Thank you for informing Considering your upcoming hernia repair surgery, it is always safer to temporarily withhold certain Ayurvedic medicines in the Peri operative period
Arjuna is primarily Cardio protective and generally very safe around surgery. It is advisable to stop it about one week before the procedure. This is only as a precaution so that there is no interference with anaesthesia, blood pressure, control, or per operative medication You may safely restart Arjuna about one week after surgery. Once oral intake is normal and recovery is stable.
Rumalaya Fort contains herbs like shallaki and guggulu which have anti-inflammatory and mild blood tanning actions in view of surgery, it is better to stop this medicine 10 to 14 days before the operation to avoid any possibility of increased bleeding or delayed wound healing
It can be restarted after surgery once healthy, and there are no healing issues, usually after future removal
This temporary discontinuation is a routine surgical precaution and does not affect the long-term benefits of these medicines
Kindly also inform your surgeon and anaesthetist about all this medicines being taken, so that per operative Care remains smooth and safe
Wishing you a smooth surgery and an uneventfull recovery
Hello Dr. It is advisable to stop ayurvedic medicine 4 days before surgery, as any adverse effects during anaesthesia or during operation should not creat confusion of which medicine? Once post surgery, after 5-6 days as everything starts settelliing, you can restart as before.
Dear Prof. Dr. Kar, Thank you for the clear details. I’ll answer this precisely and peri-operative–safely.
Key Point (Before Hernia Surgery) For any elective surgery, most Ayurvedic / herbal medicines are advised to be stopped temporarily, even if they are generally safe, because of possible effects on bleeding, anesthesia interaction, and wound healing.
💊 About Your Current Medicines 1. Tab Arjuna Taken for cardiovascular support Generally cardio-protective and well tolerated However, Arjuna has mild antiplatelet and vasodilatory effects 👉 Recommendation: Stop 5–7 days before surgery Can be restarted 5–7 days after surgery, once oral intake is normal and surgeon permits.
2. Rumalaya Forte Contains herbs like: Guggulu Shallaki (Boswellia) Rasna, Sunthi, etc. These have: Anti-inflammatory Mild blood-thinning potential Possible interaction with anesthesia and postoperative bleeding 👉 Recommendation: Stop 7–10 days before surgery Restart only after complete wound stability, usually 10–14 days post-op, if needed.
Why stopping is important (even without side effects) Prevents unexpected bleeding Avoids anesthesia interactions Ensures clean surgical field and healing Standard surgical safety protocol—even for supplements
✅ What You Should Do Next Inform your surgeon and anesthetist that you are taking: Tab Arjuna Rumalaya Forte Mention that you have already stopped / plan to stop as advised Continue all essential allopathic medications, if any (unless surgeon advises otherwise)
Wishing you a smooth surgery and quick recovery.
Warm regards. Dr.Sumi MS(Ayu)
Hello Prof. Dr. P. K. Kar,
Thank you for the detailed query. In the context of an elective hernia repair surgery, here is a practical, peri-operative recommendation regarding the two Ayurvedic formulations you are taking: 1. Tab Arjuna (Terminalia arjuna) - Indication: Cardiovascular support Peri-operative considerations- - Arjuna has mild antiplatelet and hypotensive effects - Though generally safe, there is a theoretical risk of increased bleeding and BP variability under anesthesia Recommendation ✅ Stop Arjuna 7 days before surgery ✅ Can be restarted 5–7 days after surgery, once: - Hemostasis is stable - No post-operative bleeding issues - Surgeon/anesthetist gives clearance
2. Rumalaya Forte Indication: - - - Anti-inflammatory, musculoskeletal support
Contains: Shallaki (Boswellia), Guggulu, Rasna, etc. Peri-operative considerations- - Boswellia & Guggulu may have anti-inflammatory and mild blood-thinning properties - Possible interaction with peri-operative NSAIDs / anesthetic drugs Recommendation ✅ Stop Rumalaya Forte 7–10 days prior to surgery ✅ Restart after wound healing is established (usually after 7–10 days post-op)
3. Important Surgical Advice - Please inform your surgeon and anesthetist that you were taking these Ayurvedic medicines This is essential for: Anesthetic planning Bleeding risk assessment Post-operative pain control
4. If cardiovascular support is required during this period Focus on non-pharmacological measures: - Light walking (as advised) - Adequate hydration - Salt moderation - Stress reduction If you are on any allopathic cardiac medications, continue them unless specifically stopped by the anesthetist
Tq
AS YOU ARE UNDERGOING HERNIA REPAIR SURGERY NEXT MONTH AND TAKING TAB ARJUNA AND RUMALAYA FORTE FOR CARDIOVASCULAR AND MUSCLE SUPPORT . IN VIEW OF SURGERY IT IS BEST TO STOP TAB ARJUNA AND RUMALAYA FORTE AT LEAST SEVEN TO TEN DAYS BEFORE SURGERY ,AS THEY MAY HAVE MILD BLOOD THINNING EFFECTS AND CAN AFFECT COAGULATION AND HEALING ,STOPPING THEM WILL REDUCE THE RISK OF BLEEDING DURING SURGERY AFTER SURGERY ONCE HEALING IS ADEQUATE AND BLEEDING RISK IS OVER YOU CAN RESTART ,TAB ARJUNA AND RUMALAYA FORTE TO SUPPORT CARDIOVASCULAR HEALTH AND MUSCLE RECOVERY . IT IS ALSO IMPORTANT TO MAINTAIN LIGHT DIET ADEQUATE HYDRATION AND MODERATE EXERCISE UNTIL SURGERY TO PROMOTE GENERAL WELLBEING.THESE PRECAUTIONS WILL ENSURE SAFER SURGERY AND BETTER POSTOPERATIVE RECOVERY.
Hello Thanks for reaching out with your question. It’s a good one, and planning for medications around surgery is super important for a smooth and safe hernia repair.
YOUR CONCERN
–You’re having hernia surgery next month. –You’re taking Tab Arjuna for your heart and Rumalaya Forte for joint/inflammation. –No issues with them so far. –You haven’t talked to your surgeon about them yet.
How we think about meds before surgery
Our main goals are to:
–Stop any extra bleeding. –Avoid problems between your current meds and anesthesia. –Keep your heart stable. –Lessen inflammation after surgery without causing new issues.
Ayurvedic medicines are usually safe, but when you take them around surgery matters.
About your specific meds:
1. TAB ARJUNA This one helps your heart a bit and can slightly thin your blood. Even a small effect like that is something to think about before surgery.
My advice:
Stop taking Tab Arjuna 7 days before your surgery. This is just a precaution to make sure there’s no bleeding risk at all, not because the medicine is bad.
You can start it again 7-10 days after surgery once your wound is looking good and your surgeon says it’s okay to take your usual pills.
2. RUMALAYA FORTE
This has herbs like Shallaki and Guggulu, which are anti-inflammatory. These can slightly impact how your blood clots and might also cover up signs of inflammation after surgery.
My advice:
Stop Rumalaya Forte 5-7 days before surgery.
Only start it again after your surgical pain calms down and your surgeon gives the green light (usually 7-10 days after surgery).
Safe things you can do in the meantime:
To support your healing without causing issues, you can: –Eat warm, light meals. –Drink plenty of water. –Go for gentle walks. –Manage stress.
Don’t start any new herbal or supplement mediactions in the two weeks leading up to your surgery.
After surgery (quick rundown)
Tab Arjuna: Start back 7-10 days after surgery. Rumalaya Forte:Start after the main pain/inflammation goes down (timing can change based on how you recover).
You did the right thing by asking ahead of time. Stopping these medicines for a bit is standard practice and doesn’t mean they’re unsafe or ineffective.
Hope your surgery goes well and you have a quick recovery!
Warm Regards Dr. Snehal Vidhate
Both medicines are generally safe to continue till surgery, but stop them 7–10 days before the procedure to minimize any risks.
Tab Arjuna (Terminalia arjuna) Mild blood-thinning & anti-platelet effect (similar to low-dose aspirin). Stop 7–10 days before surgery – reduces rare bleeding risk during/after operation. Restart 7–10 days post-surgery (once surgeon clears).
Rumalaya Forte (Himalaya) Contains Guggulu, Shallaki, Gokshura – mild anti-inflammatory, no significant blood-thinning. Can continue till day before surgery – very low risk.
Restart immediately after surgery if no complications.
Inform your surgeon & anaesthetist about both medicines (dose & duration) at pre-op visit – they will give final clearance.
Stop Arjuna 7–10 days before, Rumalaya 1–2 days before (conservative approach).
No other Ayurvedic medicines needed pre-op.
Post-surgery recovery support (start after surgeon approval) Abha Guggulu – 2 tab twice daily (fast wound & tissue healing) Ashwagandha Lehyam – 5–10 gm night (energy & strength)
Your current medicines are heart & joint protective – excellent choice long-term. Surgery will go smoothly – just coordinate stoppage with surgical team. All the best for your hernia repair!
Regards Dr Gursimran Jeet Singh MD Panchakarma
stop 15 days before surgery than start 15 days after surgery best option
Thank you for sharing these details, Professor.
- Tab Arjuna (Terminalia arjuna): Traditionally used for cardiovascular health. However, it can have mild blood-thinning and blood pressure–modulating effects. Surgeons often recommend stopping herbs with such properties at least 1–2 weeks before surgery to reduce bleeding or anesthetic risks.
- Rumalaya Forte: A polyherbal formulation for joint health and inflammation. Some of its ingredients may also influence clotting, liver enzymes, or interact with anesthesia.
- The safest approach is to pause these medicines before surgery unless your surgeon explicitly approves continuation.
Hello doctor.
You can continue your medications till one day before surgery and start them again after 5 days post surgery after your antibiotic dose is done.
Hello Dr. It is advisable to stop ayurvedic medicine 4 days before surgery, as any adverse effects during anaesthesia or during operation should not creat confusion of which medicine? Once post surgery, after 5-6 days as everything starts settelliing, you can restart as before.
