Plavix vs warfarin
Common Questions and Answers about Plavix vs warfarin
plavix
I don't know about "normal," but if the regimen of warfarin and Plavix is working for you, then great. Your goal is to find something that works. Have you been tested for clotting disorders? Your story makes me wonder about that, especially if the stroke happened to be due to a clot.
When I went to get my initial IRN check, the nurse explained to me that there were different classes of drugs (I think 8) that worked on coagulation. Heparin was one, aspirin was another, then Coumadin/Warfarin, Plavix, etc. She explained that I had to be on the Warfarin and aspirin while healing because these were the drugs best suited to my condition.
- why a clot should form in my heart when the muscles were damaged six years back and considering that I am on aspirin+clopidogrel which too have anti clotting function.
- warfarin may be slightly better as compared to aspirin+ clopidogrel, but in my case with no AF, does it makes sense getting into this risky business of conatantly monitoring of INR and fear of bleeding.
- I have seen on net some other drugs in market which are equally good as warfarin with lower risk of bleeding.
Plavix will be quite costly for us on a fixed income. Can coumadin (warfarin) be substituted for plavix?
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).
The protocol guidelines are aspirin and plavix for year or a little longer if the implant was DES. Drug enduced stents have propensity to form a clot when compared to bare metal stents.
After a year the consensus is to continue aspirin (81mg is OK), and unless there is a special need for an additional anti-platelet medication the plavix should be discontinued based on the risk of uncontrolled bleeding, etc. is greater than any benefit.
Hi Ray....I agree w/ed34. Warfarin is generic for Coumadin. Since it is the generic for brand Coumadin it is given in same dose. Mom took Warfarin for the 1st three months after her event. Month four, the pharmacy was temporarily out so I took brand name Coumadin (more$$, of course ;-) but it was the exact same dose. Month five, she was back on Warfarin.
Best to you...
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.
Given that yesterday he said to not take the warfarin he was changing me from the genertic warfarin and putting me on the brand name of the med coumadin. Said some folks do not tolerate warfarin well but do well on coumadin and i am to start the coumadin today. I would be lying if i didn't say i am a bit gunshy at this point. This med has made me absolutely miserable and today is my 43rd bday...
The problem is the radiologist wants me to go off Plavix and aspirin to do this. I am confused because the surgeon who saw me for the breast infection said he could aspirate the large, infected cyst in his office that day even though, at that time, I was on both Coumadin and Plavix. The cardiologist said I shouldn't have the biopsy until the middle of August.
Or if you have a tissue valve, and depending on what the issue is, maybe apixiban or dabigitran.
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.
Futher to discussion re warfarin & eyebleeds (bleeds in eye), I have fairly frequent eybleeds which I find rather scary! The bleed usually continues for at least 2 days & takes over a week to clear. They have become worse & more frequent since I started on warfarin 2005. My INR tends to fluctuate & on 17/12/08 was 2.37. My current warfarin dose is 8 mg daily. Does this problem get worse over time?
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.
I thought my pulse would go down sooner but it is still crazy high. I am on warfarin and plavix. I am 61 and used to be very active. Never had other health issues. Allergic to metropol, and have low blood pressure. 98/60 usually. I have had Echos and EKG and x-rays. Doctors all think everything is good, but they don't seem to know what to do about this heart rate. Will it eventually slow down? 2 1/2 months now. How long can it go at this rate without problems?
I refused to take plavix or coumadin and I'm only taking aspirin. I keep reading stuff that says aspirin is not at all helpful. My MRI shows that I already had some ministrokes?? Does anyone know the facts? Is aspirin useless under these circumstances?
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