Doctor insights on:
In What Sense The New Plavix Replacement Drug Is Better For Cad Patients
More potent: Plavix (clopidogrel) now has competitor drugs. Effient (prasugrel) is more potent at inhibiting platelets, which prevents clots, but this also leads to higher bleeding risk (double-edged sword). Ticagrelor is another agent with proven benefits similar to Plavix (i.e. Heart attack risk reduction), and seems to be more potent without increasing bleeding, but verdict is out still. ...Read moreSee 1 more doctor answer
Coronary artery disease is the leading cause of death and disability in adults in the U.S. It develops when lipid (fatty) plaques builds up in the arteries. Eventually, the plaque can occlude the artery, thereby stopping blood flow to the organ supplied by that artery. If the artery supplies the heart, blockage causes a heart attack. If the blockage is in a brain vessel, the ...Read more
Whether New oral anticoagulant drugs (pradaxa 150 2x/day) may be combined with anti-platelet drugs (Plavix 75 mg/day)?? i'm in Af also CAD??
Yes: be carful about bleeding because there is no antidote for these new agents. ...Read more
Low testosterone, all 3; recent mi, and cad. Is replacement therapy a safe consideration for cardiac patients, or just an overhyped sensation?
Safe if monitored: Testosterone is like any other drug in that it's safe if monitored closely but unsafe if not. Lab studies have demonstrated t's ability to act as a vasodilator, similar to nitroglycerin. However, in excess, t can also increase blood pressure, cause polycythemia ; lower hdl, all of which can increase risk of thrombotic events like stroke ; heart attack. So use it if you need it but w/supervision. ...Read more
My husband has CAD and had a stent placed in his lad. One dr. Says stay on plavix and the other says it doesn't matter. Why the controversy?
An important tool: CLopidogrel reduces the incidence of both heart attack and stroke. TI helps by reducing the 'stickiness" of platelets which are essential for clot to form. IT is one of several drugs, including aspirin, that can function in this way. Patients who have not have stents can take either of these with good results. Patients with stents usually take both aspirin and clopidogrel for at least 3-6 months ...Read more
I'm AF & CAD, 1,5 moths ago i do heart CABG. Now, around 1 week my FEces have occult blood. What drug i must stopped, Xarelto10mg or clopidogrel 75mg?
Customization: Treatment needs to tailored to the individuals characteristics as some medications may be indicated for CAD but may be contraindicated due to other diseases, e.G, beta blockers may not be suitable for someone with asthma, Aspirin would not be suitable for some one with stomach ulcer etc. ...Read more
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 and warfarin: For a 64 female with atrial fibrillation and CHF it is high risk for bleeding to be on Plavix 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 moreSee 2 more doctor answers
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