In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds.
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Prevention and management of ischemic stroke.
#Anti stroke pills update#
2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, and the American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. ACCF/ACG/AHA 2010 expert consensus document on the concomitant use of proton pump inhibitors and thienopyridines: a focused update of the ACCF/ACG/AHA 2008 expert consensus document on reducing the gastrointestinal risks of antiplatelet therapy and NSAID use: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. Keep them where children cannot get to them.Ībraham NS, Hlatky MA, Antman EM, et al. Store these drugs and all other medicines in a cool, dry place. Do not take extra pills to make up for a dose you have missed, unless your doctor tells you to.If it is time for your next dose, take your usual amount.Take it as soon as possible, unless it is time for your next dose.Talk with your provider if you have liver or kidney disease. Clopidogrel can be passed to infants through breast milk. Women in the later stages of pregnancy should not take clopidogrel. Tell your provider if you are pregnant or planning to become pregnant, or breastfeeding or planning to breastfeed. However, always check with your provider first about whether it is safe to stop. If you have any type of procedure scheduled, you may need to stop these drugs 5 to 7 days before hand. Ask what other medicines are safe for you to take for aches and pains, colds, or the flu. Read the labels on cold and flu medicines. Phenytoin (Dilantin), tamoxifen (Nolvadex, Soltamox), tolbutamide (Orinase), or torsemide (Demadex)ĭo not take other drugs that may have aspirin or ibuprofen in them before talking with your provider.Pain or arthritis medicine (such as diclofenac, etodolac, ibuprofen, indomethacin, Advil, Aleve, Daypro, Dolobid, Feldene, Indocin, Motrin, Orudis, Relafen, or Voltaren).Heparin and other blood thinners, such as warfarin (Coumadin).Talk with your provider before taking any of these drugs: Do not just stop taking your medicine without first talking with your provider. You may need to stop taking clopidogrel before you have surgery or dental work. Take this medicine with food and plenty of water to reduce side effects. Your provider may change your dose from time to time. At times, you may be asked to take low dose aspirin along with one of these drugs. Your health care provider will choose which one of these drugs are best for your problem. After bypass graft surgery that uses a man-made or prosthetic graft performed on arteries below the knee.Prevent clots from forming inside stents put inside your arteries to open them.Prevent stroke or transient ischemic attacks (TIAs are early warning signs of stroke.Aspirin and a second antiplatelet drug are usually recommended for people who are undergoing angioplasty with or without stenting.
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Clopidogrel is prescribed instead of aspirin for people who are aspirin allergic or who cannot tolerate aspirin. For heart disease primary and secondary prevention, daily aspirin is generally the first choice for antiplatelet therapy.Sometimes 2 antiplatelet drugs (one of which is almost always aspirin) are prescribed for people with unstable angina, acute coronary syndrome (unstable angina or early signs of heart attack), or those who have received a stent during PCI.Clopidogrel (Plavix, generic) may be used in place of aspirin for people who have narrowing of the coronary arteries or who have had a stent inserted.Prevent heart attack or stroke for those with PAD.