Doctor insights on:
Bare Metal Stents How Long Aspirin And Plavix
If you have a stent that is drug coated, do you have to take plavix (clopidogrel) and aspirin forever?
Is it possible to take only Plavix (clopidogrel) and not Aspirin after coronary stenting? I have erosive gastritis and DES in LAD after heart a, need 3 more stents.
Anti platelet Rx: We use dual antiplatelet therapy for at least 6 months to minimize stents occluding after placement. Usually either aspirin or plavix (clopidogrel) is continued later if no contraindication to that. The erosive gastritis is a significant problem and the appropriate step (s) in this case need to be considered with risks and benefits to the treatments by those with the most information about the patient. ...Read more
Can one take Aspiring if he/she has erosive gastritis? Have been taking Plavix for Xience V stent for 7 months now, constant stomach pain, taken off aspirin 3.5 m ago, no change. Also Protonix (pantoprazole) 20mg a day.
Yes.: Aspirin can cause erosive gastritis in some people. If you were told to stop it, don't start it again. Also, don't take ibuprofen, or naprosyn. Call your doctor about the best meds for you to take and in what dosage for pain If you have persistent pain not responding to Protonix (pantoprazole) also call your doc for help. If dizziness, increasing pain, fever, vomiting, blood in stool (black or red) to ER. ...Read more
No: With a Xience you need at least 6 months of DAP. No compromises on that PLEASE, until unless your doctors have told you something otherwise. ...Read more
Hypotension before stent placed in CX, that was 100% blocked, allergic to asprin prescribed Plavix (clopidogrel) 2 a day. Am I ever going to feel better?
CAD S/P STENT: CAD S/P STENT placement. Highly unusual in a young woman. You need a Hematology consult and full clotting screen. FAC V LEIDEN/MTHFR/HOMOCYSTINE/PROTEIN C&S/AT3/ANTI-CARDIOLIPID AB/CIRCULATING LUPUS ANTI-COAGULANT. You may need to actually be on COUMADIN (warfarin) and several VITAMIN supplements. You should do well and start CARDIAC REHAB when cleared by your DOC. ...Read more
I am due for an outpatient surgery, how long should I be off plavix (clopidogrel) and 81 mg aspirin before the surgery?
Yesterday I had a BM that looked like coffee grounds and also real long snake BM is this serious? I take plavix (clopidogrel) and baby aspirin. Emilie
This is Serious:
Black 'coffee ground' BM which also has characteristics of being long (which could be sticky/tarry) is concerning for bleeding in the gastrointestinal tract, especially in someone on 2 anti-platelet medications which 'thins' the blood.
The medical term for black stool from blood is called melena.
There are also other causes for black stools, but the worrisome cause needs to be evaluated. ...Read more
My father (75) had a brain stroke 10 months ago and he has been on plavix (clopidogrel) all this time. For how long should he stay with it? Can he pass to aspirin?
Prevention: Would not recommend aspirin, as the data shows relatively mediocre results unless he would take one full asa, 325mg four times daily, which could cause gastritis and bleeding. Based on research data, the most successful protection against a subsequent stroke comes from Aggrenox twice daily, and if it were my dad, I would consider this first. ...Read more
What trials have been done replacing plavix (clopidogrel) for aspirin in aspirin allergic patients without stents or cardio problems?
But not all, show a slight better result from both together on preventing heart attacks.
Without an actual examination, I cannot give specific medical advice on your particular health
and.... a 26 y.o on those medications is going to be not the most common situation! ...Read more
Yes: Yes. Important however to have the extraction by a board certified oral sugeon. Certain precautions must be taken. ...Read more
If vit k helps blood to clout then if you have stents and on plavix (clopidogrel), aspirin would it causes artery blockage?
Quit plavix (clopidogrel) after 1 year BMs, still on aspirin. Scared of LSt. Start back on plavix (clopidogrel)?
Plavix (clopidogrel): Stopped placid. Need to ask your dr who prescribed and stopped it. No need to be scared but get the right treatment. Ask your Dr and get proper care please. ...Read more
I had stents before 2 years & iam already taking plavix and crestor (rosuvastatin) 20mg (rousostatin), when can I stop plavix? & is plavix must taking with aspirin?
Check with your doc: Plavix (clopidogrel) duration after a stent is minimum 1 year by guideline recommendation, but individual cases require longer duration. This could be the case for multiple, or extremely long stented segment, bifurcation stenting (fork in the road), stenting in your left main, or in a previous bypass graft. Check with your cardiologist to see what optimal duration is in your particular case. ...Read more
After stroke I have been prescribed 325 mg aspirin daily along with plavix (clopidogrel). Should that aspirin dose go down?
Not necessarily: That is a farily standard dose.Get a more detailed answer ›
At 7:00am I take plavix (clopidogrel) 75-aspirin 161-cardizem-120. Would it be ok to take the aspirin at a different time of day?
Following a stroke, I have been taking 325 mg aspirin daily along with plavix (clopidogrel). Now know the danger. Is this too much aspirin?
No: No, this is a fairly standard dose. ...Read more
Yes: Yes and it's done on a routine basis. Your dentist should consult with the physician who has you on these medications and either the dosage will be adjusted, stopped temporarily or can be done with no change in the medications depending upon the individual circumstances. ...Read more
My doctor prescribed clazol instead plavix (clopidogrel) and aspirin for me; what is the advantage if there is one?
Probably: It depends on the indication, of course. Stents, especially drug eluting stents ("medicated" stents) which are one of the major indications for plavix, (clopidogrel) require dual anti-platelet therapy, thus Aspirin is routinely given with Plavix (clopidogrel) and Plavix (clopidogrel) alone is inadequate and risky. ...Read more
Is there evidence Plavix (clopidogrel) (Clopidogrel) causes more incidents of GI bleeding than Aspirin? Also Have Diverticulitis.
Plavix (clopidogrel) bleeds more:
Aspirin acts to prevent platelet adhesion and the mechanism for Plavix (clopidogrel) is through
platelet also but different.
Overall the incidence of bleeding would be greater with Plavix (clopidogrel).
With diverticulosis, the bleeding occurs more likely (stretches the sac of colon) than diverticulITIS which is a complication of OSIS. ...Read more
What are the safest and non safest ssri's-snri's to use with plavix-aspirin-cozaar-cardizem cd-vytoryn-onglyza?
Enzyme Inhibition.: All of the selective serotonin re-uptake inhibitors are metabolized in the liver. The enzyme system involved is called the p450.During metabolism in liver, ssris inhibit different sub- enzymes, for example, 2d6, 3a1, 3a2, 2d5, etc., leading to decrease in metabolism of other medications, causing increase in their serum levels. Zoloft (sertraline) is the safest ; Prozac ; Celexa are the least safe among ssris. ...Read more
After 1 year on plavix (clopidogrel) and aspirin for 2 stents for LAD will a patient usuaaly discontinue the plavix (clopidogrel). (diabetic also)?
Yes: Most would recommend 12 months of Aspirin and clopidogrel after coronary stent, followed by Aspirin indefinitely. In some patients shorter or longer duration of treatment with both may be recommended. ...Read more
If someone gets stents during a cardiac catherization, will they be prescribed aspirin, plavix, (clopidogrel) or both? If both do the same thing then why both?
85 yr old dad had stents in 2 arteries sept. 2012. Stopped plavix, (clopidogrel) still takes full aspirin. He needs a tooth extracted, does he go off aspirin?
No: The current thinking is that it is more dangerous to go off of the blood thinner (risk of throwing a clot which could be fatal) than the risk of prolonged bleeding. ...Read more
Hey so I'm on baby aspirin and plavix. I'm wondering what the risks of alcohol are with these two drugs?
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