PDA

View Full Version : Chronic ITP & minor surgery


mskity333
05-18-2009, 06:46 PM
I have Chronic ITP (idiopathic thrombocytopenic purpura), and in a few weeks I will be having a laparoscopy for endometriosis.

I know with Chronic ITP there is plenty of medications, Rx and OTC that I should avoid, and I do try with most of them. I just wanted to know if there is anything specific that I currently take that I should stop a few days or weeks before the surgery as a precaution. Here is what I take everyday:

Ibuprofen - 800mg/4-6 hours as needed
Acetaminophen - 2000mg/4-6 hours as needed
Yaz birth control
Fish oil supplements - 1000mg/day
Vitamin B-Complex - 1/day
Vyvanse - 90mg/day (morning)
Adderall-IR - 20mg/day (afternoon)

I take Ibuprofen and Acetaminophen together every 4-6 hours as needed for pain from endometriosis - it works better for than any narcotic pain reliever I have tried. One or the other by itself or at smaller doses does not work either.
I know Ibuprofen is considered an anti-inflammatory, and I should avoid it with ITP, but I don't. I hope not to need it anymore after the surgery, or at least not as much.

If I should stop taking the Ibuprofen, how long before the surgery would make it easier on my body to deal with the surgery and the clotting/etc.?

If you need any other information please feel free to ask.

Thank you,
Cari

Purple98Lady
05-19-2009, 01:57 PM
You should ask your physican or surgeon this question and inform him of all things your taking prescription or not.

Maria RN
05-27-2009, 06:48 PM
It is very important to disclose all relevant information prior to surgery.

One study suggests that platelet count may normalize 24 hours after the last dose of ibuprofen, but the participants for the said trial were adults with normal platelet count:
http://www.medscape.com/viewarticle/502566