FormWeb • pentosan polysulfate sodium

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pentosan polysulfate sodium

pentosan polysulfate sodium

Brand names: Elmiron

Form	Strength
CAPSULE, ORAL	100 mg

Display Antipruritics and Local Anesthetics Class: 840800

Medication comments:

Anticoagulant / Antiplatelet Stoppage For Procedures
generic (Brand)	Dept.	Procedure Type (hover over entry for examples)	Stop Medication Prior To Procedure Restart after:
pentosan polysulfate sodium (Elmiron)	Anesthesia	High-risk	5 days Restart after 24 hours
		Intermediate-risk	5 days 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	3 days
	Radiology	Paracentesis/Thoracentesis	3 days
	Surgery	High-risk	24-72 hours Restart after 24 hours
	Surgery	Low-risk	No Hold Restart after 24 hours

Last updated: Sep. 20, 2023

Restricted Medications Non-Formulary

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556

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