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Doctor insights on: Dabigatran

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Is Cialis safe if already on concor and dabigatran?

Check with doctor: Anytime when you take medications specially cialis, i suggest to discuss with your cardiologist. ...Read more

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How effective is pradaxa dabigatran as an alternative to coumadin (warfarin)?

How effective is pradaxa dabigatran as an alternative to coumadin (warfarin)?

Pretty good, but...: They are essentially equivalent in thinning the blood to replace coumadin (warfarin), (warfarin) but they require twice daily dosing. Yes, you don't have to get your blood tested like you do with coumadin (warfarin), (warfarin) but if you have a bad bleed, there is no antidote for either you mentioned, like there is for coumadin (warfarin). So one must weigh the risks vs. The benefits, as we do everyday in medicine. ...Read more

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I'm in AF about 1 year & also have coronary artey disease 70% at LAD proximal. is it okay to take pradaxa(dabigatran) 110mg 2xper day or other dosage?

I'm in AF about 1 year & also have coronary artey disease 70% at LAD proximal. is it okay to take pradaxa(dabigatran) 110mg 2xper day or other dosage?

Yes.: This sounds like a reasonable alternative for the prevention of stroke in atrial fibrillation. The dose in the US is usually 150 mg twice daily. The does is reduce when renal function is reduced. ...Read more

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I'm in AF about a year, if i take cordarone (amiodarone) 200mg 1xper day, what pradaxa (dabigatran) dosage which not cause bleeding? My Crcl is 88 ml/min

I'm in AF about a year,  if i take cordarone (amiodarone) 200mg 1xper day, what pradaxa (dabigatran) dosage which not  cause bleeding? My Crcl is 88 ml/min

Use with caution: In a large trial of dabigatran, the effect of additonal Amiodarone was a modest increase in dabigatran levels however no change in clinical outcomes including bleeding. In Europe, there has been a recommendation to lower the Pradaxa dose to 110mg twice-a-day. Replaginide may also rarely cause anemia. If you're doing well with flecainide, that is safe with dabigatran. Talk with your doctor! ...Read more

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I have to hold dabigatran 110 for 2 days knee injections . Is it safe 2 days without anticoagulant?

I have to hold dabigatran 110  for 2 days knee injections . Is it safe 2 days without anticoagulant?

Safer than bleeding.: While your risk of a vascular event increases during those two days, the risk of bleeding during your knee injection / procedure, in the opinion of your Orthopedic Surgeon, is probably greater (that is why he / she recommended stopping for 2 days). The low risk of stroke accumulates each day off dabigatran, whereas as the risk of the injection is 1-time. Discuss w/ Surgeon or use HealthTap Prime. ...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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I take dabigatran for atrial fibrillation. Is it dangerous if i take cataflam 50 or voltaren (diclofenac) daily for joint pain?

I take dabigatran for atrial fibrillation. Is it dangerous if i take cataflam 50 or voltaren (diclofenac) daily for joint pain?

Possibly : Dabigatran and NSAID type medications (voltaren (diclofenac) ; cataflam) can increase bleeding risk and nsaids can affect your kidneys with your other medications. Talk to your doctor about the risks and benefits. ...Read more

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Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?

Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?

Dabigatran /cataract: Yes. dabigatran can cause more bleeding during surgery, which could affect the surgery .Many times they have patients in the hospital on heparin 1 day before the surgery and then stop the heparin 3-4 hours before surgery and restart meds after surgery This is an issue that has to be discussed with the cardiologist and surgeon especially since your father has had strokes f/u w/ cardiology ...Read more

Dr. Al Hegab Dr. Hegab
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Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?

Dr. Al Hegab Dr. Hegab
5 doctors agreed:
Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?

Cataract surgery: while on anticoagulation therapy: this is a judgmental call amongst the ophthalmic surgeon and the anaesthesiologist. Generally for surgical procedures or spinal anesthesia, anticoagulaton needs to be discontinued before the surgery, as for Dabigatrean, 1-2 days prior to surgery and resumes after, while the clopedogrel you to hold 5 days prior to elective surgery. Again refer to the treating team ...Read more

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Is it safe to treat young patient <60 with resistant hypertension & afib with ARB+Metoprolol+Amlodipine+HCT+Dabigatran+Rosuvastatin? GFR>80, LDL-C<50

Is it safe to treat young patient <60 with resistant hypertension & afib with ARB+Metoprolol+Amlodipine+HCT+Dabigatran+Rosuvastatin? GFR>80, LDL-C<50

Yes, this is a: reasonable combination of medications but one would like to be certain that any reversible causes of the HTN have been evaluated and treated. Renal artery stenosis, morbid obesity, dietary noncompliance, etc. ...Read more

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My son k

My son k

Yes --- and: Write back again when you have a little more to say. ...Read more

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Who am i?

A little more: Your question will need to have a little more context in order to receive a meaningful answer. If it was meant to check if questions are answered here you have your answer. ...Read more

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Question?

Question?

No question: Rephrase. There was nothing on the question sheet. ...Read more