Clopidogrel vs prasugrel
Common Questions and Answers about Clopidogrel vs prasugrel
plavix
Plavix/clopidogrel is mainly an anti-platelet drug (they are *usually* used artery-side, e.g., to prevent strokes or heart attacks). The other drugs mentioned are anticoagulants (which interfere with coagulant proteins such as Factor Xa -- they are usually used venous-side, e.g., preventing DVT after orthopedic surgery). Either type might be used for the in between, which is the heart: for AFib clotting/strokes.
I don't know why your doc preferred to prescribe Plavix for DVT.
Hello Abdul284
It is hard to give you an accurate assessment of the situation but generally speaking all coronary artery stents require uninterrupted use of aspirin and clopidogrel (ticagrelor or prasugrel may be alternative medications utilized). The duration of this therapy varies depending on stent type.
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.
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.
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.
In 2007, at age 54, I had a heart attack and received 6 drug-eluding stents in one artery. Prior to that I had virtually no symptoms, and no risk factors except for stress, and the cause of the heart attack was a mystery to everyone. I stayed on plavix for 6 months (along with low-dose aspirin which I continue to take) and couldn't stand the side effect of severe bruising.
after a stent inplant how long must clopidogrel-winthrop be taken my heart attack was caused by cholestral which now a 3
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) ?
If a patient has drug eluding stent (DES) implant it is recommended that plavix (clopidogrel) be prescribed up to a year to help prevent blood clots with the implant.
If one has A-fib there is a risk that blood clots can occur as blood may pool due to the very fast beat.
Information regarding the use of the 2 anti-platelet together can present a problem and the source is MedinceNet.com.
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?
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.
New data show that when clopidogrel and omeprazole are taken together, the effectiveness of clopidogrel is reduced. Patients at risk for heart attacks or strokes who use clopidogrel to prevent blood clots will not get the full effect of this medicine if they are also taking omeprazole.
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.
My father has gone thru angiplasy few months back and he started getting Red or purple spots on the skin. He is taking deplatt and atorvasatin. I heard this can be due to deplatt(Clopidogrel). Please let me know any treatment for the same . should we discontinue Clopidogrel. Is there any alternative for this medicine in india.
Ive only heard of proton pump inhibitors reducing the effect of Clopidogrel (plavix) but only by a tiny amount. I do have to question though if Zantac is a proton pump inhibitor anyway? Isn't it just a H2 receptor blocker?
ve had arthralgia ,oseaophigitis,rashes and chest pain .
Evidence is available from retrospective analysis of the CPARIE trial with clopidogrel that patients who have atherosclerosis in other vascular beds, such as prior ischemic stroke or concurrent peripheral vascular disease, benefit from receiving clopidogrel over aspirin. Some cardiologists have concluded that these patients, who are at higher risk of a subsequent vascular event, would benefit from combined therapy.
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).
Recommended
