A 47-year-old member asked:

What happens if a patient is on clopidogrel/brilinta/effient etc and have a stroke, can they receive tpa (alteplase)?

2 doctor answers • 4 doctors weighed in

Dr. Bennett Werneranswered

Cardiology 46 years experience

Yes: the contraindication is relative, not absolute. caution is advised.

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3.8k viewsReviewed >2 years ago

Dr. Adam Lewis

Dr. Adam Lewis agrees1 doctor agrees

Dr. Marius Frasieanswered

Internal Medicine 28 years experience

MAY BE: NOT IF YOU HAVE A HEMORRHAGIC STROKE.

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3.8k viewsReviewed >2 years ago

Dr. Bennett Werner

Dr. Jeffrey Juchau

Dr. Adam Lewis

Dr. Bennett Werner and 2 doctors agree3 doctors agree

Dr. Bennett Werner commented

Cardiology 46 years experience

Point well taken!

Jul 29, 2014

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Docs, could a patient be given tpa (alteplase) when on antiplatelet therapy?

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Can effient be used instead of Plavix if patient is bad metabolizer for stroke prevention. History of ischemic stroke and TIA ???

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Last updated Jul 29, 2014

Found in:

Stroke in the brain›Plavix

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