Consider Stopping ACEIs and ARBs Preoperatively in Some Patients

February 2017

Questions are coming up about when to temporarily stop chronic medications before NONcardiac surgery.

Consider these tips to manage common home meds before surgery.

Diabetes meds. Stop most non-insulin meds the morning of surgery. But consider stopping metformin 24 hours pre-op...and SGLT2 inhibitors (empagliflozin, etc) at least 24 hours before surgery to limit the risk of ketoacidosis.

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