If taking Ozempic or Rybelsus for type 2 diabetes, Wegovy for weight loss, or similar medications, doctors are debating how long before planned surgery you should stop taking the drug to be safe.
June 23, 2023 – If you’re taking Ozempic or Rybelsus for type 2 diabetes, Wegovy for weight loss, or other medications in the same drug class, it is not clear how long before planned surgery you should stop taking the drug to be safe.
The biggest risks of a full stomach during surgery are actively vomiting and partially or fully blocking the tube that delivers anesthesia to the lungs. Stomach contents can also come up slowly on their own. Either way, “aspiration” as doctors call it, can be dangerous. Shield’s post yielded a lot of reactions and comments. In the first week, the post was retweeted 30 times and earned 250 “likes,” along with more than 70 replies and comments. Shields noted the general consensus was to hold off on semaglutide for 1 to 2 weeks before surgery, but there were a lot of different opinions.One medical society that has been working on guidance for the past 3 weeks is the American Society of Anesthesiologists .
They treat all these cases as though someone just ate a full meal. Anesthesiologists will do a"rapid sequence induction." This involves giving the medicine that makes a patient go to sleep, giving another medicine that paralyzes them quickly, then inserting a breathing tube -- all within about 30 seconds.
Presently, clinicians at MetroHealth instruct patients to discontinue medications for diabetes on the day of surgery.
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