Can I Undergo Gastroscopy While Taking Heart Medications?

It is possible to undergo a gastroscopy while taking heart medications?

Hello Dr.
Chen, I often experience stomach pain while working.
Yesterday, I went to a large hospital and consulted the gastroenterology department.
The doctor asked if I wanted to have an endoscopy, and since I have never had one before, he arranged for me to have the procedure.
He also inquired about the medications I am taking, and I mentioned that I take antihypertensive medication.
However, I forgot to tell him that I am also taking a cardiac medication, Tenormin (Atenolol) 60 mg, and a sleep medication, Eszopiclone 0.5 mg (Lunesta), which I take before bed, along with Lyrica (Pregabalin) 0.25 mg after breakfast, and Calcium Carbonate 500 mg.
Dr.
Chen, can I still proceed with the endoscopy, or should I call the hospital to clarify my medication list? The procedure is scheduled for next Thursday.

Cai Xiansheng, 30~39 year old female. Ask Date: 2016/04/09

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, please do not take any medication on the day of the examination (you need to be completely fasting).
You may take your medication after the examination.
In the future, you can bring your medications for the doctor’s reference during outpatient visits.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2016/04/09

More Info

Undergoing a gastroscopy (also known as an upper gastrointestinal endoscopy) while taking heart medications is generally safe, but there are important considerations to keep in mind. It is crucial to communicate all medications you are taking to your healthcare provider, as certain medications can affect the procedure or the sedation used during the gastroscopy.

In your case, you mentioned taking heart medication (Tenormin, which is a beta-blocker), along with other medications for insomnia and calcium supplements. Beta-blockers are commonly prescribed for hypertension and heart conditions, and they do not typically interfere with the gastroscopy procedure itself. However, it is essential to inform your doctor about all medications, including over-the-counter drugs and supplements, to ensure they can provide the best care and make any necessary adjustments.

The main concern before undergoing a gastroscopy is the need for fasting. Patients are usually required to refrain from eating or drinking for a certain period before the procedure, typically around 6-8 hours. This is to ensure that the stomach is empty, which allows for a clearer view during the examination and reduces the risk of complications, such as aspiration. If you are on medications that need to be taken with food, your doctor may provide specific instructions on how to manage your medication schedule leading up to the procedure.

Additionally, if you are taking medications that affect blood clotting, such as anticoagulants or antiplatelet agents, it is crucial to discuss this with your healthcare provider. They may need to adjust your medication regimen before the procedure to minimize the risk of bleeding.

If you have any concerns about your heart condition or the medications you are taking, it is advisable to contact your healthcare provider or the hospital where the gastroscopy is scheduled. They can provide guidance tailored to your specific situation and ensure that you are adequately prepared for the procedure.

In summary, while taking heart medications does not inherently prevent you from undergoing a gastroscopy, it is vital to communicate openly with your healthcare team about all medications you are taking. This will help them manage your care effectively and ensure a safe and successful procedure. If you have any doubts or questions, do not hesitate to reach out to your doctor for clarification before your appointment.

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