To reduce the risk of bleeding and complications, certain medications, supplements, and foods must be avoided before and after your procedure.

Medications to Avoid in Bellevue & Seattle
Important Pre- and Post-Procedure Guidelines
If you are taking any medications listed below, they should be discontinued 2 weeks before and after your procedure. For pain relief, only acetaminophen (Tylenol) should be used unless otherwise directed.
Medications to Avoid
- High-dose Vitamin E (greater than 40 IU)
- Aspirin
- Anti-inflammatories
- Herbal medications
- Supplements (including fish oil and omega-3s)
All prescription, over-the-counter, and herbal medications must be approved by your doctor and nursing staff prior to surgery. Some foods are also listed below—these do not need to be completely eliminated, but should not be consumed in large amounts.

Aspirin-Based Medications to Avoid
(Affects blood clotting)
4-Way Cold Tabs, 5-Aminosalicylic Acid, Acetylsalicylic Acid, Actron, Adprin-B products, Aleve, Alka-Seltzer products, Amigesic, Argesic-SA, Anacin products, Anexsia w/Codeine, Arthra-G, Arthriten products, Arthritis Foundation products, Arthritis Pain Formula, Arthritis Strength, BC Powder, Arthropan, ASA, Asacol, Ascriptin products, Aspergum, Asprimox products, Axotal, Azdone, Azulfidine products, B-A-C, Backache Maximum Strength Relief, Bayer products, Bismatrol products, Buffered Aspirin, Bufferin products, Buffex, Butalbital Compound, Cataflam, Cheracol, Choline Magnesium Trisalicylate, Cope, Coricidin, Darvon Compound-65, Diclofenac, Disalcid, Doan’s products, Dolobid, Dristan, Duragesic, Ecotrin products, Empirin products, Excedrin products, Fiorinal products, Flurbiprofen, Goody’s powders, Indomethacin products, Ibuprofen products, Lodine, Lortab ASA, Magnesium Salicylate, Mefenamic Acid, Methocarbamol, Mobidin, Motrin products, Naprelan, Naproxen, Norgesic products, Orudis products, Oxycodone combinations, Pepto-Bismol, Percodan products, Piroxicam, Propoxyphene compounds, Robaxisal, Salicylate products, Salsalate, Soma Compound, St. Joseph Aspirin, Sulfasalazine, Synalgos-DC, Talwin, Trilisate, Vanquish, Willow Bark products, Zorprin
Ibuprofen-Based Medications to Avoid
(Affects blood clotting)
Advil products, Anaprox, Ansaid, Clinoril, Daypro, Feldene, Fenoprofen, Ibuprofen, Indocin products, Ketoprofen, Ketorolac, Meclofenamate, Midol products, Nabumetone, Naprosyn products, Nuprin, Oxaprozin, Ponstel, Relafen, Sulindac, Tolectin products, Toradol, Voltaren
Diet Aids to Avoid
Avoid all diet aids, including over-the-counter and herbal products. These can:
- Intensify anesthesia
- Causes serious cardiovascular effects
Tricyclic Antidepressants to Avoid
(May intensify anesthesia and cardiovascular effects)
Amitriptyline, Amoxapine, Anafranil, Asendin, Clomipramine, Desipramine, Doxepin, Elavil, Imipramine, Nortriptyline, Pamelor, Protriptyline, Sinequan, Tofranil, Trimipramine
Other Medications to Avoid
(Affects blood clotting or interacts with anesthesia)
Accutrim, Actifed, Anexsia, Anturane, Arthritis Bufferin, BC Tablets, Contac, Coumadin, Dalteparin, Dicumerol, Dipyridamole, Doxycycline, Enoxaparin, Flagyl, Fragmin, Garlic supplements, Heparin, Hydrocortisone, Lovenox, Macrodantin, Persantine, Prednisone, Protamine, St. Joseph Aspirin, Ticlid, Ticlopidine, Trental, Vitamin E, Warfarin
Salicylates in Foods & Beverages
(High amounts may affect blood clotting—moderate intake is acceptable)
Almonds, apples, apricots, blackberries, boysenberries, cherries, cucumbers, currants, garlic, ginger, grapes, pickles, prunes, raspberries, strawberries, tomatoes, wine
Vitamins & Herbal Supplements to Avoid
These may affect blood clotting, blood sugar, anesthesia, or cardiovascular function. Common examples include: Alfalfa, Aloe, Bilberry, Bitter melon, Burdock root, Cayenne, Chamomile, Chromium, Dong Quai, Echinacea, Ephedra, Fenugreek, Feverfew, Garlic, Ginger, Ginkgo, Ginseng, Goldenseal, Grape seed, Guarana, Hawthorn, Horse chestnut, Kava Kava, Licorice root, Melatonin, St. John’s Wort, Valerian root, Vitamin E, Willow bark, Yohimbe
Note: Even if a supplement is not listed here, it does not mean it is safe. Always consult with our team before taking any supplements prior to surgery. If you are taking anything not on this list, please call the office at (425) 990-3223 to notify us and make sure that it is okay.




“My goal was to find a method to bring back a person’s natural youthfulness without the operated, unnatural look. That is why I have my patients bring in photos of themselves from ages 5 to 30. My YoungVitalizer helps restore natural and youthful contours they haven’t seen in years.”
— Dr. Philip Young
