Plavix vs clopidogrel

Common Questions and Answers about Plavix vs clopidogrel

plavix

With one stent--otherwise very fit--is it OK to replace plavix/clopidogrel by Nattokinase?
Severe joint and back pain usually is not a side effect of Plavix. Coumadin is more powerful than Plavix. The Plavix is important to take especially if you have coated stents. You may want to be checked for arthritis that may be flaring up. Coumadin is not to be used in persons with high cholesterol.
The recommended treatment for DES implants is dual therapy of aspirin and plavix up to a year. Combining plavix and aspirin increases the risk of bleeding vs. aspirin alone in patients treated for more than a brief period of time. That is the regimen followed for my DES implant. f you are in this category a prior MI and unstable angina:" In the CAPRIE trial, clopidogrel (plavix) was equivalent to aspirin for patients with a recent (but not acute) MI.
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.
At 18-month follow-up, there was no difference between patients with a drug-eluting or bare-metal stent in cumulative rates of death or myocardial infarction (MI). However, after clopidogrel discontinuation patients receiving drug-eluting vs bare-metal stents experienced higher rates of death and MI (4.9% vs 1.3%, respectively). These results have created uncertainty regarding the minimal necessary duration of antiplatelet therapy after drug-eluting stent implantation.
TIA would be more likely to explain the weakness in the right hand. Plavix (clopidogrel) is a platelet thinner and may help prevent another attack of TIA. However, it is not possible to say with 100% certainty that this was not migraine. Focal neurological deficits are known to occur with migraine. These include "migraine equivalents", "migraine accompaniments", "complicated migraine", "hemiplegic migraine" etc.
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.
The other risks you are talking about (poor endothelialization) are also very rare as long as you take your aspirin and plavix. The best thing you can do is not stop your aspirin or plavix unless clearly instructed by your cardiologist. Also, continue the diet and exercise program you are on. Make sure to have your cholesterol checked, keep your blood pressure under control, and get checked for diabetes.
Long term results of PCI with stents (medicated/unmedicated) vs. CABG in my father's case? Is LAD bifurcation lesion difficult to stent?
81 Other noncerebral bleeding (non-major) 3.6 3.1 0.005 Any noncerebral bleeding 3.9 3.4 0.004 CAPRIE (Plavix vs. Aspirin) In CAPRIE, gastrointestinal hemorrhage occurred at a rate of 2.0% in those taking Plavix vs. 2.7% in those taking aspirin; bleeding requiring hospitalization occurred in 0.7% and 1.1%, respectively. The incidence of intracranial hemorrhage was 0.4% for Plavix compared to 0.5% for aspirin.
QUOTE: "my cardiogist told me im on plavix and asprin for the rest of my life. how come if after a year thedrug in the des is gone. just wondering. i have been told by 3 different drs that i have too". The easy answer is the doctor believes the risk of excessive bleeding doesn't outweigh the risk of cardiovscular event. Tests are continuing regarding restenosis, clots, etc.
She was asked to undergo an Angioplasty with 2 stents to be put in but she was adamant that she did not want it as she preferred to take the route of medication and she is too weak to undergo another procedure. She was given Ecosprin 150mg Atorvstatin 40mg and Clopidogrel 75mg along with the Beta and calcium blocker ( Amlez) that she used to take and some antacid and tonics. She also take Stugeron for her chronic dizziness.
More potent antiplatelet agents — such as clopidogrel (Plavix), prasugrel (Effient), and others currently in the pipeline — could have an even stronger effect against fibrosis, said Athan Kuliopulos, MD, PhD, professor of medicine at the Tufts University Sackler School of Biomedical Sciences in Boston, who was not involved with the study. "And this is just liver fibrosis," he told Medscape Medical News. "What does it mean for outcome?
I don't let my heart rate go above 150. Have you considered that vs checking bp? No heavy weight lifting for me. I guess that would be anything that causes me to strain.
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