Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent
Formulary Equivalent
aspirin buffered (Ascriptin) 325 mg
aspirin EC (Ecotrin) 325 mg
aspirin EC 81 mg
aspirin chewable 81 mg
Anticoagulant / Antiplatelet Stoppage For Procedures
generic (Brand)
Dept.
Procedure Type (hover over entry for examples)
Stop Medication Prior To Procedure Restart after:
aspirin 325 mg
Anesthesia
High-risk
Primary prophylaxis: 6 days; Secondary prophylaxis: Shared assessment and risk stratification Restart after 24 hours
Intermediate-risk
Requires shared assessment and risk stratification Restart after 24 hours
Low-risk
No hold Restart after 24 hours
Patients with high risk of bleeding (eg, old age, history of bleeding tendency, concurrent uses of other anticoagulants/antiplatelets, liver cirrhosis or advanced liver disease, and advanced renal disease) undergoing low- or intermediate-risk procedures should be treated as intermediate or high risk, respectively.
Radiology
Invasive Procedures
7 days
Paracentesis/Thoracentesis
No hold
Surgery
High-risk
7 days Restart after 24 hours
Low-risk
No Hold Restart after 24 hours
aspirin 81 mg
Anesthesia
High-risk
Primary prophylaxis: 6 days; Secondary prophylaxis: Shared assessment and risk stratification Restart after 24 hours
Intermediate-risk
Requires shared assessment and risk stratification Restart after 24 hours
Low-risk
No hold Restart after 24 hours
Patients with high risk of bleeding (eg, old age, history of bleeding tendency, concurrent uses of other anticoagulants/antiplatelets, liver cirrhosis or advanced liver disease, and advanced renal disease) undergoing low- or intermediate-risk procedures should be treated as intermediate or high risk, respectively.
Refrigerator item (suppository)
(hover over entry for examples)
325 mg
81 mg