Clopidogrel versus warfarin

Common Questions and Answers about Clopidogrel versus warfarin

plavix

Avatar n tn To date there have been no reports of an important interaction in humans between warfarin and clopidogrel. Nonetheless, because warfarin increases the risk of bleeding, blood tests to measure the degree to which the blood is anti-coagulated or thinned (prothrombin time; INR) may be ordered to assess the degree of blood-thinning when warfarin and clopidogrel are used together.
Avatar n tn After six years post MI and ef varying between 25-35%, my cardiologist now feels that I should shift from aspirin(150)+clopidogrel (75) to warfarin. Two years back he did tell me that he is double minded on whether to put me on warfarin. But this time he appears to be very sure and has insisted me to go for warfarin. His justification is "that is what literature says". I have no AF or valve problem.
Avatar f tn s like if I want some Clopidogrel (another form of anti platelet med) I could ask for either Clopidogrel or Plavix, Plavix is the brand name the drug company trades the medication under.
Avatar n tn My cardiologist is pressing me to shift from asprin+clopidogrel to warfarin. He says I have chances of getting a clot in damaged section of heart (anterior) and warfarin is more effective. For last two yesrs I am on asprin+clopidogrel. My EF is 35% due to MI in 2007. Anyone who has experience and/or information on above, please advise.
Avatar n tn Warfarin (coumadin): Because of the increased risk of bleeding, the concomitant administration of Warfarin with Plavix should be undertaken with caution. (See PRECAUTIONS - General.) At high concentrations in vitro, clopidogrel inhibits P450 (C).
612551 tn?1450022175 I use to take Plavix (Clopidogrel as clopidogrel hydrogen sulfate). It likes the blood thinner as you described above. No need blood test and it won't cause excessive bleeding. It has been approved in Australia for a while. It comes with clopidogrel 75mg 28 tablets in a box. Cost AUD $82.79 for no medicare patient. I have been diagnosed TIA. I also have a history of low platelets (ITP) so I can't take Warfarin nor Aspirin. The neurologist prescribed this Plavix for me.
Avatar n tn I am a 71y male, active , working medical professional, with Hx of Htn & carbamatic mechanical aortic valve in 2000 for AI. Non Eluding Stent in Nov. 2009. Although published INR range is b/w 2-3 for patients on triple anti-thrombotic therapy of 75mg clopidogrel, 80mg asprin & warfarin,I've also heard that INR of 1.5 - 2 is also acceptable. Kindly verify, confirm, advise, forward relevant studies/trials PDFs.Thank you for your timely response and effort.
Avatar m tn Pradaxa is taken twice a day, shorter life in the body and is cleared from the body quicker than coumadin (warfarin). With warfarin, Vitamin K is used to reverse overanticoagulation in patients, there is no antidote for Pradaxa. Warfarin a lot cheaper than Pradaxa. Good luck with your ablation. Hope you do well on Pradaxa! Best wishes!!
Avatar f tn Based on the level of risk, most patients are either started on aspirin or Warfarin (Coumadin). Clopidogrel (Plavix) is an anti-platelet agent and acts via a different mechanism than coumadin does (coagulation pathway). Adding Clopidogrel to aspirin is a guideline that holds a Class 2b (see below) recommendation, and usually considered in those in which Warfarin is unsuitable due to patient preference or physician's assessment on a patient's ability to safely sustain anticoagulation.
612551 tn?1450022175 In particular, people taking fish oil or long-chain omega-3 fatty acid (EPA and DHA) supplements in combination with anticoagulant drugs, including aspirin, clopidogrel (Plavix), dalteparin (Fragmin), dipyridamole (Persantine), enoxaparin (Lovenox), heparin, ticlopidine (Ticlid) and warfarin (Coumadin), should have their coagulation status monitored using a standardized prothrombin time assay (INR).
Avatar f tn A related discussion, <a href="/posts/Heart-Rhythm/Warfarin-Versus-Aspirin/show/1825044">Warfarin Versus Aspirin</a> was started.
Avatar f tn If you are bruising that easily with warfarin, clopidogrel(plavix) and aspirin, then I think your cardiologist is probably suggesting a wise change in your medication. Warfarin is a powerful anticoagulant and I think your stents should be fine with withdrawal of the plavix. The main concern here is obviously an internal bleed which can be life threatening. My opinion is that the balance for your safety has to be right, and the cardiologist has done that.
Avatar f tn continue warfarin therapy, withhold warfarin therapy for a period of time before and after the procedure, or temporarily withhold warfarin therapy and also provide a "heparin bridge" during the perioperative period. Which management option to follow is primarily determined by the characteristics of the patient and by the nature of the procedure.
Avatar n tn It should not be used if you are taking anticoagulant medications, including warfarin, aspirin, aspirin-containing products, NSAIDs, or antiplatelet agents (eg, ticlopidine, clopidogrel, dipyridamole). I am not sure of what other potential drug interactions. I would discuss the use of this drug with your urologist and you should mention it whenever a healthcare professional inquires about the medications you are taking.
Avatar n tn Unknown. Warfarin metabolism normally occurs through the cytochrome P450 (CYP450) isoenzyme system, with excretion occurring in the urine as inactive metabolites. It is postulated that large doses of acetaminophen may "exhaust" the capability of the CYP450 system to metabolize warfarin. Additionally, DARVOCET-N 100 TABLETS may reduce functional factor VII. Management: Monitor coagulation status and adjust the dosage of COUMADIN 4MG TABLETS (BLUE) accordingly.
Avatar n tn after a stent inplant how long must clopidogrel-winthrop be taken my heart attack was caused by cholestral which now a 3
Avatar n tn Regarding her bleeding ulcers, why don’t you suggest coated aspirin tablets and clopidogrel tablets to the doctors? It’s much easier to control the bleeding time with these drugs than with Warfarin, which also causes osteoporosis. Since her oxygen level drops to 78, it’s crucial that she stays on oxygen, since the lack of oxygen will affect her brain before any other organ. It’s a life saving factor and not a comfort process. However, causes should be looked for this low oxygen level.
Avatar m tn Other SSRIs, SNRIs, MAOIs, serotogenic drugs, NSAIDs, alcohol, tryptophan, aspirin, warfarin, clopidogrel, ticlopidine, dipyridamole, TCAs, phenothiazines, thioxanthines, butyrophenones, mefloquine, bupropion, tramadol, desipramine, clomipramine, nortriptyline, risperidone, thioridazine, haloperidol, flucainamide, propafenone, metoprolol, carbamazepine, ketoconazole, omeprazole, esomeprazole, fluoxetine, fluvoxamine, lansoprazole, ticlopidine, cimetidine, digoxin & other CNS drugs.
Avatar n tn I have been told that the INR safe range is b/w 2-3 for patients on triple anti-thrombotic therapy of 75mg clopidogrel, 80mg asprin , and warfarin - 10 years after aortic valve replacement. However, it has also been mentioned that an INR of 1.5 - 2 is also acceptable. Please verify and confirm. Patient is 71y active , still working medical professional, with Hx of Htn and aortic valve replaced in 2000 to manage Aortic Insufficiency. Your prompt response will be greatly appreciated.
690060 tn?1247841741 Food and Drug Administration (FDA) has new data showing that omeprazole (Prilosec/Prilosec OTC)—a medicine used to reduce stomach acid—reduces the anti-blood clotting effect of clopidogrel (Plavix) by almost half when these two medicines are taken by the same patient." "...Patients using clopidogrel should consult with their healthcare provider if they are currently taking or considering taking omeprazole, including Prilosec OTC" but then, there's also this: http://www.
Avatar m tn Which is better anticoagulnt from rivaroxaban and clopidogrel for stroke prevention.My grandmother had stroke 6 years ago and she has atrial fibrilation.So far she used clopidogrel as treatment but her new doctor perscribed medication with rivaroxaban (but it is far more expensive) ?
Avatar n tn s heart valve and a pacemaker and they were taking the medication clopidogrel for 7 years and then stopped taking it for a few months, could there be any ramifications?
Avatar f tn Without getting into the pharmocological aspects regarding the mechanism of action of asprin resistance and the mechanixm of activity of plavix (clopidogrel), the American Academy of Cardiology recommends tests. Dr. Waksman: "I'll try to do my best because it's a controversy.