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What is Arrange the following the anticoagulant drug's last dose to be stopped before surgery in ascending order{time} 1)Clopidogrel 2)Ticlopidine 3)low molecular wt heparin 4)Warfarin and explain in detail?
The following drugs has tobe continued on the day of surgery: Antihypeensive medications Cardiac medications (e.g.,b-blockers, digoxin) Antidepressants, anxiolytics, and other psychiatric medications Thyroid medications Anticonvulsantmedications Asthma medications. Steroids (oral and inhaled) Drugs that should be discontinued on the day of surgery Oral hypoglycemic agents NSAIDs - Discontinue 48 hours before the day of surgery Warfarin - Discontinue 4 days before surgery, except for patients having cataract surgery without a bulbar block. Sho acting Insulins except when given by a continuous pump Thienopyridines (e.g., clopidogrel, ticlopidine) except in cataract surgery, patients with metallic/drug eluting stents Aspirin in selected cases where reversal of platelet inhibition is necessary MAO Inhibitors - 2 weeks prior (MAO Inhibitors are usually continued.They should be discontinued if the patient and anesthesiologist factors are not orable to continue them)