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Doctor insights on: Dabigatran Medication

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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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How much time to hold tpa (alteplase) if a patient had stroke and is on dabigatran therapy?

How much time to hold tpa (alteplase) if a patient had stroke and is on dabigatran therapy?

No TPA (alteplase): Dabigatran is an absolute contraindication to TPA (alteplase) use. The stroke patient in question is not a candidate for TPA (alteplase). ...Read more

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I have atrial fibrillation. I take daily concor 10mg, dabigatran 220mg, Lasix 40mg and aldactone (spironolactone) 25mg, . Now I have erectile problem. What shall I do?

I have atrial fibrillation. I take daily concor 10mg, dabigatran 220mg, Lasix 40mg and aldactone (spironolactone) 25mg, . Now I have erectile problem. What shall I do?

Talk to your doctor: Aldactone (spironolactone) and concor both could cause ed. Please review this with your doctor to find a better alternative. Do not stop medications by yourself. ...Read more

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What tests can we do to check effect of dabigatran on patient with heart problems, multi infarct stroke dementia? Recently moved to d'tran from warfarin after stroke. Any interaction with antideprests

What tests can we do to check effect of dabigatran on patient with heart problems, multi infarct stroke dementia? Recently moved to d'tran from warfarin after stroke. Any interaction with antideprests

Yes but not readily: There is a test that measures dagtriban but not readily available. You can see if someone is toxic by looking at inr and if >1 than dose maybe high. ...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

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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?

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 clopidogrel needs to be withheld 5 days prior to surgery. Again refer to the treating team ...Read more

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What is a "medication HA"?

What is a "medication HA"?

I think: Medication headache....a type of frequent or daily headache. I'm not positive though. Need to see what the context the phrase was used. ...Read more

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What is best pain medication?

What is best pain medication?

There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more

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I need refills on my medications?

Not here: For that you will likely need the prime service of healthtap. Easier to call your pop imo ...Read more

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Are expired medications effective?

Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more

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Which pain medication works better?

No answer: The best drug is the one that works with the lowest side effect incidence. That will change between patients. ...Read more

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Safest medication to take for pain?

ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isn't good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more

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How can I dispose unused medications?

How can I dispose unused medications?

Several options: You can take them to your local pharmacy for proper disposal. Some medically oriented charities will also take medication for distribution to the disadvantaged. ...Read more

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Please describe the medication: topical?

Please describe the medication: topical?

Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more

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What medications are given fordepression?

What medications are given fordepression?

Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc. It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read more

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What medication is equivalent to covance d?

What medication is equivalent to covance d?

Yes: Covance d is a combination of losartan and hydrochlorthiazide- a diuretic). There are a number of such combinations for the treatment of hypertension. If this is a question of your co-pay, ask your physician about generic alternatives. ...Read more

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What pain medication can be taken for r.S.D.?

What pain medication can be taken for r.S.D.?

RSD, or: Complex regional pain syndrome can be difficult to treat and each patient needs to be treated differently. Opioid medications are definitely not the first option. Consider medications that affect nerve pain most, like neuromodulators such as gabapentin. Clonidine has been found to help some as well. Stellate ganglion blocks can be diagnostic/therapeutic. Consider topical ketamine creams as well. ...Read more

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What medication need to be taken for acidity?

What medication need to be taken for acidity?

Antacid: An h2 blocker (like Pepcid (famotidine) or its generic) once or twice daily, provides relief for many after about a week. If this fails, a proton pump inhibitor (ppi--like Prilosec or its generic) will often work where h2's have failed. If both fail after at least one week trial of each, see your dr or a GI dr for eval. ...Read more

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Would it be okay if I use hash as medication?

Would it be okay if I use hash as medication?

Condition?: There are some conditions that medical marijuana is helpful for. However there can be significant problems related to cannabis use. Thus, would only consider this when prescribed or directed by a physician who is knowledgable in this area. Take care. ...Read more

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I have rhititis. What medication shoud I take?

I have rhititis. What medication shoud I take?

Antihistamine: You can try an over the counter antihistamine to begin with. Would use one that is non drowsy. ...Read more