Mohs surgery

[Bixilon]

hello! I would like to know if anyone stopped ibrutinib before and after Mohs surgery. Thank you for your answers

[MsChief]

Yes I stopped Ibrutinib 5 days before mohs surgery and for 2 days after. Mohs was on my scalp - surgeon cauterized it with practically no bleeding. You should do well. All Best, MsChief.

[Bixilon in reply to MsChief]

Tank you MsChief

[SofiaDeo]

It's common to "hold" ibrutinib before & after any kind of surgery. It's up to your doc, and if they recommend it you should do it.

cllsociety.org/2016/06/top-...

mayoclinic.org/drugs-supple...

It's not specifically named on the following list, but it falls under both "immune suppressant" and "anti platelet". This guide also notes that there are a few absolute contraindications, and it is a combination of factors a doc uses when deciing to "hold" a medication.

froedtert.com/sites/default...

See page 2:

dam.upmc.com/-/media/cancer...

The manufacturer states a doc needs to consider whether to stop or not, look at the bottom of the first paragraph re:the Hemorrhage warning in the Safety Precautions.

imbruvicahcp.com/cll/safety...

[Bixilon in reply to SofiaDeo]

thank you Sofia.

[MrMidnight]

I had a basal cell carcinoma removed from my scalp four years ago with Mohs surgery. I asked the surgeon if I needed to stop Zanubrutinib and Clopidogrel (a blood thinner) before the procedure and he said there was no need... he'd would cauterise blood vessels as he progressed.

I understand Ibrutinib and Zanubrutinib have different effects on platelets etc but the doc was clearly not concerned even with a blood thinner.

[Bixilon in reply to MrMidnight]

Tankyou Mr. Midnight

[Ellieoak]

i had Mohs surgery twice on the top of my head, once for Basal Cell and once for Squamous Cell. Never stopped my Imbruvica.

[Korstiaan]

Two weeks ago I had a Mohs surgery on the top of my head (for Basal Cell). I mentioned to my dermatologist that I am using Ibrutinib, but she didn't find it necessary to stop using it. Most of the bleeding was stopped by cauterize the relevant blood vessels. So, I didn't stop Ibrutinib (and had no bleedings afterwards).

[Bixilon in reply to Korstiaan]

Tankyou Korstiaan!

[hhk50]

Timely question for me. I'm having Mohs on the top of my scalp next week. The dermatologist said that Ibrutinib would be ok to continue, but I think that I will give my CLL doc a call later this morning.

[Bixilon in reply to hhk50]

I talked to my doctor and he told me to stop ibrutinib 5 days before and 2 days after, I will follow his recommendation, thanks for your answer