<s>[INST] I M HAVING GAL BLADDER SURGERY WEDNESDAY THEY TOLD ME TO STOP TAKING MY EFFIENT SUNDAY 4 DAYS BEFORE MY SURGERY I COULD NOT GET A HOLD OF MY CARDIOLOGIST FOR APPROVAL SO iDID WHAT THE SURGEON TOLD ME TO DO I HAVE 5 STENTS THE LAST ONE I GOT WAS A 1 YR 5 MONTHS AGO DO YOU THINK I M DOING THE RIGHT THING MY CARDIOLOGIST TOLD ME NEVER TO STOP MEDICATION WITHOUT HIS PERMISSION [/INST] Hello, No, 4 days after surgery you should start that again to prevent any further cardiac complication. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ramesh Kumar, Gastroenterologist </s>