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Doctor insights on: Can You Switch From Coumadin To Plavix Instead

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Can you switch from Coumadin (warfarin) to plavix instead?

Can you switch from Coumadin (warfarin) to plavix instead?

It depends: Both Plavix and Coumadin (warfarin) "thin" the blood but do so via different mechanisms and degrees. The choice of one medication over another depends on your underlying condition and specific risk profile. In other words, you would have to discuss with a doctor the specifics of your case. ...Read more

Warfarin (Definition)

Warfarin is a medication used to thin the blood and to prevent or treat people with blood clots. It requires frequent blood ...Read more


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Can plavix and Coumadin (warfarin) be taken together?

Can plavix and Coumadin (warfarin) be taken together?

Yes: In certain situations they can be taken together but ther is a substantial risk of bleeding if both Plavix and Coumadin (warfarin) are taken at the same time. ...Read more

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Idiopathic carotid dissection...No plaque, no disease, horner's. Coumadin/plavix. Fit/very lean 52 y.O. Man-what exercise is okay 2 years out?

Idiopathic carotid dissection...No plaque, no disease, horner's. Coumadin/plavix. Fit/very lean 52 y.O. Man-what exercise is okay 2 years out?

Arteriopathy?: Coumadin (warfarin) is indicated for 6 mos. Plavix is not indicated. You should be screened for marfan's, ehlers-danlos type iv, bicuspid aortic valve. The incidence of recurrence is 1%/year for 10 years. If you send me a private request with your email address, i'll email you a review from the new england journal of medicine. Exercises that extend your neck should be avoided. O/w no specific prohibition. ...Read more

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I've been on xeralto for a while now, but I work overseas and I ran out of my medication and can't get more for 1 week. Can I take plavix or warfarin?

I've been on xeralto for a while now, but I work overseas and I ran out of my medication and can't get more for 1 week. Can I take plavix or warfarin?

Low mol wt heparin: Warfarin takes days to start working and you need to be on heparin before taking warfarin. Plavix is not a likely replacement for xeralto. Please consult a local doctor to get low molecular weight heparin that can be injected subcutaneously to prevent thrombus formation. You may consult this site for more info:
http://www. Webmd. Com/dvt/low-molecular-weight-heparins-for-deep-vein-thrombosis ...Read more

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Would I be eligible for ultrasonic liposuction with the medication I'm taking? I am a woman in my 40's. I am no longer taking warfarin, but I am taking plavix (clopidogrel) as part of my anticoagulant drug regimen and I would like fat removed from my butt

Would I be eligible for ultrasonic liposuction with the medication I'm taking? I am a woman in my 40's. I am no longer taking warfarin, but I am taking plavix (clopidogrel) as part of my anticoagulant drug regimen and I would like fat removed from my butt

Maybe...: You will need to make sure that you are medically fit to proceed with elective surgery. Also, you will need to make sure that you are off all blood thinners. The doctors who know you best will be able to evaluate your situation and provide you with recommendations based on safety first. Best wishes. ...Read more

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After 2 surgeries on leg for stent implants my physician wants me to stop warfarin and take plavix (clopidogrel) for 3 months. He says that warfarin does not work on the lower exremities. I now take about 27 1/2 a week?

After 2 surgeries on leg for stent implants my physician wants me to stop warfarin and take plavix (clopidogrel) for 3 months. He says that warfarin does not work on the lower exremities. I now take about 27 1/2 a week?

Different: Warfarin is a blood thinner that prevents blood clots which works systemically on all parts of the body including lower extremities. Plavix (clopidogrel) following stents is recommended to prevent stents from closing off. Both can increase risk of bleeding. ...Read more

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Parsley tea? Is it safe for someone with coronary artery disease, heart attacks (2), and on warfarin and Plavix (clopidogrel) treatments? I have a valve replacement

Parsley tea? Is it safe for someone with coronary artery disease, heart attacks (2), and on warfarin and Plavix (clopidogrel) treatments? I have a valve replacement

Probably, but:: Medscape interactions database states: "parsley increases effects of warfarin by pharmacodynamic synergism. Minor or non-significant interaction. Theoretical interaction." Based on this I would recommend safe but suggest limiting perhaps to 1 cup a day. No interaction with Plavix (clopidogrel) reported. ...Read more

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After Heart CABG better use Aspirin 100mg combination warfarin 2mg, or clopidogrel 75mg with warfarin 2mg??

After Heart CABG better use Aspirin 100mg combination warfarin 2mg, or clopidogrel 75mg with warfarin 2mg??

Prob aspirin: It seems you may have a fib. So warfarin is important. The use of plavix (clopidogrel) is valuable after PTCA, but not proven to be any better than aspirin. Therefore, I suggest aspirin and warfarin would be better choice. ...Read more

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After Heart CABG+ligation LAA, better taken warfarin 2mg + clopidogrel 75mg or rivaroxaban 20mg + clopidogrel 75mg??

After Heart CABG+ligation LAA, better taken warfarin 2mg + clopidogrel 75mg or rivaroxaban 20mg + clopidogrel 75mg??

Complex issue: While warfarin has been around longer with an excellent safety record, the new kid on the block, rivaroxaban, also appears to be possibly safer. A major difference, patients don't have to get their blood tests every 7 to 30 days with rivaroxaban. That in itself makes rivaroxaban a nicer alternative. ...Read more

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Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?

Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?

Coumadin/dabigatran: Coumadin (warfarin) or dabigatran. You can not be on both because of increased risk of bleeding.

With either Coumadin (warfarin) and dabigatran you do not need to be on plavix. ...Read more

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For a patient who never had bypass, no stent, but had asd closure, a-fib and chf, clopidogrel+warfarin really required?

For a patient who never had bypass, no stent, but had asd closure, a-fib and chf, clopidogrel+warfarin really required?

To clot or bleed?: For a patient in their 30's with history of ASD s/p closure, a-fib and chf, but no cad, dual therapy may be required. Facts such as CHF severity, prior thromoembolic events from a-fib or asd, ventricular clots, and personal & family history of blood clots can help influence the decision to stop or continue dual therapy. Decision is best made by collaboration between cardiology & the ct surgery. ...Read more

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In my CABG, my doctor also do ligation LAA and RAA, so how many dose I must taken rivaroxaban and clopidogrel with out taking aspirin and warfarin?

In my CABG, my doctor also do ligation LAA and RAA, so how many dose I must taken rivaroxaban and clopidogrel with out taking aspirin and warfarin?

Depends: Was afib only post CABG or did you have before surgery? But usually would cont cont anti coagulation (rivaroxiban, dabigatran, epixiban, or Coumadin) 4-6 weeks post ligation. Anti platelet therapy (aspirin or plavix) depends on other health conditions. ...Read more

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For 64yo female who never had bypass, no stent, no cad, but had asd closure and pvd, having a-fib and chf, clopidogrel+warfarin really required?

For 64yo female who never had bypass, no stent, no cad, but had asd closure and pvd, having a-fib and chf, clopidogrel+warfarin really required?

Plavix (clopidogrel) and warfarin: For a 64 female with atrial fibrillation and CHF it is high risk for bleeding to be on Plavix (clopidogrel) and warfarin. The history of ASD closure should not at this point contribute much to the condition as long as it is closed. Talking to the physician is important and bring a list of all medications including herbal therapy if being taken. Get medical alert bracelet for her. ...Read more

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89 yr old in hospital on aspirin clopidogrel and warfarin for stroke and heart attack has had another stroke and blockage seen on Brain scan and swelling left side of brain how come while on so many thinners is it possible?

89 yr old in hospital on aspirin clopidogrel and warfarin for stroke and heart attack has had another stroke and blockage seen on Brain scan and swelling left side of brain how come while on so many thinners is it possible?

Yes, it can happen: For several reasons, the case isn't easy, and it seems that there is lot going on. I trust that the hospital and the treating doctors are doing their best, wish you all, the best ...Read more

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Been on plavix (clopidogrel) 75 mg since december (switched from effient) dr. Will now stop after a year. How long until the plavix (clopidogrel) is out of my body.

Been on plavix (clopidogrel) 75 mg since december (switched from effient) dr. Will now stop after a year. How long until the plavix (clopidogrel) is out of my body.

Plavix (clopidogrel) out: Plavix (clopidogrel) is rapidly with absorbed-peak plasma levelsof the main circulating metabolite occurring in~1hr. In humans, 50% excreted in urine and ~ 46% in feces five days after dosing. Plavix (clopidogrel) effect lasts for the life of the platelet (~ 7–10 days). ...Read more

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Dr. Just switched me from effient to plavix (clopidogrel) strongly suggestion that effient can cause shortness in breath. Totally believe him. Any thoughts?

Both: Both can cause shortness of breath although in most it is not clinically significant. Reported rate of shortness of breath for Effient is 4.9% vs. 4.5% for plavix (clopidogrel). ...Read more

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Since starting on simvastin along with Plavix (clopidogrel) following a mild stroke 7 months ago, prior gout was a nuisance, now chronic, should I switch to lipito?

Since starting on simvastin along with Plavix (clopidogrel) following a mild stroke 7 months ago, prior gout was a nuisance, now chronic, should I switch to lipito?

Debatable: atorvastatin (Lipitor) is a more potent "bad-cholesterol" lowering medication than simvastatin (Zocor), but it's also not as thoroughly tested for stroke prevention as tried-and-true simvastatin, so many neurologists choose to recommend the older, better-known option. Cost often is a factor as well. Either could be a reasonable option depending on your situation: ask your neurologist though. ...Read more

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Been on plavix (clopidogrel) for 6 month, drug eluting stent. Is it safe to switch to effient? My cardiologist wasn't sure. Will it be better for anxiety problem?

Been on plavix (clopidogrel) for 6 month, drug eluting stent. Is it safe to switch to effient? My cardiologist wasn't sure. Will it be better for anxiety problem?

Continue Plavix (clopidogrel): Plavix (clopidogrel) needs to be taken for destents for at least a year if not longer and it is not for anxiety u can take something else for that. ...Read more

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TTC while overweight (5'9 and size 14) and have blood clotting disorders- on Coumadin (warfarin) - will switch to lovenox once pregnant - should I worry?

TTC while overweight (5'9 and size 14) and have blood clotting disorders- on Coumadin (warfarin) - will switch to lovenox once pregnant - should I worry?

Yes: obesity and blood clotting disorders affect pregnancy adversely. You need to see a maternal fetal medicine specialist to provide the proper guidance for follow up, medication and proper tests along pregnancy. Once this guideliness are issued your OB/GYN will follow them ...Read more

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Is it ok to take asprin instead of plavix (clopidogrel)?

Plavix (clopidogrel): They do somewhat similar things to platelets, so sometimes we use one or the other, sometimes both... ...Read more

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Takn Coumadin (warfarin) hvn't ben able 2eat much lately&have los 8+lbs n 2wks I don't know y. But got INR checked 2day & it was 6.1y? Is this dangerous menstrualonalso

Go see your doctor..: Now! You didn't explain why you're taking Coumadin (warfarin) but we typically aim for inr 2-3 if for blood clot or atrial fibrillation or clotting disorder. We aim for 2.5-3.5 if you have mechanical valve. Inr of 6.1 is way too high. Your Coumadin (warfarin) dose needs to be held/adjusted & inr monitored closely until back into therapeutic range. 8 lb weight loss in 2wks is not normal either. Go see your doctor now! ...Read more

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How effective is Coumadin (warfarin)?

How effective is Coumadin (warfarin)?

Quite effective: It requires monitoring of INR to make sure that the dose is appropriate. New anticoagulants don't require monitoring ...Read more

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What u think about plavix (clopidogrel)?

What u think about plavix (clopidogrel)?

Useful: Plavix (clopidogrel) is a very good medication for some conditions, and is a required medication for others (if you have a certain type of heart stent, for example). As with all medications, only careful discussion with your doctor can determine if it is right for you. ...Read more

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Is too much plavix (clopidogrel) harmful?

Plavix (clopidogrel): Plavix (clopidogrel) is used for specific purpose in specific doses. Some people do require more Plavix (clopidogrel) dose than others. Too much Plavix (clopidogrel) can be associated with too much bleeding. ...Read more

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What's the maximum dosage of coumadin (warfarin)?

What's the maximum dosage of coumadin (warfarin)?

Varies: I love dr. Klein's answer: "the dose that works." he is absolutely right. Certain south-east Asian populations have the genetics he mentioned that makes them require higher doses of Coumadin (warfarin) than others the same weight. Generally, smaller people need less than larger, too, but not always. Diet has a lot to do with dosage need. ...Read more

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What are the alternatives to coumadin (warfarin)?

Coumadin (warfarin): For atrial fibrillation there are direct thrombin inhibitors approved for stroke prevention. These are not approved for patients with mechanical valves. ...Read more

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Please describe the medication: coumadin (warfarin)?

Anticoagulant: Coumadin also called as warfarin is a medication commonly used to prevent blood from clotting. It requires monitoring of inr (international normalized ratio) to make sure that dose is adequate for patient and disease entity it is prescribed for. ...Read more

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Please describe the medication: plavix (clopidogrel)?

Please describe the medication: plavix (clopidogrel)?

Anti platelet med: Clopidogrel is an anti platelet medication that irreversibly binds to a receptor on the platelet to make it have decreased capability of sticking to another platelet or the endothelial lining of a blood vessel. Used in the treatment of heart attacks and strokes to decrease recurrent events. ...Read more

Dr. Ted King
702 Doctors shared insights

Coumadin (Definition)

Coumadin is an anticholinergic agent which is a kind of anti-Parkinson's drug ...Read more


Dr. Mathew Chengot
338 Doctors shared insights

Plavix (Definition)

Plavix is a platelet inhibitor is a kind of anti-coagulation drug ...Read more