Surgery and Perioperative Care practice

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Surgery and Perioperative Careniche

A 62-year-old woman with type 2 diabetes is booked for an elective laparoscopic right hemicolectomy for a caecal cancer in one week. She will be fasting from midnight before surgery. Her medications are metformin 1 g twice daily, dapagliflozin 10 mg daily, perindopril 5 mg daily, atorvastatin 40 mg daily and aspirin 100 mg daily (she had a coronary stent inserted two years ago). Her HbA1c is 7.4% and renal function is normal.

Which one of the following medications should be ceased at least three days before surgery?