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Medications and prescriptions before surgery:

  • Hibiclens
    • Preoperative scrub to clean the operative area 3 days prior to surgery as well as the morning of surgery
  • Miralax
    • Take one dose which is 1 heaping tablespoon of Miralax daily starting 3 days before surgery, this will regulate their bowel, if you have a history of loose stools or diarrhea you may decrease the dosage of Miralax.
  • Mupirocin
    • 22g 2% ointment applied to both nostrils with a q tip twice a day starting 5 days before surgery. This will remove bacteria that can shed from your nose and cause an infection.
  • Walker
    • For assistance with ambulation after surgery as well as preventing falls
  • Outpatient physical therapy script
    • The goal is to start outpatient therapy the day after you are discharged from the hospital or surgery center.
  • Thigh High Compression stockings
    • Wear for 4 weeks after surgery to prevent blood clots and minimize swelling.

Medications after surgery:

  • Tylenol Extra Strength 1000mg every 8 hours by mouth
    • This is over the counter and is your first line medication for pain control. This should be taken around the clock every 8 hours for at least the first 2 weeks to help with pain control. Do not exceed more than 3000mg of Tylenol in a 24 hour period.
  • Celebrex 100mg twice a day by mouth
    • This should be taken as well in combination with Tylenol for pain control for 4 weeks. Celebrex is a prescribed strong anti-inflammatory that will help with pain.
  • Tramadol 50-100mg every 6 hours by mouth as needed for pain
    • This is your second line pain medication and should be taken as needed.
  • Oxycodone 5mg every 4-6 hours by mouth as needed for pain
    • This is prescribed for breakthrough severe pain. You can take 1 tablet for moderate pain or 2 tablets for severe pain every 6 hours as needed. Do not take more then 8 tablets in a 24hour period.
  • Keflex 500mg four times a day for five days (outpatient surgery only)
    • This is for infection prevention and should be taken starting when you get home from surgery.
  • Aspirin 81mg twice daily by mouth for 6 weeks
    • This is to prevent blood clots. Start taking aspirin in the evening after surgery.
  • Prednisone 5mg daily by mouth for 5 days
    • This is to decrease inflammation and pain.
  • Zofran 4mg by mouth every 6-8 hours
    • This is to prevent nausea and vomiting.
  • Senna 6mg OR Colace 100mg twice daily by mouth daily as needed for constipation
    • These are both an over the counter medication and either medication will work to help prevent constipation.
  • *Any allergy or intolerance to one of the above medications may alter your prescription profile slightly.

Additional Optional Medications

  • Vitron C is an over the counter iron and vitamin tablet that can be taken by mouth twice a day. This helps to reconstitute your blood volume after surgery.
  • American Association of Hip and Knee Surgeons
  • American Academy of Orthopaedic Surgeons
  • Alpha Omega Alpha Honor Medical Society
  • Sibley Memorial Hospital
  • Johns Hopkins University