Understanding Your Medications After Joint Replacement Surgery

A Comprehensive Guide for Joint Replacement Patients

Orthopedics

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Last updated: Mar 24, 2025

Pain Management Medications

Prescription Pain Medications

  • Opioids (first 1-2 weeks)
    • Oxycodone or Hydrocodone
    • Take only as prescribed
    • Discontinue when pain becomes manageable

Over-the-Counter Pain Relief

  • NSAIDs
    • Ibuprofen (Advil®, Motrin®)
    • Naproxen (Aleve®)
  • Acetaminophen (Tylenol®)

Blood Clot Prevention

Anticoagulants

  • Injectable medications
    • Enoxaparin (Lovenox®)
    • Duration: 2-4 weeks
  • Oral medications
    • Rivaroxaban (Xarelto®)
    • Apixaban (Eliquis®)

Infection Prevention

Antibiotics

  • Prescribed for first 24 hours post-surgery
  • Additional doses before dental procedures

Important Medication Guidelines

  1. Timing

    • Follow prescribed schedule strictly
    • Use medication reminder apps/alarms
  2. Side Effects

    • Monitor for bleeding
    • Watch for unusual bruising
    • Report severe nausea or constipation
  3. Storage

    • Keep medications at room temperature
    • Store away from direct sunlight
    • Keep out of reach of children

When to Contact Your Doctor

  • Severe side effects
  • Unusual bleeding
  • Medication interactions
  • Questions about dosing

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