Take all of your usual medications for other health conditions. The ONLY exception would be blood thinners, such as Plavix, Pletal, Coumadin, Lovenox and similar medications that “thin” the blood. Please let us know if you are taking Aspirin, Ibuprofen, Aleve or other anti-inflammatory medications. Supplements like Vitamin E or fish oil may not be allowed before some injections. If you are taking a blood thinner, please inform our office and nurse at your first visit. With your physician’s approval, you will need to stop taking your blood thinner medication three to five days prior to your procedure.