Doctor insights on:
Medicine For Aggrenox Allergy
Stroke prevntion: Aggrenox is a combination of Aspirin and a drug called dipyridamole. This combo prevents platelets from "clumping" and causing a clot or embolism to prevent strokes. It is a relatively safe drug. Most drug interactions involve other drugs which also prevent platelets from clumping and thus cause bleeding. ...Read more
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more
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
Maybe: Aggrenox is a coagulation modifier thus it affects bleeding. Obviously during an extraction there is bleeding. Therefore its important for the dentist and the physician to determine if your bleeding times are appropriate. ...Read more
Asa + persantine: Neuro docs use it for stroke/TIA patients. Data weak at best-causes headaches and GI upset. Rather use clopidigrel -better data and better tolerated. ...Read more
Views on aggrenox vs clopidogrel for someone who had a tia. My mother is taking aggrenox but clopidogrel is cheaper and studies show no difference.
Roughly the same: There is probably not much difference between the two. Either can be used if tolerated and effective. It is reasonable to switch in case if there is a financial reason or side effects are present. ...Read more
My mom is 90 years old with asymptomatic 80% blocked carotid artery. On Aggrenox. BP and cholesterol well controlled. ? Advise surgery tX or stent?
CEA or nothing: Carotid stents are relatively contraindicated in > 80 yrs old; CEA (endarterectomy) is high risk but safe in competent hands. The risk of heart attack is elevated in CEA pts > 80 yrs old, while stroke was higher (and more disabling) w/ stents (cas). In pts > 80 yrs old w/ good heart, lungs, and kidney fxn, CEA is tolerated well. Aspirin & Plavix (clopidogrel) is not superior to stroke prevention v. Cea. ...Read more
I am 51. At 47 I had tia, dvt, pulmonary embolism, hole in heart. I am on warfarin and aggrenox. New white places in brain. Should I be concerned?
Should close "hole in the heart". I do not know specifically what you mean for "hole in the heart". Each congenital septal defect has a name and unless you specify which is it I am unable to give you any advise but as a general rule, any septal defect can result in a paradoxical embolus.
Meaning blood clots from the venous system ending up in the arterial system. Your cardiologist can reffer you. ...Read more
Stop taking it: If it is an extreme necessity, and there are no alternatives, and you don't know whether this an allergic reaction or an adverse drug reaction (side effect), see an allergist/immunologist for evaluation and possible desensitization to the said drug for treatment of a particular disease episode, good luck ...Read more
Various Options: Daily steroid or antihistamines nasal sprays (fluticasone, azelastine) are helpful. Determining exactly what you could be sensitized to in order to practice appropriate avoidance measures is also important. If medications and avoidance are not effective or not feasible allergen immunotherapy (allergy shots) could be an option as well. Other meds include Sudafed, Mucinex, (guaifenesin) Afrin, oral antihistamines ...Read more
Could be!: Without understanding the circumstances and the type of reaction, it is impossible to answer the question. If you started the new medicine, and experienced a reaction, it could be due to allergy to the medication. ...Read more
No cure yet, but...: Allergy shots (allergen immunotherapy) is currently the only treatment that is disease modifiying, meaning it can change how the body responds to exposure to allergens. It is "natural" and long lasting effects carry on after shots are stopped. It works for most, but not all people. Closest thing to a cure so far..... For more read my blog at: http://www. Familyallergyasthmacare. Com/2013/03/its-no. ...Read more
OTC Allergy: Not fair. Truly, it is trial-and-error. What works best for you might not work best for someone else. Loratadine is the weakest binding non-sedating antihistamine; Cetirizine is the strongest binding non-sedating antihistamine. Benadryl (diphenhydramine) works better than both but it makes people sleepy. ...Read more
Several choices: The most effective treatment for relief of seasonal allergies are prescription nasal steroid sprays (qnasl, nasonex, (mometasone) rhinocort, flonase). If symptoms are mild then over the counter zyrtec, claritin, or Allegra can help. It's best to start treating seasonal allergies before the "season" starts. This is a prevention approach. If the above meds haven't controlled symptoms, consider allergy shots. ...Read more
Big question: There are a lot of allergy medications & your time span is enormous. Could you take a medication that expired last month? Yes. Last year? Yes, but it might not work as well. Five years ago? Sure but why bother? Medications don't become dangerous as they age just gradually less effective. One exception is Epinephrine it rapidly loses effectiveness after expiration & its needed to save lives. ...Read more
Think whole airway: Upper airway allergies trigger clear, watery discharge along with itch and congestion; this can tickle the back of throat: thus cough - but lower airway involvement must be considered. Allergies can cause cough through asthma-like reactions (or outright cough asthma). Albuterol inhaler +\-montelukast worth a try after oral antihistamines and nasal steroids/antihistamines. ...Read more
ALLERGIC RHINITIS: YES:Allergic rhinitis causes Swelling of nasal mucosa/itchy eyes /post nasal drip. You can do nasal irrigation with Neil Med system. Zaditor (ketotifen) Eye Drops and Claritin & Flonase are all effective. If symptoms persist follow up with your doctor for exam and labs ...Read more
It depends on the: Specific type of medicine and the amount of the overdose. Are you considering taking an overdose? Are you considering suicide as an option? You can call the national suicide hotlines 24/7 at 1-800-suicide (1-800-784-2433) or 1-800-273 – talk (1-800-273-8255). For active suicide thoughts with a strong urge please be seen at your nearest er. Follow on psychological/ psychiatric care is important. ...Read more
More Info: There are many types of allergy medication and they all do slightly different things. It is difficult to tell you what is a "strong" medicine without knowing your symptoms and what you have tried to treat them already. You can get Zyrtec and NAsacort (triamcinolone) over the counter and the combination of those two helps many people. If your symptoms are very severe you might need a steroid shot. ...Read more