Discontinue Trazadone before surgery?

Question

I'm going to have rhinoplasty in two weeks. Should I discontinue my medicine for trazodone? Is it a safe medicine to take before surgery?

Nima Shemirani, MD · Answer

Dear Sayohma,Thank you for your question. I would definitely mention this to your surgeon and especially the anesthesiologist as the Trazadone may have an interaction with the anesthesia. In addition, you do not want to combine the Trazadone with the post-operative pain medications. Hope this helps. Best regards,Nima Shemirani

Matthew Richardson, MD · Answer

I generally recommend that patients discontinue Trazodone prior to surgery for the purposes of reducing bleeding risk. There is some evidence to show that Trazodone may cause an increased risk of bleeding. We often see Trazodone being used for sleep purposes, and there are other medications that can be substituted to help with sleep. Preoperative instructions or questions should definitely be addressed with your surgeon in advance.

Chase Lay, MD · Answer

I would ABSOLUTELY ask your surgeon and in particular ask to speak with the anesthesiologist who will be involved in your case.  Typically you talk to the anesthesiologists the week of surgery or even a few days prior but if you have a question now, ask now.  An do it over email so there's no confusion.  Further, DO NOT take that medication with any narcotic pain meds or benzodiazepines.

William Portuese, MD · Answer

It is always best check   With your operative  surgeon about medication management, since they are the one performing your surgery. possible It is probably not a good idea  to mix trazodone  with postoperative pain pills after surgery.

Michael M. Omidi, MD, FACS · Answer

Thank you for your question! Generally, there is no evidence to suggest that Trazadone or other anti-depressants are contraindicated for plastic surgery patients. In fact, abruptly discontinuing your antidepressant medications may cause significant concerns. However, you should pose this question to your plastic surgeon and disclose the entire list of your medications because he or she may have specific instructions as you get ready for surgery. 
An in-person exam with a board certified plastic surgeon is always the best way to fully assess your needs and address your concerns. Best of luck!

Discontinue Trazadone before surgery?

Answers (5)

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