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Doctor insights on: Prasugrel Medication

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Dr. Tony Ho Dr. Ho
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I have come off of my 'effient' medication after taking it for 18 months. No problems. Did I stop too early.?

Dr. Tony Ho Dr. Ho
1 doctor agreed:
I have come off of my 'effient' medication after taking it for 18 months. No problems. Did I stop too early.?

Depends: It depends on why you were taking it. If you had a bare metal stent in your coronary arteries, that may be reasonable; if you had a drug eluting stent, definitely talk to your doctor, as sometimes a prolonged or even lifelong course is recommended. Definitely do not stop unless you talk to your doctor first. ...Read more

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Iam taking effient because ihave a stint in my heart. It is very expensive. Is there an alternative to that drug.?

Iam taking effient because ihave a stint in my heart. It is very expensive. Is there an alternative to that drug.?

Yes: Generic Plavix (clopidogrel) also called clopidigral. Make sure your drs didn't pick Effient for a specific reason. Samples and patient assist programs may be available. ...Read more

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Is plavix (clopidogrel) still a first line treatment for those with stents (i have 2 in lad) or is effient now the drug of choice?

Is plavix (clopidogrel) still a first line treatment for those with stents (i have 2 in lad) or is effient now the drug of choice?

Clopidogrel: Clopidogrel (plavix) and Aspirin remain the primary treatment. Effient may be used if clopidogrel fails or if genetic testing indicates that clopidogrel may not be effective. ...Read more

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Been on plavix (clopidogrel) for 6 month, drug eluting stent. Is it safe to switch to effient? My cardiologist wasn't sure. Will it be better for anxiety problem?

Been on plavix (clopidogrel) for 6 month, drug eluting stent. Is it safe to switch to effient? My cardiologist wasn't sure. Will it be better for anxiety problem?

Continue Plavix (clopidogrel): Plavix (clopidogrel) needs to be taken for destents for at least a year if not longer and it is not for anxiety u can take something else for that. ...Read more

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Prasugrel 10mg for 14 mth what is your opinion?

Prasugrel 10mg for 14 mth what is your opinion?

What do you mean?: I am not sure what the question is. Can you clarify? Seems you may have been put on prasugrel after a stent to the heart artery? ...Read more

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Can you mix naproxen with prasugrel?

Can you mix naproxen with prasugrel?

Kinda: No major issue. Thing is if the individual takes Prasugrel he likely had a PCI done. If such is the case NSAIDs are not recommended on patients with CAD.

SO the reason of not taking these 2 together is not because of a bad interaction, it isjust that people with CAD should not take Naproxen. ...Read more

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I am now taking effient what should I watch for?

I am now taking effient what should I watch for?

Bleeding: This medication is used to protect the arteries after heart treatments (percutaneous proceedure). Any medication can cause allergy. (rash, itching, swelling lips/tongue, hives) major concern is bleeding. Blood in the mouth, urine, stool; coughing up blood, feeling light headed, severe headache, focal weakness, excessive bruising. You shouldn't take if you've had stroke or allergic to plavix (clopidogrel). ...Read more

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Is there something cheaper than effient that I can take?

Is there something cheaper than effient that I can take?

Prasugrel: There are multiple platelet inhibitors, you should discuss with your doctor. Effient may have advantages for you. ...Read more

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I've been on effient for 2 years. I find it very expensive. Is it really worth paying more for? If not then which would you recommend me switching to?

I've been on effient for 2 years. I find it very expensive. Is it really worth paying more for? If not then which would you recommend me switching to?

Effient: Clopidogrel isn't a generic drug in the same class costing less. ;some individuals though are non responsive to it;a fact check able by blood test, go talk to your prescriber regarding ongoing indication and alternates ...Read more

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Is there a cheaper replacement for effient?

Yes but.: Plavix (clopidogrel) is now generic. Its called clopidigrel. Make sure your drs didn't pick Effient for a specific reason pt assistance programs and office samples may be available if your dr doesn't want you to switch. ...Read more

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Can Effient be taken by people with ischemic strokes?

Can Effient be taken by people with ischemic strokes?

Yes, to help ↓ new: Strokes. Strokes result of either arterial plaque ruptures compounded by clots &/or venous clots from heart left atria. Platelet inhibiting meds do nothing to prevent plaque rupture but have the best track record for ↓ing subsequent clots which ↑ the debris going downstream producing ischemic damage or creating local narrowing at the rupture location. Best: optimize NMR lipoproteins, HbA1c & BP. ...Read more

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Can I stop taking effient and start taking baby asprin?

Effient: Timing for moving from Effient to Aspirin should be discussed with your interventionalist. Those most fiamiliar with the details of your specific history are better placed to give the best advice. Only generalizations can come from out here. ...Read more

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I am on effient since feb 2012. I read that effient can cause cancer. My dr. Took leave and they don't know when she will be back I am worried true?

I am on effient since feb 2012. I read that effient can cause cancer. My dr. Took leave and they don't know when she will be back I am worried true?

Benefits VS risks: Prasugrel or Effient is used to prevent the blockage of your hear vessels, by preventing the clumping of platelets in early part of coronary arteries there by preventing heart attach, it has possible complication of bleeding than cancer, speak to your doctor benefits out weigh the risks. ...Read more

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I have 4 stents in my heart, should I be worried when I stop taking effient for 2 years?

I have 4 stents in my heart, should I be worried when I stop taking effient for 2 years?

Healthy lifestyle...: It is imperative to develop and maintain a healthy lifestyle--eating a healthy diet, exercising (aerobic for 30-45 minutes and light muscle strengthening) at least 4 times per week, drinking adequate fluids, not smoking, reduce stress, sleep well. Effient should be taken for at least a year, which is time that clot may form in stent. But must stop the underlying coronary disease from progressing. ...Read more

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I took pro tonic for four years along with Effient metaprol. I quit proteomics after 4 yrs and replaced it with Pepcid (famotidine) will it be as effective?

I took pro tonic for four years along with Effient metaprol. I quit proteomics after 4 yrs and replaced it with Pepcid (famotidine) will it be as effective?

Protonix (pantoprazole) better than Pepcid: In general the proton pump inhibitors such as protonix (pantoprazole) and Prilosec are better than Pepcid or Zantac for reflux. Prilosec is available over-the-counter without a prescription. ...Read more

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Been on plavix (clopidogrel) 75 mg since december (switched from effient) dr. Will now stop after a year. How long until the plavix (clopidogrel) is out of my body.

Plavix (clopidogrel) out: Plavix (clopidogrel) is rapidly with absorbed-peak plasma levelsof the main circulating metabolite occurring in~1hr. In humans, 50% excreted in urine and ~ 46% in feces five days after dosing. Plavix (clopidogrel) effect lasts for the life of the platelet (~ 7–10 days). ...Read more

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Dr. Just switched me from effient to plavix (clopidogrel) strongly suggestion that effient can cause shortness in breath. Totally believe him. Any thoughts?

Both: Both can cause shortness of breath although in most it is not clinically significant. Reported rate of shortness of breath for Effient is 4.9% vs. 4.5% for plavix (clopidogrel). ...Read more

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Can effient cause a low platelet count?

Can effient cause a low platelet count?

Yes: Yes Effient can cause low platelet count, as well as low white blood cell count and anemia. Discuss other possible adverse event with your doctor. ...Read more

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Once effient is started must you wait one year before it can be changed? I have 2 stents in LAD artery.

Effluent for a year: There are a number of medications in that class of drugs that may be substituted for Effient if there is a problem with taking it. Ask your heart doctor. ...Read more

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I am taking effient and it says one of the side affects is stomach bleeding. How can I tell if I have stomach bleeding?

I am taking effient and it says one of the side affects is stomach bleeding. How can I tell if I have stomach bleeding?

Stool: Also watch for dark, tarry, very smelly stool called melena, or any blood in the stool. Stomach bleeding can sometimes but not always be accompanied by pain. ...Read more

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Tegretol 400-klonopin1.5-effient 10 all at 10pm fragmented poor sleep. Added half of a unisom 12.5 at 11:00 sleep great. Wake at 7 am refreshed--ok?

Tegretol 400-klonopin1.5-effient 10 all at 10pm fragmented poor sleep. Added half of a unisom 12.5 at 11:00 sleep great. Wake at 7 am refreshed--ok?

No: Tegretol and unisom:
interaction number of reports
1 premature baby 12
2 drug exposure during pregnancy 12
3 persistent foetal circulation 12
4 amnesia 11
5 intraventricular haemorrhage 11
6 ventricular septal defect 11
7 patent ductus arteriosus 11
8 atrial septal defect 11
9 lung disorder 8
10 cardiopulmonary failure 8. ...Read more

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Stemi 4 months ago. When is it safe to sto effient for thyroid biopsy? Had 2 stents in rca. One clotted in20 min so they put another one in as emergen

Stemi 4 months ago. When is it safe to sto effient for thyroid biopsy? Had 2 stents in rca. One clotted in20 min so they put another one in as emergen

One yr: We recommend to take it for 1 yr. If biopsy has to be done and surgeon won't perform without stopping Effient then after 6 months please discuss with your cardiologist to stop Effient for couple of days. ...Read more

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I was taking Effient and doc changed me to Plavix (clopidogrel). My blood is dark and thick now. Will this go away and it is caused from changing blood thinners?

I was taking Effient and doc changed me to Plavix (clopidogrel). My blood is dark and thick now. Will this go away and it is caused from changing blood thinners?

The medications: Should not change the appearance of your blood. Neither the color nor the thickness. Both of those drugs are platelet inhibitors. They are not blood thinners. Express your concerns to your health care provider. I am certain he/she can explain the reason for the change in medication and any potential effects you might experience. ...Read more

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My mom, 72, is on Effient until Feb. A month ago she got huge bruise on her leg. Looks better now but the pain, surface numbness are extreme. Advice?

My mom, 72, is on Effient until Feb. A month ago she got huge bruise on her leg. Looks better now but the pain, surface numbness are extreme. Advice?

Call cardiologist: As you know, effient increases the risk of bleeding, expecially in older patients. There are two issues here: first, she needs treatment for pain, for which she should not use NSAIDs and may need a low-dose narcotic. Secondly, you should ask if the dose of Effient should be modified. Call her cardiologist regarding both issues. ...Read more

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