Drugs/conditions which are stopped /modified before surgery

Drugs/conditions which are stopped /modified before surgery

• S Smoking – 6 weeks before
• E Estrogen pills – 4 weeks
• M MAO-A irreversible – 3 weeks
• L Lithium – 2 weeks
• A Aspirin – 1 weeks
W Warfarin – 4days

All hypoglycemic drugs :-
Minor surgery < 20 min – (omit the dose)
Major surgery -- shift to insulin 1 week before --(omit morning dose)