />
has asked you to avoid<br />
certain medicines, including<br />
aspirin and aspirin-like<br />
products, and other<br />
medicines or supplements.<br />
This handout lists medicines<br />
and supplements (by generic<br />
and tra<strong>de</strong> names) that you<br />
should avoid to prevent<br />
bleeding problems. Plea<strong>se</strong><br />
review with your doctor all<br />
medicines that you are<br />
taking.<br />
Preparing for Surgery<br />
Your doctor wants you to stop taking aspirin, aspirin-like products, or<br />
non-steroidal anti-inf<strong>la</strong>mmatory agents.<br />
This handout lists specific medicines and supplements to avoid before<br />
and after your surgery or procedure.<br />
• Stop taking the<strong>se</strong> products _______ days before your procedure.<br />
• You may resume taking the<strong>se</strong> products _______ days after your<br />
procedure.<br />
• You may take acetaminophen (Tylenol) as nee<strong>de</strong>d for minor aches<br />
and pains.<br />
• Review with your doctor all medicines and supplements that<br />
you are taking.<br />
The lists in this handout are not complete. Other products or<br />
supplements may also cau<strong>se</strong> bleeding problems.<br />
Important note for patients who have had cardiac stents or other<br />
heart surgery in the past year:<br />
Talk with your cardiologist (heart doctor) before you stop taking any<br />
aspirin product or clopidogrel (P<strong>la</strong>vix).
Page 2<br />
Surgical Specialties Center<br />
Medicines to Avoid Before Surgery<br />
Avoid the<strong>se</strong> Products in the Days Before and After<br />
Surgery as Indicated by Your Doctor<br />
Prescription products with aspirin or other salicy<strong>la</strong>tes:<br />
• Amigesic<br />
• Ascomp with co<strong>de</strong>ine<br />
• Alor<br />
• Carisoprodol<br />
Compound<br />
• Darvon Compound 65<br />
• diflunisal<br />
• Dolobid<br />
• Empirin with co<strong>de</strong>ine<br />
• Fiornal<br />
• Lobac<br />
• Lortab ASA<br />
• Magan<br />
• Magsal<br />
• Mobidin<br />
• Monogesic<br />
• Norgesic<br />
• Novasal<br />
• Orphengesic<br />
• Panasol<br />
• Percodan<br />
products<br />
• Roxiprin<br />
• Salflex<br />
• salsa<strong>la</strong>te products<br />
• Salsitab<br />
• Soma products<br />
• Synalgos-DC<br />
• Talwin Compound<br />
• Trilisate<br />
• trisalicy<strong>la</strong>te<br />
products<br />
• Zorprin<br />
Prescription products with the<strong>se</strong> nonsteroidal<br />
anti-inf<strong>la</strong>mmatory agents (brand name in parenthe<strong>se</strong>s):<br />
• diclofenac (Voltaren, Cataf<strong>la</strong>m)<br />
• etodo<strong>la</strong>c (Lodine)<br />
• fenoprofen (Nalfon)<br />
• flurbiprofen (Ansaid)<br />
• ibuprofen (Motrin)<br />
• indomethacin (Indocin)<br />
• ketoprofen (Orudis, Oruvail)<br />
• ketoro<strong>la</strong>c (Toradol)<br />
• meclofenamate (Meclomen)<br />
• mefenamic acid (Ponstel)<br />
• nabumetone (Re<strong>la</strong>fen)<br />
• naproxen (Naprosyn, Anaprox)<br />
• oxaprozin (Daypro)<br />
• piroxicam (Fel<strong>de</strong>ne)<br />
• sulindac (Clinoril)<br />
• tolmetin (Tolectin)<br />
Other prescription drugs:<br />
• celecoxib (Celebrex)<br />
• ci<strong>la</strong>stozol (Pletal)<br />
• clopidogrel (P<strong>la</strong>vix)<br />
• dipyridamole (Persantine)<br />
• dipyridamole/aspirin<br />
(Aggrenox)<br />
• val<strong>de</strong>coxib (Bextra)<br />
• ticlopidine (Ticlid)
Page 3<br />
Surgical Specialties<br />
Medicines to Avoid Before Surgery<br />
Nonprescription products with aspirin or salicy<strong>la</strong>tes:<br />
• Alka-Seltzer products<br />
• Anacin<br />
• Arthropan<br />
• Ascriptin<br />
• Aspergum<br />
• Asprimox<br />
• Bayer products<br />
• Bufferin<br />
• Doans<br />
• Ecotrin<br />
• Empirin<br />
• Excedrin products<br />
• Halfprin<br />
• Mobigesic<br />
• Pepto-Bismol<br />
• Saleto<br />
• Vanquish<br />
Nonprescription products with nonsteroidal anti-inf<strong>la</strong>mmatory<br />
agents:<br />
• Advil products<br />
• Aleve products<br />
• Dristan Sinus<br />
• Haltran<br />
• ibuprofen products<br />
• Menadol<br />
• Midol Extra<br />
Strength<br />
• Motrin<br />
• naproxen<br />
Coumadin (Warfarin)<br />
Ask your doctor:<br />
• How many days BEFORE your surgery to stop taking this drug.<br />
• If you need bridge (short-term) therapy with an injectable<br />
anticoagu<strong>la</strong>nt (blood-thinner) such as heparin, or a low molecu<strong>la</strong>r<br />
weight heparin such as enoxaparin (Lovenox).<br />
Herbal Products and Other Natural Supplements<br />
Stop taking ALL natural products, herbal medicines, vitamins, and<br />
other supplements 7 days before your surgery. They may be resumed<br />
when your doctor says it is OK.<br />
On the next page are herbs and other supplements that are especially<br />
harmful to take if you are having surgery becau<strong>se</strong> they can cau<strong>se</strong> extra<br />
bleeding.
Surgical Specialties Center<br />
Medicines to Avoid Before Surgery<br />
Questions?<br />
Your <strong>que</strong>stions are<br />
important. Call your<br />
doctor or health care<br />
provi<strong>de</strong>r if you have<br />
<strong>que</strong>stions or concerns.<br />
UWMC and SCCA clinic<br />
staff are also avai<strong>la</strong>ble<br />
to help.<br />
UWMC Outpatient<br />
Pharmacy:<br />
206-598-4363<br />
SCCA Pharmacy:<br />
206-288-6500<br />
__________________<br />
__________________<br />
__________________<br />
__________________<br />
Natural supplements and herbs that may cau<strong>se</strong> bleeding<br />
problems:<br />
• agrimony<br />
• alfalfa<br />
• ani<strong>se</strong>ed<br />
• arnica<br />
• artemesia<br />
• asa foetica<br />
• bishop’s weed<br />
• b<strong>la</strong>d<strong>de</strong>rwrack<br />
• bochu<br />
• bogbean<br />
• boldo<br />
• brome<strong>la</strong>ins<br />
• burdock<br />
• capsicum<br />
• cassio<br />
• celery <strong>se</strong>ed<br />
• chamomile<br />
• Chine<strong>se</strong><br />
wolfberry<br />
• chondroitin<br />
• clove<br />
• cod liver oil<br />
• coltsfoot<br />
• dan<strong>de</strong>lion<br />
• danshen (salvia)<br />
• <strong>de</strong>vil’s c<strong>la</strong>w<br />
• dihydroepiandrosteroe<br />
(DHEA)<br />
• dong quai (angelica)<br />
• fenugreek<br />
• feverfew<br />
• fish oil<br />
• f<strong>la</strong>x <strong>se</strong>ed<br />
• gamma linoleic acid<br />
• garlic<br />
• ginger<br />
• ginkgo<br />
• gin<strong>se</strong>ng<br />
• glucosamine<br />
• hor<strong>se</strong> chestnut<br />
• hor<strong>se</strong>radish<br />
• licorice<br />
• meadowsweet<br />
• me<strong>la</strong>tonin<br />
• melilot<br />
• nattokina<strong>se</strong><br />
• onion<br />
• pantethine<br />
• papain (papaya<br />
extract)<br />
• parsley<br />
• passionflower<br />
• policosanol<br />
• pop<strong>la</strong>r<br />
• prickly ash<br />
• quassia<br />
• red clover<br />
• resveratrol<br />
• <strong>se</strong>a buckthorn<br />
• sweet clover<br />
• sweet woodruff<br />
• tonka beans<br />
• turmeric<br />
• vinpocetine<br />
• vitamin E<br />
• wild carrot<br />
• wild lettuce<br />
• willow bark<br />
UWMC Surgical Specialties Center<br />
Seattle Cancer Care Alliance is a col<strong>la</strong>boration of<br />
Fred Hutchinson Cancer Re<strong>se</strong>arch Center,<br />
UW Medicine and Seattle Children’s.<br />
Box 356165<br />
© University of Washington Medical Center<br />
1959 N.E. Pacific St. Seattle, WA 98195<br />
06/2003 Rev. 03/2010<br />
Reprints on Health Online: http://healthonline.washington.edu
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