=======Preoperative Medication Management======= ======Medications====== ^ Drug class ^ Considerations ^ Preoperative management ^ | Beta blockers | Withdrawal hypertension | Continue during surgery | | Alpha 2 agonists | Withdrawal hypertension | Continue during surgery | | Calcium channel blockers | Slight increased bleeding risk | Continue during surgery | | ACE inhibitors | Hypotension | Continue during surgery for patients with heart failure \\ Hold night prior for other patients (10 hours) | | Diuretics | Hypovolemia and hypotension | Hold morning of surgery | | Statins | Myopathy | Continue during surgery | | SERMs | VTE | Stop 4 weeks prior |