A member asked:

Can i take sinalgen (hydrocodone bitartrate and acetaminophen) and nimesulide before a herniated disc l5-s1 surgery?. i take this 2 for pain

8 doctors weighed in across 3 answers
Dr. Edward Hellman answered

Specializes in Orthopedic Surgery

Varies: The hydrocodone product is ok to take right up to surgery with the exception that most anesthesiologists prefer a patient not to take anything by mouth approx 6 hours before surgery. The nimesulide is an NSAID which inhibits inflammation, but also inhibits platelet fxn leading to risk of increased bleeding. I usually recommend no NSAID for 7 days preop, but surgeons preferences vary.

Answered 4/1/2023

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At your usual dose: Narcotic, Acetaminophen and a cox-2 inhibitor is a common pre operative regimen and can usually be taken at your usual dose.

Answered 6/24/2014

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Yes: It is safe for you to take your usual dose of this medication before surgery. If you take it in the am before surgery just take it with a sip or two of water. Make sure you let your physicians know what you took and when.

Answered 11/17/2013

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