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You are scheduled to have CT MYELOGRAM procedure on the following date and time:

*** Please report to 2E at 7:30 a.m.

PLEASE READ THIS LETTER CAREFULLY. IT CONTAINS VERY IMPORTANT INFORMATION.

CANCELLATIONS: If you are unable to keep this appointment, you must call (804) 675-5237. Cancellation may lead to delay in your treatment.

If you weigh over 660 pounds, please call scheduling at (804) 675-5237, and leave a message.

Do not eat or drink anything after midnight. Do take your pills with small sips of water.

If you are DIABETIC, please do NOT take your Insulin/Diabetic pills on the day of the exam.

If you are on any of the following blood thinning , please follow the instructions: Plavix (clopidogrel): Hold it 5 days prior to procedure Aspirin: Hold it 5 days prior to procedure. If you are also on Plavix then hold aspirin for 1day. Lovenox (Enoxaparin): Hold it 1 day prior to procedure Coumadin (Warfarin): Adjust your dose according to your doctor/Coumadin clinic. If you are on blood thinning not mentioned above please call (804) 675-5237.

Some medication increases the risk of seizure with x-ray dye used for Myelogram. If you are taking any of the following medications, please discuss with your ordering physician. There is a possibility of stopping your medication for 48 hours before and 24 hours after the Myelogram.

1. ADAPIN - DOXEPINE 17. - DESMETHYLIMIPRAMINE 2. AMINOPHYLLINE - AMINOPHYLLINE 18. DESYREL – 3. ANAFRANIL - 19. DEXEDRINE – DEXTROAMPHETAMINE 4. AROMATIC AMMONIA - AMMONIA 20. DIDREX – BENZPHETAMINE 5. ASENDIN – AMOAZPINE 21. DOPRAM – DOXAPRAM 6. ATARAX - 22. ELAVIL- 7. AVENTYL – 23. ENDEP- AMITRIPTYLINE 8. BENZEDRINE – AMPHETAMINE 24. ETRAFON - & 9. BONTRIL – PHENDIMETRAZINE AMITRIPTYLINE 10. BUSPAR – 25. EUTONYL - PARGYLINE 11. COMPAZINE – 26. FUROXONE – FURAZOLIDONE 12. CORAMINE – NIKETHAMIDE 27. HALDOL – 13. CLOZARIL - 28. IENAMIN - PHENTERMINE 29. INAPSINE – 14. CYLERT – PERNOLINE 30. IONAMIN – PHENTERMINE 15. DARTAL - THIOPROPOZATE 31. LARGON – PROPRIOMAZINE 16. DEPROL –MEPROBAMATE 32. LEVOPROME - METHOTRIMEPRAZINE 33. LIMBITROL – CHLORDIAZEPOXIDE & 62. REPOISE - AMITRIPTYLINE 63. RITALIN – METHYLPHENIDATE 34. LOXITANE – 64. SANOREX – 35. LUDIOMIL – 65. SERENTIL - 36. MARPLAN – ISOCARBOXAZIDE 66. SERZONE – 37. MATULANE - PROCARBAZINE 67. SINEQUAN – 68. SPARINE - 38. MAZINDOL – SANOREX 69. STELAZINE – 39. MELLARIL – 70. SURMONTIL –

40. METHADRINE - METHAMPHEIAMINE 71. TACARYL –

41. METRAZOL –PENTYLENETETRAZONE 72. TARACTAN -

42. MILTOWNE – MEPROBAMATE 73. TEMARIL – TRIMEPRAZINE 43. MOBAN – 74. TENUATE – DIETHYLPROPION 44. NARDIL – PHENELZINE 75. TRIPTIL - 45. NAVANE – THIOTHIXENE 76. THORAZINE – 46. NORPRAMIN - DESIPRAMINE 47. PAMELOR – NORTRIPTYLINE 77. TIGAN – 48. PARNATE – TRANYLCYPROMINE 78. TINDAL - 49. PARSIDOL - ETHOPROPAZINE 79. TOFRANIL - 50. PAXIL – 80. TORECAN – TRIETHYLPERAZINE 51. PERMITIL – 81. TRANCOPAL - CHLORMEZANONE 52. PHENELZINE - NARDIL 82. TRIAVIL - PERPHENAZINE & AMITRIPTYLINE 53. PHENERGAN – 83. TRILAFON – PERPHENAXINE 54. PICROTOXON - PHENMETRAZINE 84. ULTRAM - 55. PLEGINE, STRYCHNINE – PHENDIMETRAZINE 85. VESPRIN – TRIFLUPROMAZIN 56. PONDIMIN – FELFLURAMINE 86. VISTARIL - HYDROXYZINE 57. PRELUDIN – PHENMETRAZINE 87. VIVACTIL – PROTRIPTYLINE 88. VORANIL – CHORTERMINE 58. PRE-SATE - 89. WELBUTRIN- 59. PROLIXIN - FLUPHENAZINE 90. ZOLOFT –SERTRALINE 60. PROZAC – 61. QUIDE –

For information please visit the website: www.radiologyinfo.org

If you have any questions, please call us at (804) 675-5237.

We appreciate having this opportunity to serve you!

Radiology Service H. H. McGuire VAMC Telephone #: (804) 675-5237