Doctor insights on:
Lovenox Vs Aspirin
For recurrent stroke prevention, which is best: ASA vs Plavix (clopidogrel) vs ASA/Plavix (clopidogrel) vs Aggrenox? Risk of bleeding worse with any particular?
See below: Both are blood thinners that act on different parts of the coagulation (clotting) pathway in our system, warfarin is oral and needs regular blood test to check if it is in a good level, avoid eating vitamin k rich foods like dark greens while on this med. Lovenox (enoxaparin) is injectable, dosing computed thru weight. ...Read moreSee 1 more doctor answer
Other than stents (which is Baby ASA and plavix (clopidogrel) most likely), in what instances would ASA 81mg vs ASA 325mg vs Plavix (clopidogrel) or a combination be prescribed?
Depends: Studies have been done comparing the two. Aggrenox seems superior in preventing recurrent stroke or tia's, but Plavix (clopidogrel) has more research on heart disease and periph vasc problems. Plavix (clopidogrel) is generic now and cheaper, but doesn't work well in pts with certain genetics, and interacts adversely with some ulcer drugs. Aggrenox has aspirin, which may be a problem with some. ...Read more
After Heart CABG better use Aspirin 100mg combination warfarin 2mg, or clopidogrel 75mg with warfarin 2mg??
Tendency to clot: Factor v leiden is a hereditary abnormality of a clotting protein that increases your risk of forming clots, notably in the veins (phlebitis). If you are undergoing a procedure that would also increase this risk (surgery, prolonged immobilization), Lovenox (enoxaparin) might be used preventively. It is only for short-term use, and oral drugs such as warfarin would be used if you need long-term protection. ...Read more
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 moreSee 1 more doctor answer
Whether New oral anticoagulant drugs (pradaxa 150 2x/day) may be combined with anti-platelet drugs (Plavix (clopidogrel) 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
Both: Both cause bleeding. The 2 drugs have different indications, however. If one must be stopped, let the doctor who knows you best decide which is less critical to your health. If you have serious active bleeding, there's no choice but to temporarily stop both. ...Read more
Cost vs safety: In patient with atrial fibrillation there is an increase risk of atrial clot formation. These clots can travel to the brain and lungs resulting in stroke and pulmonary embolism, both possibly life threatening. Pradaxa and warfarin both reduce this risk directly. Pradaxa is newer, may be safer, easier to manage and much more expensive. Aspirin is less effective. ...Read moreSee 1 more doctor answer
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