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Medications to Avoid Before ESWL

Please review the following list of medications prior to your procedure at The Stone Center of New Jersey. You should discontinue use of these medications according to the minimum time requirement outlined below. If you have a question about any other medications, please call The Stone Center at 862-235-1983.

If you are taking Coumadin, Lovenox, Fragmin or Arixtra please contact your prescribing Physician immediately and make him/her aware of our request to discontinue this medication prior to your scheduled procedure.

In addition to the medications listed below, there are many other products on the market, including many vitamins and supplements that may interfere with the blood’s ability to clot. We recommend that you check with your doctor or pharmacist if you have a question as to whether your medication, vitamin, or supplement contain aspirin or may interfere with the blood’s ability to clot.

DO NOT STOP TAKING ANY PRESCRIBED MEDICATIONS WITHOUT FIRST CHECKING WITH YOUR PHYSICIAN

Discontinue 7 Days prior to treatment

  • Aspirin and Aspirin products (All brands, including Baby Aspirin, Excedrin, Pepto Bismol, etc., and including All forms of Aspirin Buffered, Enteric Coated, Regular etc.)
  • Aggrenox
  • Alka-Seltzer
  • Asacol
  • BC
  • Daypro
  • Disalcid
  • Doans Pills
  • Excedrin
  • Feldene
  • Fiorinal
  • Nabumetone
  • Oxaprozin
  • Pepto-Bismol
  • Percodan
  • Piroxicam
  • Relafen
  • Robaxisal
  • Salicylate
  • Savaysa
  • Soma-Compound
  • Trental
  • Vanquish

All Aspirin containing medications: Brand name followed by generic in parentheses

  • (Aspirin/Dipyridamole) Only generic
  • Alka-Seltzer (Aspirin/Antacid)
  • BC Powder (Aspirin/Caffeine) 
  • Daypro(Oxaprozin/ Coxanto)
  • Aspirin(Salicylate)
  • Doan’s Pills(Sumatriptan/Naproxen)
  • Fiorinal (Butalbital/Aspirin/Caffeine)
  • Pepto-Bismol 
  • Pentasa, Lialda (Mesalamine)
  • Percodan (Oxycodone/Aspirin)
  • Methocarbamol-Aspirin) Only generic
  • (Piroxicam)Only generic
  • (Carisoprodol-Aspirin) Only generic
  • (Pentoxifylline) Only generic
  • Savaysa (Edoxaban)
  • (Nabumetone) Only generic
  • Vanquish (Acetaminophen/Aspirin/Caffeine)

Discontinue 5 Days prior to treatment: Brand name followed by generic in parentheses

  • Brilinta (Ticagrelor – Generic)
  • Effient (Prasugrel – Generic)
  • Plavix (Clopidogrel – Generic)

Discontinue 4 Days prior to treatment: Brand name followed by generic in parentheses

  • Aleve, Naprosyn, Naprelan (Naproxen)
  • Persantine  (Dipyridamole)
  • (Cilostazol) Only generic
  • Treximet (Sumatriptan/Naproxen)
  • Mobic, Qamzovz, Xifyrm, (Meloxicam)

Discontinue 3 Days prior to treatment: Brand name followed by generic in parentheses

  • Celebrex (Celcoxib)     
  • Xarelto (Rivarobaxan)
  • (Diflunisal) Only generic
  • (Ketoprofen) Only generic
  • Eliquis (Apixaban)

Discontinue 2 Days prior to treatment: Brand name followed by generic in parentheses

  • Advil, Motrin, Nuprin (Ibuprofen)
  • Agrylin (Anagrelide)
  • (Diclofenac) Only generic
  • Elmiron (Pentosan Polysulfate)
  • (Fenoprofen) Only generic
  • Flector Patch(Diclofenac Patch)
  • (Flurbiprofen) Only generic
  • (Indomethacin) Only generic
  • Toradol (Ketorolac)
  • Meclomen (Meclofenamate)
  • Midol Complete (Acetaminophen/ASA/Caffeine) Voltaren Gel (Diclofenac Gel)
  • Pennsaid Solution, Solaraze Gel, (Topical Diclofenac)
  • Ponstel (Mefenamic Acid)
  • Pradaxa (Dabigatran)

  • (Sulindac) Only generic

  • Voltaren (Diclofenac)

  • Voltaren Gel (Diclofenac Gel)

Revised 10/25

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