During this time, it is common for patients to take some sort of blood thinner. There are no medicines that “thin-the blood”. It doesn't actually "thin" your blood, but slows down your blood clotting time. Coumadin (Warfarin) How many days BEFORE your surgery to stop taking this drug. Helpful. • Stop taking Coumadin 5 days before your procedure. The most likely reason for this advice is that ibuprofen and medicines like it may increase your risk of bleeding. Warfarin is also stopped before open-heart surgery, such as valve surgery or bypass surgery, with the patient placed on heparin. If you stop the blood thinners that can increase the risk for clots. Especially: In those over 60; Patients with previous gastric bleeding or ulcer complaints, In patients using a blood thinner (anticoagulant) or steroid drug, In those using a different painkiller [aspirin, ibuprofen, naproxen et al], In the study, when a single dose of ibuprofen was taken beforehand, aspirin lost 98 percent of its blood-thinning power. When preparing for surgery, it is important to stop all medications that could cause excessive bleeding. All surgery involves cutting body tissue, and that leads to bleeding. That slows down the rate of clotting. If you're not taking a blood thinner, a normal PT result is an INR between 0.8 and 1.1. After surgery and especially during the early healing process patients are at both increased risk of clotting and increased risk of bleeding. Once your doctor approves blood thickening, try avoiding certain foods that can thin your blood, like garlic, cayenne, flax seeds, green tea, tomatoes, eggplants, and potatoes. I personally like Ibuprofen for my patients, but there are circumstances where I do not allow it (like if I have prescribed a blood thinner to help prevent blood clots). You may also be told to avoid ibuprofen (Advil, Motrin), another common pain reliever. Blood thinners—medications like anticoagulants and antiplatelet drugs—can boost the risk for bleeding by keeping the blood from clotting. Ibuprofen can interfere with platelets and thus can reduce the clotting ability of the blood. MONDAY, April 14, 2014 (HealthDay News) -- People taking blood thinners to prevent clots in their legs or lungs may put themselves at risk for serious internal bleeding if they also take common painkillers such as aspirin or ibuprofen, researchers warn.. • If you are on an anticoagulant or blood thinner other than aspirin, you will be asked to discontinue this medication before your operation. Ibuprofen is a blood thinner, just like aspirin and ideally should be avoided 2 weeks prior to surgery. Acetominophen (Tylenol) does not have that effect and can be taken instead. Ibuprofen (Advil, Motrin) Naproxen (Aleve) Tylenol, or its generic form, acetaminophen, are okay to take if needed. It affects platelet function. By Steven Reinberg HealthDay Reporter. If you get an injury, then it will help you to form a blood clot. Tylenol can thin your blood. Antibiotics: We will send you home on antibiotics. Finally recent studies appear to show increased risk of heart attack after some surgeries/procedures with nsaids. If you need bridge (short-term) therapy with an injectable anticoagulant (blood-thinner) such as heparin, or a low molecular weight heparin such as enoxaparin (Lovenox). Some patients will need an alternative blood thinner before the procedure. Advil (ibuprofen) (and other nsaids) can adversely affect kidney function, which could complicate recovery from surgery. 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