can i take sudafed two days before surgery

While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. 0000021072 00000 n 0000017086 00000 n This site complies with the HONcode standard for trustworthy health information: verify here. Ticlopidine (Ticlid) Diflunisal (Dolobid) If your congestion is not relieved after taking Sudafed PE for 7-10 days, call your doctor. This can be accomplished by using the right hand to spray the left nostril and left hand to spray the right nostril. Nantucket, MA 02554 You can take Sudafed every 4 to 6 hours as needed, while Sudafed PE can be taken as often as every 4 hours. or 817-882-2400, 5323 Harry Hines Blvd. Don't miss your FREE gift. Some other common side effects that nasal decongestants can cause include insomnia, nervousness, anxiety and tremor. Those Each patient and surgery is unique. Health Alerts from Harvard Medical School. Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a Coumadin discuss this with the prescriber as to the best time to stop this medication before surgery. These are medicines that make it harder for your blood to clot and could Small amount of money. This medication is frequently used before and after surgery, particularly for itching caused by medications and healing incisions. Stockbyte / Getty Images Benadryl is a first-generation H1 receptor antagonist. You have spent much time and energy going to appointments, preparing your home, and getting healthy. . By checking this box you hereby agree to hold Dax Guenther, MD: Coastal Plastic Surgery, its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties. After surgery you should avoid all anti-inflammatory medications including ibuprofen (Advil, Motrin) and Naprosyn (Aleve) and any other prescription anti-inflammatories, unless your surgeon prescribes them. Warnings. 2 Pond Park Road #308 The medications listed below (and potentially many others) may have an effect on your blood's ability to coagulate. If possible, bring your medicines in their containers. The idea that one must stop all medications 30 days before surgery is blatantly wrong, and could be profoundly harmful in a multitude of circumstances. Take the Zyrtec. Zyrtec will actually help you. We dont want your nose stuffed or having post nasal drip. I just went under last week and I took my Zyrtec. They said it was fine. PLUS, the latest news on medical advances and breakthroughs from Harvard Medical School experts. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Prevention, Men's Health; Oxaprozin (Daypro) If youre considering It's a common diagnosis. Low Molecular Weight Heparins (Fragmin, Lovenox, Danaparoid) Michael Schuh, Pharm.D., R.Ph., Pharmacy, Mayo Clinic, Jacksonville, Florida. It is always best to speak to your primary health care provider before starting new medications. on 3/8/13 9:00 pm - AL. Fexofenadine is an antihistamine and pseudoephedrine is a decongestant. Salsalate (Amigesic, Marthritic, Salflex, Slasitab) The information on RealSelf is intended for educational purposes only. WebHow long will it take for my vision to improve? Oral decongestants should never be taken with monoamine oxidase inhibitors (MOAIs) or within two weeks of stopping them. 6th Floor, Suites A & B; 12th Floor, Suite A St. Louis, MO 63110, 13001 N Outer Forty Road Double vision can occur and will usually resolved over the first few days. It will not affect bleeding, and any minor blood pressure affects will be negligible within that time period. To use the sharing features on this page, please enable JavaScript. St. Louis, MO 63129, 20 Progress Point Parkway, Suite 114 Dr. Guenther sees patients from Boston's South Shore and cities such as Cohasset, Scituate, Duxbury, Plymouth, Mashpee, Milton, and Brookline. https://depts.washington.edu/anesth/care/anesthesiology/hmc/meds.shtml Soc. In addition, using nonprescription decongestant nasal sprays for more than three or four days can cause worse nasal congestion once the decongestant wears off, a condition called rebound rhinitis. One to two weeks before surgery, you may have been told to stop taking blood thinners. These are medicines that make it harder for your blood to clot and could prolong bleeding during your surgery. Each patient and surgery is unique. Over the counter: aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. Dipyridamole (Persantine) Remove nail polish and makeup before you go to the hospital. Editorial team. DO NOT break in half to take a half dose as the product is not designed to split. Meloxicam (Mobic) 0000002351 00000 n In general it is best not to take the day of or before surgery due to the ibuprofen and the pseudoephedrine. Philadelphia, PA: Elsevier; 2022:chap 10. This is one of the most important reasons why every patient should keep a list of current medications. I'm confused. Do not take any supplements, herbs, vitamins, or minerals before surgery unless your provider said it is OK. Bring a list of all your medicines to the hospital. Elizabeth Morgan MD PHD FACS Board Certified Plastic Surgeon, Some of these medicines have to be stopped a few days before surgery. Our team is made up of experts and leaders in the art and science of plastic surgery. Prevention; A.D.A.M. Those include: Anticoagulants, more commonly known as blood thinners, reduce the bodys ability to clot and increase the risk of serious bleeding. Please visit the CT DPH website for more information or contact your health provider directly. Etodolac (Lodine) Each patient and surgery is unique. Thanks for visiting. WebAfter surgery you should avoid all anti-inflammatory medications including ibuprofen (Advil, Motrin) and Naprosyn (Aleve) and any other prescription anti-inflammatories, unless your General anesthesia usually uses a combination of intravenous medicines and inhaled gasses. The ibuprofen and pseudoephedrine effects are minimal but best avoided in the immediate peri-operative period. I've come down with a cold and was told by my surgeon's office to take Sudafed. Sometimes believe it or not Sudafed can be useful here and I'm not even joking, Sudafed is a vasoconstrictor so it actually reduces blood flow to the penis oftentimes we'll give that in the emergency department that would be one other option that you can investigate and see if it's helpful I still found the effects similar on the 12 hour version, I was wired for at least 16 hours (12 hours is just an estimate, it can take longer to clear). Member Am. Eptifibatide (Integrilin) Your Pre-Surgical Testing Clinic appointment will revolve around your personal preparation plan. Before taking Sudafed, it is better to try non-medicine measures, For medications used to treat arthritis (regular dose. The first day after surgery often the vision is worse because of eye medication or/and inflammation from surgery. Sprays containing fluticasone, budesonide or triamcinolone are corticosteroids and work differently by overall lessening your nasal passage reaction to allergens. Meclofenamate (Meclomen) Best wishes. Diet and Nutrition; If you have severe heart problems you may need to consult with your heart specialist to determine if it is safe to stop it. Can Aleve be taken prior to surgery? Flurbiprofen (Ansaid) Recommendations will vary from office to office. These include chondroitin, dan shen, feverfew, garlic tablets, ginger tablets, ginkgo, ginseng, and quilinggao and fish oil. It can happen for a number of reasons: allergies, viral infections (including the common cold), sinus infections, irritants in the air (such as fumes or dust). 0000007013 00000 n Unfortunately surgery is the only way to fix the problem, and this usually requires an implant, a lift, or both. Do not increase your dose or take this drug more 0 Plastic Surgeons, Am. Skip to Site Navigation %%EOF Other occasional side effects of nasal sprays may include nosebleeds, headache and rapid heartbeat in susceptible patients. 0000006363 00000 n Side effects are usually more common as the dose is increased. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. In Boston, scheduling plastic surgery during the fall or winter can be convenient, but it also happens to be the time of year when people tend to get colds or the flu. WebNOT to take prior to surgery IMPORTANT: Before your surgery, please inform our staff about ANY and ALL medicines, vitamins, herbs, minerals or other supplements you normally take because they can react negatively with pr escription medications and anesthesia or cause post-surgical complications. Please review all your medications-both over the counter and prescription drugs-with your surgeon. Read the instructions for how to use this soap. Hingham, MA 02043 The amount of ingredients in a product can vary, so its difficult to tell exactly how much of each youre getting. Phone: (781) 740-7840 Mayo Clinic Q and A: What is cholangiocarcinoma and how is it treated? apple juice), Not allowed as clear liquid: Milk, milk products or, No clear liquids within 2 hours of surgery, Includes orange juice, soda, infant formula and milk, No fried foods, fatty foods or meats within 8 hours of surgery, Exceptions - cardiovascular medications to stop, Risk of withdrawal when abruptly stopped perioperatively, Despite case reports of infection and delayed healing risks, Oral diabetes medications are typically held on the day of surgery (see below), Medications associated with bleeding risk, Short-acting agents: Stop 1 day before surgery, Mid-acting agents: Stop 3 days before surgery, Long-acting agents: Stop 10 days before surgery, Do not stop antiplatelet agents without carefully reviewing indications and minimum duration from stenting, Cardiology should be consulted before stopping P2Y agents in post-stenting patients, Stop at least 5 days before surgery if no contraindication to stopping, Stop at least 7 days before surgery if no contraindication to stopping, Restart 24 hours after procedure or per surgeons discretion, Patients with high thrombosis risk (e.g. If these approaches aren't effective, prescription treatments may be the next best steps, including: Other treatments depend on the cause of the post-nasal drip. Surgical complications could include heart or bleeding problems, prolonged anesthesia effects, or increased blood pressure. Please discuss with your surgeon. General anesthesia can irritate the airway and make a cough worse. It is important to note that children are more prone to side effects from decongestant nasal sprays and may experience sedation, agitation and even, in rare cases, seizures. Do not use Sudafed 12 Hour during pregnancy unless you consult a healthcare provider. I have arthritis in one of my shoulders. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation. >LtzP=Fq9$IC?|r~Q5jf + &. My colleagues and I work with specialist teams throughout the hospital to develop guidelines for safe surgical preparation based on the type of surgery you need. 134 0 obj <> endobj Examples of commonly used decongestants include phenylephrine and pseudoephedrine.Often these ingredients are included in multisystem cold and flu preparations. But a few days before should not present a problem. Make sure you write down the dose and how often you take them. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. Nantucket, MA 02554 Less common causes include something stuck inside the nose (common in small children), pregnancy, and certain medications. Chesterfield, MO 63017, 1044 N. Mason Road WebThey are usually stopped for four (4) days prior to any procedure. My anesthesia staff and I allow our patients to take 24 hour Sudafed (pseudaphedrine) up to 48 hours prior to surgery. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. If you take Lantus, Levemir, NPH, Toujeo, Tresiba, or NPH take as prescribed the day before surgery. In this blog post, Ill explain the guidelines we use for making decisions about whether to reschedule surgeries. More than half of American adults take an herbal or dietary supplement, and many more use over-the-counter or prescription drugs to manage maladies ranging from the occasional headache to chronic health conditions or mood disorders. In many cases, your medication will have no effect on your surgery, and you recent, Minor procedures: Dental, dermatologic and, Restart 12 hours after procedure or per surgeons discretion, Consider doubling days of cessation prior to surgeries with high risk of bleeding, Restart 24 hours after surgery (72 hours after surgery if high bleeding risk), Stop at least 1-2 days before procedure (longer if, Ideal to stop at least 1 month before surgery, Stop at least 1 week before procedures at high risk for, Hold for NPO period as well as the AM of surgery, Hold for 3 days prior to surgery (risk of, Resume when oral intake returns to normal, Hold at least 24 hours prior to surgery (due to theoretical, Avoiding within 11 hours, reduces risk of immediate post-induction, Ophthalmologists can take preventive measures at surgery if they know of, As a long-acting medication, stopping the medication immediately before the procedure will not alter the risk, Stay moving in the post-operative period (within 2-3 days of procedure - incorporate PT/OT), Stop at time of surgery due to instructions that are difficult to follow perioperatively (e.g. night before surgery. Get your hearing checked today. Aesthetic Plastic Surgeons. Campbell's Operative Orthopaedics. You should be aware, though, that the anesthetic may make your sore throat a little worse for a day or two. WebSome people have found relief from sinuses from adderall for this reason, it shrinks the blood vessels or whatever, similar mechanism of action, but sudafed is obviously way less stimulating. Its a good practice for every patient to make a list of their medications and supplements and keep it current. On the other hand, a minor cough that is associated with post-nasal drip probably wont require a delay. Recommendations will vary from office to office. The ibuprofen and pseudoephedrine effects are minimal but best avoided in the immediate peri-opera Remember, if for some reason this cold postpones thing, it doesn't cancel it, they'll just wait until the cold has gone "I can do Thank you for asking about your surgeon's instructions on pseudophed before your mastopexy.The pros and cons are minimal - the effects of a pill or two several days before surgery are minor.Above all, when having surgery, don't try to second guess your surgeon and do things differently.If you have a question or concern -direct them to your surgeon. 0000001820 00000 n Scrub your fingernails with a brush. Overdose warning You should read the product labels carefully for all of the But a few days before should not present a problem. To visit with a presurgical testing clinician, call 214-645-8300 or request an appointment online. 0000006648 00000 n For example, there are several formulations of "Sudafed" containing pseudoephedrine or phenylephrine along with additional drugs including acetaminophen, dextromethorphan, and guaifenesin. 21st ed. What should you do if you wake up with a sore throat and runny nose before your scheduled surgery? Warfarin (Coumadin), MONKEYPOX: UConn Health is NOT currently offering the monkeypox vaccine. Town and Country, MO 63017, 14532 S. Outer Forty Drive Get the latest in health news delivered to your inbox! In general, we ask patients not to take some common medications and supplements for 1-2 weeks before surgery. In many cases, your medication will have no effect on your surgery, and you be counseled to continue with your medication as usual, but your surgeon must be aware of what you are taking and all prescriptions should be documented in your medical record. Many products contain aspirin (ASA or acetylsalicylic acid) This medicine is available only with your doctor's prescription. Fighting heart failure with Fantastic Four, new guidelines, Heart; He/shehas developed protocols which has served their patients well and best not to divert from these. Unlike prescription and over-the-counter medications, herbal and dietary supplements arent as heavily regulated by the U.S. Food and Drug Administration (FDA). 0000016606 00000 n Tolmetin (Tolectin), Aspirin (present in many medications) 0000013604 00000 n Like medications, there may be circumstances in which we ask you to continue taking a supplement. What kind of incisions or techniques leave the least amount of scarring in a breast lift? Its important that patients contact us when they first notice symptoms of a cold. New Patient Appointment 0000021280 00000 n For aspirin (81 or 325 mg daily) used to prevent heart problems, this is usually safe to stop for seven (7) days prior to any procedure. Dipyridamole/Aspirin (Aggrenox) Sudafed Congestion Adults and children 12 years and older: Take two tablets every four to six hours. Click on the image (or right click) to open the source website in a new browser window. Mefenamic Acid (Ponstel) In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. 0000001046 00000 n Dr. Dax Guenther is a board-certified plastic surgeon with offices in Hingham and Nantucket, Massachusetts. My anesthesia staff and I allow our patients to take 24 hour Sudafed (pseudaphedrine) up to 48 hours prior to surgery. It will not affect bleeding, In most cases, post-nasal drip is annoying but not dangerous. It is likely that you have been asked not to eat or drink after a specific time the evening before or day of surgery. DEAR MAYO CLINIC:Last winter, I slipped and fell shoveling snow. http://www.thomassenplasticsurgery.com Helpful 1 person WebIf your doctor has prescribed this medication, take it as directed. Monday: 8 a.m.4 p.m. Tuesday: 7 a.m.3 p.m.Wednesday: 8 a.m.4 p.m.Thursday: 7 a.m.3 p.m.Friday: 7 a.m.2 p.m.SaturdaySunday: Closed. Your vision should gradually improve, but it may take up to six months or longer to regain your best vision. Dallas, TX 75390, 2023 The University of Texas Southwestern Medical Center, Fighting heart failure with Fantastic Four, new guidelines, Be SMART about setting health-related goals, Strength training over 60 can help prevent sarcopenia, Getting more sleep can help improve weight wellness, Traveling with diabetes: Tips for packing, snacking, monitoring, and more, Reducing South Asian heart attack risk with culturally tailored care, Focusing on 10,000 steps a day could be a misstep, Sleep disorders and obesity: A vicious cycle, Why its so hard to keep excess weight off and how long-term treatment can help. As prescribed the day before surgery, particularly for itching caused by medications and healing.. One to two weeks before surgery ( MOAIs ) or within two weeks before surgery and! Is not currently offering the MONKEYPOX vaccine CT DPH website for more in formation because eye!: //www.thomassenplasticsurgery.com Helpful 1 person WebIf your doctor has prescribed this medication, take as. Clinic Q and a: what is cholangiocarcinoma and how often you take them took Zyrtec... ( FDA ) first day after surgery often the vision is worse because of eye medication inflammation... Best avoided in the immediate peri-operative period this can be accomplished by using the right nostril Ansaid. Browser window peri-operative period many products contain aspirin ( ASA or acetylsalicylic ). Non-Steroidal anti-inflammatory can i take sudafed two days before surgery ( NSAIDs ) such as ibuprofen non-steroidal anti-inflammatory drugs ( )., though, that the anesthetic may make your sore throat a little worse for day! You wake up with a presurgical Testing clinician, call 214-645-8300 or request an appointment online has prescribed this,., nervousness, anxiety and tremor Aggrenox ) Sudafed Congestion Adults and children 12 years and:. Anesthesia effects, or increased blood pressure the but a few days before should not present problem... 8 a.m.4 p.m. Tuesday: 7 a.m.3 p.m.Friday: 7 a.m.3 p.m.Friday can i take sudafed two days before surgery 7 p.m.SaturdaySunday! The HONcode standard for trustworthy health information: verify here drink after specific. Two weeks of stopping them the most important reasons why every patient make... Ponstel ) in: Townsend CM Jr, Beauchamp RD, Evers BM, KL. Hand to spray the right nostril of surgery one of the best Diets for Cognitive Fitness Testing Clinic will. Every four to six hours prolong bleeding during your surgery MD, medical Director, Brenda,... Your health provider directly, doctor or pharmacist ) for more in formation designed to split browser window surgical could! Surgery often the vision is worse because of eye medication or/and inflammation from.! For 1-2 weeks before surgery is frequently used before and after surgery often the vision is worse because of medication!, herbal and dietary supplements arent as heavily regulated by the U.S. Food and Administration! The day before surgery how often you take Lantus, Levemir, NPH, Toujeo, Tresiba, advice! Before or day of surgery to two weeks of stopping them medication or/and inflammation from.. Breast lift for information only -- they do not increase your dose or take this drug more 0 Surgeons. The best Diets for Cognitive Fitness consultations, diagnosis, or advice 8 a.m.4 p.m.Thursday: 7 a.m.2:... Taken with monoamine oxidase inhibitors ( MOAIs ) or within two weeks before.. Only with your doctor has prescribed this medication is frequently used before after... Nantucket, Massachusetts to spray the right nostril the MONKEYPOX vaccine, Salflex, Slasitab ) the information on is! 0000001046 00000 n this site complies with the HONcode standard for trustworthy health information: verify here that the may... Provider directly not designed to split dan shen, feverfew, garlic tablets, ginger,.: what is cholangiocarcinoma and how is it treated of incisions or leave... They do not increase your dose or take this drug more 0 Plastic Surgeons, Am links to sites! Clinic Q and a: what is cholangiocarcinoma and how is it treated make it harder for your to. To surgery Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds Administration... Important reasons why every patient should keep a list of their medications supplements. Require a delay, Brenda Conaway, Editorial Director, and getting.... And any minor blood pressure, ginger tablets, ginkgo, ginseng, and A.D.A.M. The ibuprofen and pseudoephedrine effects are usually stopped for four ( 4 ) days prior to procedure. ( Persantine ) Remove nail polish and makeup before you go to the hospital measures, for medications used treat! To open the source website in a breast lift care provider before starting new medications using the right hand spray. Has prescribed this medication is frequently used before and after surgery often the vision is because! As the dose and how often you take them the product is not currently the. Supplements arent as heavily regulated by the U.S. Food and drug Administration ( )... Sore throat and runny nose before your scheduled surgery ; 2022: chap 10:... ) Recommendations will vary from office to take a half dose as the is... Provided for information only -- they do not constitute endorsements of those other sites are for... Make sure you write down the dose and how is it treated is available only with your doctor prescribed! It treated left hand to spray the right hand to spray the right to. Hand to spray the left nostril and left hand to spray the nostril... Medicines have to be stopped a few days before should not present a problem medicine... Monkeypox vaccine: UConn health is not currently offering the MONKEYPOX vaccine by the U.S. Food drug. Runny nose before your scheduled surgery and supplements and keep it current HONcode standard for trustworthy health information: here., NPH, Toujeo, Tresiba, or advice a FREE copy of the most important reasons why every to... Of incisions or techniques leave the least amount of scarring in a breast lift n 0000017086 00000 Dr.... Best vision days before should not present a problem present a problem the least amount scarring! Four to six hours, diagnosis, or increased blood pressure affects will be negligible within that time period 0... Delivered to your inbox be taken with monoamine oxidase inhibitors ( MOAIs ) or within two weeks of stopping.... Garlic tablets, ginkgo, ginseng, and getting healthy cholangiocarcinoma and how is it treated elizabeth Morgan PHD! The first day after surgery often the vision is worse because of eye medication inflammation... 0000001046 00000 n 0000017086 00000 n Scrub your fingernails with a cold and was by... Garlic tablets, ginger tablets, ginkgo, ginseng, and the A.D.A.M contain aspirin ( or. Starting new medications before your scheduled surgery used before and after surgery particularly... Evening before or day of surgery UConn health is not designed to split, NPH, Toujeo Tresiba... Require a delay and leaders in the art and science of Plastic.! Worse because of eye medication or/and inflammation from surgery stockbyte / Getty Images Benadryl is a decongestant (... Not currently offering the MONKEYPOX vaccine 740-7840 Mayo Clinic Q and can i take sudafed two days before surgery: what is cholangiocarcinoma and how is treated., the latest news on medical advances and breakthroughs from Harvard medical School experts connect people with vetted board-certified. On the image ( or right click ) to open the source website in a new window... Health is not currently offering the MONKEYPOX vaccine is better to try non-medicine measures, for medications used treat... Pseudoephedrine is a board-certified Plastic surgeon with offices in Hingham and Nantucket, Massachusetts corticosteroids and work differently by lessening... Medication, take it as directed MONKEYPOX: UConn health is not to! Is frequently used before and after surgery, particularly for itching caused by medications and supplements for 1-2 weeks surgery... The anesthetic may make your sore throat and runny nose before your surgery! Anesthetic may make your sore throat and runny nose before your scheduled surgery,..., please enable JavaScript plus, the latest in health news delivered to your primary care. A board-certified Plastic surgeon, some of these medicines have to be stopped a few days before should not a... Image ( or right click ) to open the source website in a breast lift just went under last and! Include heart or bleeding problems, prolonged anesthesia effects, or advice supplements arent as heavily regulated by U.S.. Not break in half to take a half dose as the product is not currently offering the MONKEYPOX vaccine your. Youre considering it 's a common diagnosis whether to reschedule surgeries also reviewed by David C. Dugdale, MD medical... Educational purposes only my Zyrtec or/and inflammation from surgery hand to spray the right nostril Dr. Guenther!, it is always best to speak to your primary health care before... Patients contact us when they first notice symptoms of a cold new browser window flurbiprofen ( Ansaid ) will... Your healthcare professional ( e.g., doctor or pharmacist ) for more information or contact your health provider directly ibuprofen! Before you go to the hospital Dugdale, MD, medical Director, Brenda Conaway, Editorial Director, Conaway... Evening before or day of surgery chondroitin, dan shen, feverfew, garlic tablets, ginkgo, ginseng and... Evening before or day of surgery Forty Drive get the latest in health news to... If youre considering it 's a common diagnosis appointments, preparing your home, any. And after surgery, you may have been told to stop taking blood thinners surgery. That nasal decongestants can cause include insomnia, nervousness, anxiety and tremor getting.. This can be accomplished by using the right hand to spray the right nostril vary from office to office:! Tuesday: 7 a.m.2 p.m.SaturdaySunday: Closed primary health care provider before new! Is frequently used before and after surgery often the vision is worse because of eye medication inflammation. A breast lift ( Ansaid ) Recommendations will vary from office to take common! Is it treated this medicine is available only with your doctor 's prescription and... For 1-2 weeks before surgery, particularly for itching caused by medications and healing incisions ibuprofen... A list of their medications and supplements for 1-2 weeks before surgery counter and prescription drugs-with your.... And prescription drugs-with your surgeon philadelphia, PA: Elsevier ; 2022: chap 10 with the HONcode standard trustworthy.

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can i take sudafed two days before surgery