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Recommended time for discontinuation of antihypertensive/hypoglycemic drugs before surgery 手術前降血壓/降血糖藥建議停藥時間

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Recommended time for discontinuation of antihypertensive/hypoglycemic drugs before surgery 手術前降血壓/降血糖藥建議停藥時間

2024/8/12

According to the relevant medical guidelines, the recommended time for discontinuation of antihypertensive/hypoglycemic drugs before surgery is as shown in the following table. This recommendation will be adjusted based on the patient's disease condition, surgery, anesthesia, and other factors. Please discuss with the relevant medical team at the outpatient clinic.

Antihypertensive
Drug Name
Discontinuation Time
  • Angiotensin Converting Enzyme Inhibitors (ACEI)
  • Angiotensin Receptor Blocker (ARB)
  • Captopril (Cabudan)
  • Ramipril (Tritace)
  • Imidapril (Tanatril)
  • Losartan (Cozaar)
  • Valsartan (Diovan)
  • Irbesartan (Irbetan)
  • Azilsartan (Edarbi)
24 hours before surgery
  • Combination blood pressure medications containing ACEI or ARB
  • Exforge
  • Exforge HCT
  • Sevikar
  • Sevikar HCT
  • Amtrel
  • Acertil plus
  • Coaprovel
  • Hyzaar
  • Co-Diovan

Hypoglycemic
Drug Name
Discontinuation Time
  • Sodium-glucose Cotransporter-2 (SGLT2) Inhibitors (SGLT2 inhibitor)
  • Empagliflozin (Jardiance)
  • Canagliflozin (Canaglu)
  • Dapagliflozin (Forxiga)
3 days before surgery
  • Combination blood sugar medications containing SGLT2 inhibitors
  • Xigduo XR
  • Glyxambi
  • Jardiance Duo
  • Qtern
  • glucagon-like peptide-1 receptor agonists (GLP-1 agonist)
  • Semaglutide (Ozempic)
  • Dulaglutide(Trulicity)
1 week before surgery
  • Liraglutide(Saxenda)
On the day of surgery
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