Medications to Hold for Procedures

Use this page to quickly generate list of medications that need to be held for outpatient procedures.

Instructions
Copy Medications from Epic. On inpatient view you can do this by going to Home Meds: On outpatient view you can do this under Orders: Paste the medication in the text box:
How Different Scenarios Are Handled
User InputFull VersionOne Line Version
losartan
(generic name only)		– Hold morning of procedure: losartanlosartan (morning of)
Cozaar
(brand name only)		– Hold morning of procedure: CozaarCozaar (morning of)
losartan (Cozaar)
(generic with brand name, default options)		– Hold morning of procedure: losartan (Cozaar)losartan (morning of)
losartan (Cozaar)
("Include brand name" option off)		– Hold morning of procedure: losartanlosartan (morning of)
losartan (Cozaar)
("Use common name" option off)		– Hold morning of procedure: losartan (Cozaar)losartan/Cozaar (morning of)
sildenafil
(generic PDE inhibitor)		– Hold for 5 day: sildenafil (for ED or Raynaud's; do not hold for PHTN)sildenafil (for ED or Raynaud's; do not hold for PHTN) (5 days)
Viagra
(brand name PDE inhibitor)		– Hold for 5 day: ViagraViagra (5 days)
sildenafil (Viagra)
(both generic and brand PDE inhibitor)		– Hold for 5 day: sildenafil (Viagra)sildenafil/Viagra (5 days)
Revatio
(brand name PTHN med)		– No medication to holdNo medication to hold
sildenafil (Revatio)
(generic and brand name PTHN med)		– No medication to holdNo medication to hold
List All Medications

Hold for 14 Days

  • agaricus mushroom
  • aloe
  • alpha-lipoic acid
  • ginseng
  • andrographisd
  • arnica
  • banaba
  • bitter orange
  • caffeine supplements
  • black tea
  • casein peptides
  • coenzyme Q10
  • echinacea
  • fenugreek
  • garlic
  • ginger
  • ginkgo
  • grapefruit
  • horny goat weed
  • kava
  • saw palmetto
  • St. John's wort
  • turmeric
  • vitamin E

Hold for 7 Days

  • semaglutide (Ozempic, Wegovy)
  • tirzepatide (Mounjaro, Zepbound)
  • liraglutide (Victoza, Saxenda)
  • dulaglutide (Trulicity)
  • Exenatide (Byetta, Bydureon)
  • lixisenatide (Adlyxin)
  • dipyridamole-aspirin (Aggrenox)

Hold for 5 Days

  • clopidogrel (Plavix)
  • ticagrelor (Brilinta)
  • effient (Prasugrel)
  • dipyridamole (Persantine)
  • coumadin (Warfarin)
  • sildenafil (Viagra, Revatio)
  • avanafil (Stendra)
  • tadalafil (Cialis, Adcirca)
  • vardenafil (Levitra)
  • phentermine

Hold for 4 Days

  • empagliflozin (Jardiance)
  • dapagliflozin (Farxiga)
  • ertugliflozin (Steglatro)
  • bexagliflozin (Brenzavvy, Bexacat)
  • canagliflozin (Invokana)
  • sotagliflozin (Inpefa)

Hold for 3 Days

  • apixaban (Eliquis)
  • rivaroxaban (Xarelto)
  • dabigatran (Pradaxa)
  • edoxaban (Savaysa)

Hold for 2 Days

  • cilostazol (Pletal)
  • chondroitin
  • glucosamine

Hold One day Before and Day of Procedure

  • almotriptan (Axert)
  • eletriptan (Relpax)
  • frovatritan (Frova)
  • naratriptan (Amerge)
  • rizatriptan (Maxalt)
  • sumatriptan (Imitrex)
  • zolmitriptan (Zomig)
  • cholestyramine (Questran)
  • colestipol (Colestid)
  • ezetimibe (Zetia)
  • fenofibrate (Tricor)
  • gemfibrozil
  • niacin (Vitamin B3, Niaspan, Sio-Niacin)
  • theophylline (Theolair, Uniphyl, Elixophyllin)
  • 5-hydroxytrypophan

Hold for 12 Hours

  • enoxaparin (Lovenox)

Hold Morning of Procedure

  • lidocaine (Salonpas)
  • darifenacin (Enablex, Emselex)
  • fesoterodine (Fesobig, Toviaz)
  • flavoxate (Urispas)
  • oxybutynin (Ditropan, Gelnique)
  • solifenacin (Vesicare)
  • tolterodine (Detrol, Detrusitol)
  • trospium (Regurin, Sanctura)
  • amphetamine stimulants (Adderall, Mydayis)
  • methylphenidate (Ritalin, Ritalin LA, Concerta)
  • modafinil (Provigil, Alertec, Modavigil)
  • metformin (Glucophage)
  • pioglitazone (Actos)
  • insulin regular (Humulin R, Novolin R)
  • glulisine (Apidra)
  • vildagliptin (Galvus)
  • sitagliptin (Januvia, Zituvio)
  • saxagliptin (Onglyza)
  • linagliptin (Tradjenta, Trajenta, Trazenta)
  • alogliptin (Nesina, Vipidia)
  • glipizide (Glucotrol)
  • sodium citrate
  • magnesium trisilicate
  • aluminum hydroxide
  • calcium carbonate
  • sucralfate (Carafate)
  • dicyclomine (Bentyl)
  • hyoscyamine (Anaspaz)
  • loperamide (Imodium)
  • diphenoxylate and atropine (Lomotil)
  • ursodeoxycholic acid (Ursodiol)
  • chenodeoxycholic acid
  • lisdexamfetamine (Vyvanse, Elvanse)
  • senna (Ex-Lax, Senokot)
  • polyethylene glycol (PEG, MiraLAX, Glycolax)
  • docusate (Colace)
  • BisaCODYL (Dulcolax)
  • magnesium citrate
  • lactulose (Cholac, Generlac, Constulose, Chronulac)
  • pancreatic enzymes (Creon, Pancreaze, Pertzye)
  • benazepril (Lotensin)
  • quinapril (Accupril)
  • lisinopril (Prinivil, Zestril, Qbrelis, Dapril)
  • enalapril (Vasotec, Renitec, Enacard)
  • ramipril (Altace)
  • captopril (Capoten)
  • fosinopril (Monopril)
  • perindopril (Aceon)
  • trandolapril (Mavik)
  • losartan (Cozaar)
  • valsartan (Diovan, Entresto)
  • telmisartan (Micardis)
  • irbesartan (Aprovel, Avapro)
  • aliskiren (Tekturna, Rasilez)
  • eplerenone (Inspra)
  • olmesartan (Benicar)
  • bumetanide (Bumex, Burinex)
  • furosemide (Lasix)
  • torsemide (Demadex)
  • hydrochlorothiazide (Hydrodiuril)
  • chlorthalidone (Thalitone, Hygroton)
  • metolazone (Zaroxolyn)
  • indapamide (Lozol)
  • triamterene (Dyrenium, Dytac)
  • spironolactone (Aldactone, Carospir)
  • amiloride (Midamor)
  • ferrous sulfate
  • insulin aspart, insulin lispro (Novolog FlexPen, Novolog, Novolog Relion, Humalog, Liprolog, Admelog, Fiasp FlexTouch)

Long Acting Insulin

Normal dose night prior unless known issues with hypoglycemia and NPO.

  • insulin glargine (LANTUS SoloStar, Toujeo)
  • insulin degludec (Tresiba)
  • insulin detemir (Levemir)
  • insulin glarg-yfgn (Semglee)

Mixed Insulin

Hold vs 1/2 dose on morning of procedure.

  • insulin NPH (Novolin N, Humulin N, Insulatard)
  • premixed insulin (Novolog Mix 70/30, Novolog 70/30, Novolog Mix 75/25, Novolog 75/25, Humalog Mix 50/50, Humalog Mix 75/25, Humulin Mix 70/30, Novolin Mix 70/30)

Biologics and Immunosuppressants

Consider Holding

  • oxycodone (OxyContin, Roxicodone)
  • oxyCODONE-acetaminophen (Percocet)
  • HYDROmorphone (Dilaudid, Exalgo)
  • morphine (MS Contin, Kadian, Avinza)
  • hydrocodone (Vicodin, Norco, Lortab, Zohydro ER)
  • oxymorphone (Opana, Opana ER)
  • fentanyl (Duragesic)
  • methadone (Dolophine, Methadose)
  • tramadol (Ultram, ConZip)
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