Medications and Surgery

Medications and prescriptions before surgery:

• Hibiclens - Preoperative scrub to clean the operative area 3 days prior to surgery as well as the morning of surgery.
• Miralax - Take one dose which is 1 heaping tablespoon of Miralax daily starting 3 days before surgery, this will regulate their bowel, if you have a history of loose stools or diarrhea you may decrease the dosage of Miralax.
• Mupirocin - 22g 2% ointment apply to both nostrils with a q tip twice a day starting 5 days before surgery, this will prevent bacteria from your nose causing an infection.
• Walker with front wheels
• Outpatient physical therapy script

Medications after surgery:

• Tylenol Extra Strength 1000mg every 8 hours by mouth (#120 pills, 1 refill)
  • This is over the counter and is your first line medication for pain control. This should be taken around the clock every 8 hours for at least the first 2 weeks to help with pain control. Do not exceed more than 3000mg of Tylenol in a 24 hour period.
• Celebrex 100mg twice a day by mouth (#60 pills, 1 refill)
  • This should be taken as well in combination with Tylenol for pain control for 4 weeks. Celebrex is a prescribed strong anti-inflammatory that will help with pain. If pain is not controlled you may double the dosage to 2 pills, 200mg twice per day. The maximum daily dosage is 400mg in a 24-hour period.
• Tramadol 50mg every 6 hours by mouth as needed for pain (#30 pills)
  • This is your second line pain medication and should be taken as needed for moderate to severe pain. If needed you may increase the dosage to 100mg every 4-6 hours for added pain control. Maximum dosage in 24 hours is 400mg.
• Oxycodone 5mg every 4-6 hours by mouth as needed for pain (#30 pills)
  • This is prescribed for severe breakthrough pain. You can take 1 tablet for moderate pain or 2 tablets for severe pain every 6 hours as needed. Do not take more than 8 tablets in a 24hour period.
• Aspirin 81mg twice daily by mouth for 6 weeks (#84 pills)
  • This is to prevent blood clots. Start taking aspirin in the evening after surgery.
• Colace 100mg twice daily by mouth daily as needed for constipation (#28 pills)
  • This is an over the counter medication and will help to prevent constipation.
• *Any allergy or intolerance to one of the above medications may alter your prescription profile slightly.

Outpatient Surgery Only Medications

• Keflex 500mg four times a day for five days (outpatient surgery only) (#20 pills)
  • This is for infection prevention and should be taken starting when you get home from surgery.
• Zofran 4mg by mouth every 6-8 hours (outpatient surgery only) (#20 pills)
  • This is to prevent nausea and vomiting.