Certain blood-thinning and anticoagulation medications may need to be stopped before having an interventional procedure. This is to reduce the risk of excess bleeding.

Please refer to the table and information below as a guide for ceasing anticoagulation and blood-thinning medications prior to having an interventional procedure.

Before ceasing any medications, you must obtain approval from your Doctor.

Preparation for your procedure should be confirmed at the time of booking.

Procedure

Warfarin /

Pradaxa

Aspirin /  

Platelet Inhibitors

Clexane

Biopsy

Superficial Mass

OK

OK

OK

Deep Mass (Chest, Abdomen)

Cease

Cease

Cease

Breast

Cease

Cease

Cease

Thyroid

Cease

Cease

Cease

Joint Injection

Large Joints (Shoulder, Hip)

*Cease

OK

OK

Medium Joints (Elbow, Knee, Wrist, Ankle)

*Cease

OK

OK

Small Joints (Finger, Toe)

OK

OK

OK

Bursa (Subacromial, Subdeltoid, Trochanteric)

OK

OK

OK

Tendon Sheath

OK

OK

OK

Spine Injection

(Thoracic and Lumbar)

Facet Joint

Cease

OK

OK

Epidural

Cease

Cease

Cease

Peri-neural

Cease

Cease

Cease

Spine Injection

(Cervical)

All Cervical Spine Injections

Cease

Cease

Cease

 

 

 

 

 

 

 

 

 

 

 

 

*Cease if possible. Discuss with our radiologist or your referring doctor.

 

When Ceasing Medications:

Warfarin

  • Cease 5 days prior to procedure
  • Get an INR blood test on the morning of the day before the procedure
    • Copy of results need to be sent to our practice (INR < 1.5 = Safe)

Pradaxa  (Dabigatran)

  • Cease for 3 days prior

Aspirin / Platelet Inhibitors (Plavix, Iscover, Effient, Ticlopidine, Persantin)

  • Cease for 7 days prior

Clexane

  • Cease for 24 hours prior

NSAID’S & Cox 2 Inhibitors (Celebrex)

  • Never need to cease

Resuming Medications:

All anticoagulation and blood-thinning medication can be resumed straight after the procedure, unless otherwise advised.

We recommend that you see your doctor a week after the procedure to readjust your Warfarin dosage.

 

CONTACT US

Ashfield

9716 3600

Campsie

 8042 3000

Drummoyne

9911 6800

Five Dock

8705 8300

Hurstville

9598 0100

Newtown

8228 9000

North Strathfield

8282 8100

North Sydney (Mater Imaging)

9955 4466
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