What is the preoperative evaluation and management of medications that impair wound healing?

Updated: Mar 16, 2020
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

Answer

Several medications have been shown to retard wound healing and should be discontinued before surgery if possible.

Absolute discontinuation is for the following medications:

  • Glucocorticoids

  • Antiplatelet agents

  • Anticoagulants

  • Nicotine

Relative discontinuation is for the following medications:

  • Antineoplastic agents

  • Immunosuppressive agents

  • Colchicine

  • Penicillamine

  • Isotretinoin

  • Phenytoin


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