How should herbal medicines be managed in patients undergoing surgery?

· South West Medicines Information and Training

  • Based on the pharmacokinetics and pharmacodynamics of individual herbal medicines the recommendations for discontinuation vary between 24 hours and 2 weeks.
  • It is generally advised that herbal medicines are stopped 2 weeks prior to elective surgery.
  • Full disclosure of herbal medicines by patients and specific pre-operative questioning by medical staff is essential.
Complementary and alternative therapiesEchinaceaGarlicGingerGinkgo bilobaQ&ASt. John's wortSurgeryValerian