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  Surgical Preparations
  Instructions for Spinal Injection Procedure of Biopsy (Epidurals, Nerve Blocks, Discograms, Myelograms)
  1. It is important to notify the staff if you are taking any of the following medications:
    • Aspirin and aspirin containing compounds such as: baby aspirin, Bayer, Ecotrin, Excedrin, Percodan. In general, all aspirin products should be discontinued one week prior to your procedure. This is particularly important for cervical epidural injections.
    • Non-steroidal anti-inflammatory drugs such as Advil, Motrin, Indocin, Aleve, Feldane. In general, these medications should be discontinued 5 days prior to spinal injection procedures.
    • Glucophage for diabetes.
  2. Please take regular pain medication already prescribed except as noted above. It is acceptable to take: Tylenol, Tylenol with Codeine, Vicodin, Lorcet, Oxycontin, Demerol, Dilauid, Vioxx, Celebrex.
  3. Do not stop any muscle relaxers that you are taking, such as: Soma, Valium, Ativan.
  4. Blood thinners, such as Coumadin, Heparin, Warfarin, Plavix and Ticlid must be discontinued seven days prior to your procedure. This should be coordinated in advance with your regular treating physician, or the physician who prescribed the medication.
  5. Please inform us if you have recently had extensive dental work and/or cleaning.
  6. Please inform us if you have diabetes.
  7. Patients are required to have drivers to take them home.
  8. Procedures cannot be performed if there is any chance that you are pregnant.
  9. Please inform staff of any medical allergies, particularly if you are allergic to shellfish or iodine dye.
  10. Please try to arrive 15 minutes early for your procedure.
  11. Patients should attempt to verify insurance benefits prior to procedure.
  12. Patients with seizure disorders should consult their doctor prior to having a myelogram procedure. Although seizure is an uncommon complication, certain medications that can lower the threshold for seizures and should be discontinued prior to the myelogram. If you are taking any anti-depressant medications, e.g. Elavil, phenothiazines, MAO-inhibitors, tricyclic anti-depressants, Zyban, anti-psychotic medications, CNS stimulants, muscle relaxants or any other medication that lowers the seizure threshold, please inform your doctor in advance of the procedure. These medications can be stopped 2 days before the procedure and resumed 1 day after the procedure.

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