Dr. Jeffrey Wilde, MD
Clinical Assistant Professor of Orthopedic Surgery
Division Head, Section of Lower Extremity Reconstruction
Scripps Clinic/Scripps Clinic Medical Group
Postoperative Instructions - Anterior Total Hip Replacement
🔴 Oxycodone 5mg (Narcotic Pain Reliever)
Goal: Gradually decrease over next 3-4 weeks
For mild pain: ½ tablet by mouth every 4 hours only as needed
For moderate - severe pain: 1 tablet by mouth every 4 hours only as needed
🟡 Celecoxib 200mg (Celebrex - Anti-inflammatory)
Dosage: 1 tablet daily for two weeks
🟢 Dexamethasone 2mg (Steroid - Anti-inflammatory)
Dosage: 1 tablet by mouth for three days
🔵 Acetaminophen 500mg (Tylenol - Pain Reliever)
Dosage: 2 capsules (1000mg total) every 8 hours for 2-3 weeks, then take as needed
Note: Purchase over the counter
� Protonix 40mg (Stomach Acid Reducer)
Dosage: 1 tablet by mouth before breakfast daily for 30 days
🟤 Keflex 500mg (Antibiotic)
Dosage: 1 tablet 4 times a day for three or seven days
📋 Prescription Refill Instructions
For prescription pain medication refills: Please send us a message on the Scripps portal or contact the office Monday-Friday before you run out of pain medication. Please allow up to 48 hours for processing/approval.
⚠️ Important: Do NOT Take Anti-Inflammatory Medications
DO NOT take any anti-inflammatory medications (Advil, Motrin, Aleve, Ibuprofen, Diclofenac) for 1 month after surgery. These medications interfere with bone healing after surgery. Prescriptions will be provided as needed.
🩸 Blood Clot Prevention (Blood Thinner)
Choose ONE of the following options:
Aspirin 81mg
Dosage: 1 tablet twice a day for 30 days
Note: Purchase over the counter
Coumadin
Questions: Call the Coumadin Clinic at (858) 554-5595 or prescribing doctor
Xarelto 10mg
Dosage: 1 tablet daily for 30 days
Eliquis 2.5mg
Dosage: 1 tablet twice a day for 30 days
💩 Constipation Management
To avoid constipation, take a stool softener (Colace) twice a day while on pain medication. You may also need a light laxative such as Senokot. If you have not had a bowel movement by day 3 after surgery, please take over the counter MiraLAX.
Note: Purchase over the counter
☀️ Vitamin D
Essential for bone health. It is recommended you take a vitamin D supplement (2000 IU during the first 90 days after surgery) to help with bone healing.
Note: Purchase over the counter
🍽️ Diet
You may resume your normal diet. It is important to maintain a healthy, balanced diet. Include plenty of fluids, as pain medications and anesthesia cause constipation.
Contact Information:
Phone: (858) 554-7993
Fax: (858) 554-6321