I had angioplasty in 2001 and had a stent implant. My cardiologist prescribed Plavix and 81 mg aspirin daily among the other medications (beta blocker, ACE inhibitor, statin). I have recently moved to a new city and have not found a new cardiologist yet but family physician suggested that Plavix could be discontinued as the guidelines have changed and no long recommended after 12 months post stent implant.
Suggestions please?
17, 2009 - The FDA today warned patients not to combine Plavix with Nexium, Prilosec, and nine other drugs -- including Prozac and Tagamet.
The drugs may make the anti-clotting drug Plavix dangerously less effective, the FDA says. They block an enzyme in the body that turns the drug into its active form. Plavix is the second most-prescribed drug in the world.
It might be necessary to increase the Nexium dose, but from my experience, this is a very minor issue. The need to take Plavix trumps the Nexium issue. Plavix and aspirin are essential to keep your stents from plugging up again.
It sounds like your hospital doesn't have a good program in place for education after an MI and cath. I work a day a week at our hospital as a Cardiac Navigator, as I've had MI's, eight stents, a pacer and bypass surgery and still standing.
The mixture of Metroprolol, Ezitrol, Lipitor, Ramipril, Isordil, Plavix, Nexium and Aspro and now Coralan leaves me feeling quite week and lathargic and always very tired. My BP is steady at around 100/60, my cholesterol is below 4. I did used to walk about 2km a day before I started Coralan even though I got angina, but now I feel I just dont have the energy to do the walk to see if I still get angina.
Not sure what yer answer might be but thought Id write this down anyway.
I was told to take Nexium and contact a urologist. Four days later I went to my local doc because the pain continued and was still severe(burning, tightness). My doc did bloodwork and came running in the room with nitro and a handful of aspirin for me to chew, and immediately sent me to the nearest Cardiac Care Unit via ambulance. After tests, the cardiologist concluded a 98 percent blockage in my right artery and almost 65 percent blockage in the left.
I am on my second DES in my LAD-first a cypher stent that had a proximal occlusion at the leading edge of the stent after two years,8 months on Plavix and con't on asa-325.
What I would recommend you do is call whoever did your last angioplasty in 2008 because they know your coronary arteries the best and ask if you can go off Plavix. I think you would probably be ok going off Plavix since it has been 3 years from your last intervention and that was only ballooning but again there is a small risk of restenosis of your stents.
The American Dental Association has agreed with the American Heart Association and the AMA, that there are no dental procedures that require the patient to stop Plavix. I read this yesterday, and the article mentioned that much to their dismay, cardiologist were still hearing from their patients that some nutty dentists were still asking them to stop Plavix for a procedure.
I have been on Coumadin for 18 years due to Lupus Anticoagulant (Antiphospholipid Syndrome) and several DVTs. In 2005 had MI with occlusion of the LAD artery and had drug stent inserted and I am still on plavix. My doc has debated when to take me off the Plavix safely....what are the recent studies about this dilemma? thanks so much!
After that length of time it is generally believed to discontinue plavix but remain on aspirin. Although plavix and aspirin are anti-platelet agents, plavix has a different mechanism of action that seems to be specialized for drug eluding stent to prevent restenosis.
Laviquin is an antibiotic medication! and there is a class-action suit against Laviqiin providers that is currently unresolved.
Please note that the article mention plavix as used as "prevention of stroke" here we are speaking of Plavix to avoid restenosis and clots in the case that you have medical stents implanted. The situation is quite different.
g., the intestines and stomach) and plavix helps prevent clotting and execessive bleeding can be a serious event with the interaction of alcohol and plavix.
Hope this helps. Thanks for your question, and if you have any follow-up questions or comments you are welcome to respond. Take care and enjoy the New Year.
I have heard that there is some problem mixing vitamin K with a blood thinner. I am taking 75 mg of plavix and cannot find anything about the vitamin K interaction. I need additional calcium, and the brand I am looking at taking would give me 40mcg of vitamin K. Is this safe or a problem? Where can I find how much vitamin K is in a serving of broccoli or spinich?
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.
Sometimes aspirin is used in place of the Plavix, and the patient will be on aspirin and warfarin. That type of combo regimen is used when the doctor doesn't think that one drug alone is enough to do the job, and one drug obviously wasn't enough in your case. It seems that your Plavix and warfarin regimen is working, so I'll join you in giving thanks for that.
You need the heart medication and Plavix and it would be risking to stop the Plavix. Lipitor is good for studies have shown that it has helped reduce cholesterol buildup in the arteries. The studies showed that 40mg was just as good as 80mg and that 80mg did not help reduce the cholesterol buildup any more than the 40mg. One question I have, is the nitro patch. Are you having chest pains? Nitro is not good for your liver.
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