Fine Needle Aspiration Biopsy of Thyroid Nodules
A fine needle aspiration biopsy of a thyroid nodule is performed under ultrasound guidance. The very thin needle is used to withdraw cells from a suspected thyroid nodule. After the procedure, the sample cells will be examined under a microscope to make a diagnosis.
The patients obtain the Instructions prior to the procedure. If you have any questions about taking your medications prior to the thyroid nodule biopsy, be sure to talk to your doctor.
INSTRUCTIONS PRIOR TO THE PROCEDURE
- Avoiding pfysical exertion on the day of your appointment
- Avoiding lifting heavy objects after the procedure (e.g. shopping bag)
- The risk of some medications before the procedure:
The medications increasing the risk of bleeding or reducing blood clotting need to be stopped taking temporarily at least 10 days before the thyroid nodule biopsy.
CLOPIGAMMA, DUOPLAVIN, PLATEL, PLAVOCORIN, TROMBEX, VESSEL DUE F, ZYLLT
WARFARIN – if INR ≥ 1.5, it is recommended to temporarily replace Warfarin with injectable low-molecular-weight heparin (after consultation with clinician indicating Warfarin and the biopsy). INR < 1.5 is considered safe to continue in Warfarin taking.
ELIQUIS, PRADAXA, XARELTO – these medications need to be stopped taking 1 day before the procedure, they can be continued the evening after the thyroid nodule biopsy. It is advisable to consult a reffering clinician.
These medications need to be stopped taking 7–10 days before the procedure:
ACIFEIN, ACYLCOFFIN, ACYLPYRIN, AGGRENOX, ALMIRAL, ALNAGON, AMIZOLMET 500 mg/ml inj., ANOPYRIN, APO-DICLO, APOIBUPROFEN, APO-MELOXICAM, ARCOXIA, ARTRILOM, ARTRODAR, ASPIRIN, AULIN
BRUFEN, BRUFEDOL, BETAPRES 5/75
CELEBREX, CONDROSULF
DICLOFENAC, DICLOREUM, DOLMINA, DOLGIT, DICUNO, DEXOKET, DONA, DYNASTAT
FLECTOR, FLAMEXIN, GODASAL, HOTEMIN
IBALGIN, IBUMAX, IBUMYL RAPID 400 MG, IBUPROFEN, IBUSTRIN, INDOMETACIN
KETESSE, KETONAL
MELOXICAM, MELOXISTAD, MESULID, MIGRALGIN, MODAFEN, MOVALIS
NALGESIN S, NEO-CEPHYL, NIMED, NIMESIL, NOVALGIN, NUROFEN
OLFEN, ORAMELLOX, RECOXA, STACYL, SURGAM
THOMAPYRIN, UNO, VASOPIRIN, VERAL, VOLTAREN
These medications need to be stopped taking 30–50 hours before the procedure:
APO-TIC, TAGREN
These medications can be continued:
ATARALGIN, CLEXANE inj., COLDREX, FRAXIPARINE inj., GRIPPOSTAD, HUMEX COLD, KORYLAN, MABRON, MIGRANERTON, NOAX UNO, PANADOL, PARALEN, PROTRADON, SARIDON, TALVOSILEN, TRALGIT, TRAMABENE, TRAMADOL, TRAMAL, TRAMUNDIN, ULTRACOD, VALETOL, VICKS SYMPTOMED