# Pre-anaesthetic medication medication management for GPs

Page: https://stenobird.com/podcast/the-good-gp-1116813/pre-anaesthetic-medication-medication-management-for-gps
Text version: https://stenobird.com/podcast/the-good-gp-1116813/pre-anaesthetic-medication-medication-management-for-gps.md
Podcast: [The Good GP](https://stenobird.com/podcast/the-good-gp-1116813)
Published: 2026-04-13T17:30:00+00:00
Episode link: https://thegoodgp.com.au/episode/pre-anaesthetic-medication-medication-management-for-gps
Audio file: https://pscrb.fm/rss/p/episodes.captivate.fm/episode/e6acaaa2-bf24-44c7-87d3-62fa74691454.mp3
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JSON: https://stenobird.com/v1/public/podcasts/the-good-gp-1116813/episodes/pre-anaesthetic-medication-medication-management-for-gps
Duration seconds: 844

## Resource

In this episode of The Good GP, host Julia Rawlinson welcomes Dr Erin Horsley, an experienced GP anaesthetist, to provide practical guidance on pre-anaesthetic medication management for general practitioners. Focusing on how to prepare patients for elective surgery by knowing which medications to pause, continue, or adjust. Highlights include: SGLT2 inhibitors: Advice on withholding these medications prior to surgery, especially for diabetic patients, due to risk of euglycaemic diabetic ketoacidosis. Diabetes medications and insulin: Specific instructions for perioperative management in procedures such as colonoscopy and gastroscopy. GLP-1 receptor agonists: Discussion on Ozempic, Wegovy, and Mounjaro. They emphasise that stopping them is not routinely required. Instead, they recommend clear fluid fasting protocols. Anticoagulants and antiplatelet agents: Practical approaches for managing DOACs, warfarin, and antiplatelet therapy based on procedure risk, including guidance on bridging and specialist consultation. Other medications: Tips on ACE inhibitors, opioids, and pain medications regarding continuation or withholding. Useful GP actions: An accurate medication list, allergy documentation, and direct communication with anaesthetic teams or pre-admission clinics. Providing concise, evidence-based recommendations for medication management in the perioperative setting to assist GPs and ensure safer outcomes for their patients. Links & Resources: NSW CEC Guidelines on Perioperative management of anticoagulant and antiplatelet agents WA Country Health Service Anaesthetic Services, Pre-operative Assessment and Investigations Guideline (good summary) Australian Diabetes Society Periprocedural DKA with SGLT-2 inhibitor Australian Diabetes Society Perioperative Diabetes…

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## Transcript

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