Table 1.

ERAS Premedication Ordering Guidelines

Medication	Guidelines
Pregabalin	CI if hypersensitivity Avoid in patients older than 75 years of age
Celecoxib	CI if hypersensitivity (not sulfa allergy) CI if active GI bleeding CI with CrCI < 30 mL/min CI if Child-Pugh Class C CI in patients with NYHA functional classification II and above Decrease dose to 200 mg for Child-Pugh Class B
Tramadol ER	CI if hypersensitivity CI if CrCI < 30 mL/min CI if Child-Pugh Class C CI with concurrent MAOI therapy Decrease dose to 200 mg for Child-Pugh Class B
Acetaminophen	CI if hypersensitivity Decrease dose if patient weight < 50 kg (dose 15 mg/kg) Decrease dose to 500 mg if hepatic impairment/active hepatic disease, alcoholism, chronic malnutrition, severe hypovolemia, or CrCI < 30 mL/min

CI: contraindicated, GI: gastrointestinal, NYHA: New York Heart Association, ER: extended release, MAOI: monoamine oxidase inhibitor, CrCl: creatinine clearance