Is Plavix Better Than Aspirin For Stroke Prevention?

What can I take instead of Plavix?

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Besides oral anticoagulants, such as warfarin and the more recent dabigatran[9], and niche agents, such as cilostazol and ticlopidine[10,11], the most promising alternatives to clopidogrel in those with background aspirin therapy are prasugrel and ticagrelor..

How long do you stay on Plavix after a stroke?

Dr. Elm concluded at the World Stroke Congress that clopidogrel and aspirin use may best be limited to 21 days post-ischemic attack to maximize benefit and reduce risk.

Can you ever stop taking Plavix?

Feb. 5, 2008 — Heart attack survivors and other heart patients may be more likely to die or suffer a heart attack in the first three months after stopping the drug Plavix, new research shows. Plavix is an antiplatelet drug.

Which is better Effient or Plavix?

He said the head-to-head trial showed Effient reduced the risk of cardiovascular death, heart attack and stroke by 19 percent compared with Plavix in patients with ACS managed with PCI. Effient was responsible for a 50 percent decrease in stent thrombosis cases as compared to Plavix.

Can Plavix cause stroke?

The anti-blood clot regimen that adds the drug clopidogrel (Plavix) to aspirin treatment is unlikely to prevent recurrent strokes and may increase the risk of bleeding and death in patients with subcortical stroke, according to new research.

How long should you stay on Plavix?

The standard recommendation is typically at least 12 months of Plavix. But the study found that six months of treatment was enough to prevent rare but deadly complications, says researcher Marco Valgimigli, MD, of the University Hospital of Ferrara, in Italy.

What is the safest blood thinner on the market?

The DOACs — apixaban (Eliquis®), dabigatran (Pradaxa®), edoxaban (Savaysa®), and rivaroxaban (Xarelto®) — are given in fixed doses, do not require INR monitoring, have few medication interactions, do not require dietary restrictions, and carry a lower risk of bleeding compared with warfarin, Dr. Bartholomew says.

Can you still have a stroke on blood thinners?

Unfortunately, the blood thinners used to prevent such blood clots can increase the risk of bleeding in the brain, a cause of hemorrhagic stroke.

Is it safe to take Plavix every other day?

Conclusions: Long term dual anti-platelet therapy with aspirin 81 mg daily and clopidogrel 75 mg every other day beyond 12 months after PCI with DES may be a safe and efficacious cost-saving strategy to prevent VLST.

Is Plavix used for stroke prevention?

Shaheen Lakhan, MD, PhD, is an award-winning, board-certified physician-scientist and clinical development specialist. The use of antiplatelet agents such as aspirin or clopidogrel (Plavix) is an effective approach to stroke prevention.

Can I take aspirin instead of clopidogrel?

Your doctor may prescribe daily low dose aspirin (75mg tablets) to take together with clopidogrel. Or they may prescribe clopidogrel instead of daily low dose aspirin if you have problems with aspirin.

Can I drink coffee with Plavix?

Conclusions: Acute caffeine administration after clopidogrel loading appears to be associated with enhanced platelet inhibition 2 to 4 hours after clopidogrel intake. The mechanism probably involves synergistic increase in cAMP levels.

When should you not take clopidogrel?

If you have certain health conditions such as a peptic ulcer or bleeding disorder you should not take clopidogrel, unless advised by a specialist. You should use clopidogrel with caution if you have liver or kidney problems. Clopidogrel must not be given to anyone under 16 years old, unless under specialist advice.

How long should you stay on Plavix after a TIA?

Based on the results of the CHANCE trial, the American Heart Association/American Stroke Association recommends clopidogrel and aspirin for 21 days starting in the first 24 hours after a minor stroke or TIA.

How do you know if Plavix is working?

You may notice that you bruise or bleed more easily and it will take longer to stop bleeding while you are taking Plavix. This shows that Plavix is working. However, if bleeding is excessive, prolonged, or you notice blood in your urine or stool, seek urgent medical advice.

Does Plavix and aspirin do the same thing?

Aspirin is also used to treat fever, pain, and inflammation in the body. Plavix is also used to treat patients with acute coronary syndrome and peripheral vascular disease. Aspirin and Plavix belong to different drug classes. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) and Plavix is an antiplatelet agent.

Which is safer aspirin or clopidogrel?

Interpretation Long-term administration of clopidogrel to patients with atherosclerotic vascular disease is more effective than aspirin in reducing the combined risk of ischaemic stroke, myocardial infarction, or vascular death.

Can you stop taking Plavix cold turkey?

CHICAGO (Reuters) – Patients given the blood-clot preventer Plavix after a heart attack or after receiving a stent have a far higher risk of heart attack or death in the three months after they stop taking the drug, U.S. researchers said on Tuesday.