Cosmetic and reconstructive procedures, such as a facelift (rhytidectomy), tummy tuck ( abdominoplasty ), or nose surgery ( rhinoplasty ) may not be medically indicated, but they may benefit the patient in terms of raising self-esteem. Other procedures, such as cataract surgery, improve functional quality of life even though they are technically an "optional" or elective procedure. Plaquenil and atorvastatin Autofluorescence test for plaquenil toxicity Plaquenil 200 in pregnancy How annoying for you! I have been advised to stop my lupus meds one week before surgery, elective hernia repair, dental surgery such as extractions and chopping gums about, and now I stop a couple of days before dentist's, all to reduce bleeding risks. The meds are or were aspirin 75 mgs, a The toxicity profile of hydroxychloroquine contributes little risk in stopping or continuing use during surgery since individuals are able to recover quickly with this medication after outpatient operations 20,21. It appears to be safe treatment for RA in the presence of elective surgery with renal function monitoring 17. I just had major spine surgery in November. The surgeon had me check with my rheumy about stopping Plaquenil and I was told to continue it, or just stop it the day of surgery then get right back on, I asked what would happen if I stopped for a week and was told I'd risk going into a flare. I stayed on it and surgery went OK. However, unlike emergency surgery (e.g., appendectomy ), which must be performed immediately, a required elective procedure can be scheduled at the patient's and surgeon's convenience. Some elective procedures are necessary to prolong life, such as an angioplasty . Plaquenil and elective surgery Perioperative management of the. - PubMed Central PMC, The Safety of Elective Surgery with Concurrent Use of. Plaquenil alcohol interactionPlaquenil side effects neuropathy Elective surgery often seems to result in Lupus flares. So does required surgery, of course. With an auto-immune disease, it just isn't known how or why something might cause a flare, and many kinds of stress are culprits, esp. physical stress. Many of us have flares after surgeries, yet others don't - it's pretty much a guessing game. Lupus AFTER Gastric Bypass surgery. Stopping Plaquenil before surgery Lupus Forums at The.. Hold the immunomodulators for surgery? Maybe yes, maybe no.. Elective surgeries may extend life or improve the quality of life physically and/or psychologically. Cosmetic and reconstructive procedures, such as a facelift rhytidectomy, tummy tuck abdominoplasty, or nose surgery rhinoplasty may not be medically indicated, but they may benefit the patient in terms of raising self-esteem. Summary of guidelines for DMARDs for elective surgery. of risks of flare with stopping DMARDs versus the risks of infection with continuing them perioperatively for elective TKA. Continue methotrexate, leflunomide, hydroxychloroquine, and sulfasalazine. Biologic agents should be held with surgery scheduled at the end of dosing cycle and. Thank you for asking about elective cosmetic surgery with lupus and fibromyalgia. A patient with lupus is putting herself at risk pf serious complications if she keeps the lupus a secret from her surgeon.