Preparing for surgery
Alcohol, drugs and medication management
Reducing your use of alcohol, opioids and recreational drugs at least four weeks before surgery is advised for your safety.
Alcohol, recreational drugs and chronic pain medication (opioids) can affect your safety during surgery, as well as pain levels and ability to recover well after surgery.
It is important to reduce or cease use of these substances at least 4 weeks before surgery. It is critical that you tell your doctor, surgeon and the anaesthetist of any non-prescription substances for your safety.
Drinking too much alcohol can lead to:
- poor muscle function which can delay recovery
- delayed wound healing
- impaired balance and development of frailty contributing to falls, fractures and osteoporosis.
Chronic opioid use:
- makes it more difficult to control your pain after surgery
- causes constipation
- makes you more likely to get pneumonia after surgery.
Sometimes alcohol and opiate (strong pain killers) use can also hint at mental health problems which have not been diagnosed. We recommend you talk to your GP well before surgery about reducing your use of alcohol, opioids and recreational drugs.
Patient resources
-
Are you taking opioid medication? Reach for the Facts website
-
Alcohol and surgery Healthline website
-
Managing your alcohol intake HealthDirect website
-
Schedule for surgery? Say no to alcohol McMaster University website
-
Courses and learning modules NPS Medicinewise website
-
Watch: Brainman stops his opiods HNEHealth on YouTube
GP resources
-
Opioid deprescribing guidelines The University of Sydney website
-
Opioid calculator FPM ANZCA website
-
Alcohol screening & brief intervention HealthPathways SA website
-
Codeine-chronic use and deprescribing HealthPathways SA website
-
Chronic non-cancer pain in adults HealthPathways SA website
-
Preoperative opioid use: a modifiable risk factor for poor postoperative outcomes British Journal of Anaesthesia website