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Doctor insights on: Bare Metal Stents How Long Aspirin And Plavix

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If you have a stent that is drug coated, do you have to take plavix (clopidogrel) and aspirin forever?

If you have a stent that is drug coated, do you have to take plavix (clopidogrel) and aspirin forever?

No: It is recommended that Plavix (clopidogrel) be taken for at least a year and longer if there are no adverse effects. Aspirin should be taken for life to prevent the risk of future heart attacks. ...Read more

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Dr. Marvin Den
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Halfprin (Definition)

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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.

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

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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.

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

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Can dual antiplatelet therapy (ASA + Plavix) last 3 months only? One stent Xience V on LAD.

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

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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?

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

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I am due for an outpatient surgery, how long should I be off plavix (clopidogrel) and 81 mg aspirin before the surgery?

I am due for an outpatient surgery, how long should I be off plavix (clopidogrel) and 81 mg aspirin before the surgery?

Depends: It depends on the type of surgery. It also depends on the reason you are on these medication for. It would be prudent to check with your doctor. ...Read more

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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

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

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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?

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

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If aspirin and plavix (clopidogrel) are both antiplatlet agents. Why am I taking both?

If aspirin and plavix (clopidogrel) are both antiplatlet agents. Why am I taking both?

Some studies: 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

Dr. Mathew Chengot
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