What Medications Should You Not Take Before a Cortisone Shot?
If you’re scheduled for a cortisone shot, it’s important to know that certain medications can interfere with the effectiveness of the treatment or increase the risk of complications. Here’s a guide to the medications you should avoid before undergoing a cortisone shot.
NSAIDs (Nonsteroidal Anti-Inflammatory Drugs)
NSAIDs, such as ibuprofen, naproxen, and aspirin, are commonly used to reduce inflammation and pain. However, taking these medications before a cortisone shot can interfere with the shot’s ability to reduce inflammation. It’s best to avoid NSAIDs for at least 24 hours before your cortisone injection.
Aspirin
Aspirin is an NSAID that can thin the blood, which may increase the risk of bleeding during and after the cortisone shot. To minimize this risk, it’s advisable to stop taking aspirin at least a week before your injection.
Antiplatelet Medications
Antiplatelet medications, such as clopidogrel (Plavix) and warfarin (Coumadin), are used to prevent blood clots. These medications can increase the risk of bleeding, so it’s crucial to consult with your healthcare provider before stopping them. They may advise you to continue taking these medications or adjust your dosage before the cortisone shot.
Anticoagulants
Anticoagulants, like heparin and enoxaparin (Lovenox), are used to prevent blood clots in patients with certain medical conditions. These medications can significantly increase the risk of bleeding during and after the cortisone shot. Your healthcare provider will likely instruct you to discontinue these medications for a specific period before your injection.
Stimulants
Stimulants, such as amphetamines and methylphenidate (Ritalin), can increase heart rate and blood pressure. These medications should be avoided before a cortisone shot to prevent any potential adverse effects.
Antidepressants
Antidepressants, particularly those that affect the immune system, such as SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors), can affect the body’s response to corticosteroids. It’s important to discuss your medication regimen with your healthcare provider to ensure the best possible outcome from your cortisone shot.
Conclusion
Before undergoing a cortisone shot, it’s crucial to inform your healthcare provider about all the medications you are currently taking. This will help them determine which medications to avoid or adjust before the procedure. By doing so, you can minimize the risk of complications and maximize the effectiveness of your cortisone shot. Always consult with your healthcare provider for personalized advice regarding your medication regimen before a cortisone injection.
