Instead of dipyridamole 75mg two seperated doses,clopidegrol has been perscribed one year ago as an antiplatlet aggrigation factor.patient has been on aspirin 81mg since thirty years ago which is continued.
Heart Diseases - 3 Answers
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1 :
Barring any other things that would increase the risk for bleeding, yes.
2 :
No, it is not safe. She is put at risk of bleeding especially in the stomach, brain. If she has a fall, she may bleed profusely. HOWEVER, we have to weigh the benefits and risks, if benefits > risks, it is still justifiable to take plavix. It is an informed decision of the patient, relatives, and doctors as a team. God bless.
3 :
The first question to ask is: Is there an indication for clopidogrel? (what is the reason the medication is prescribed). If the 82 yo lady has coronary disease and had a drug eluting stent placed within the last 12-24 months, there is a indication to continue clopidogrel. Following bare metal stent or other vascular stent there is an indication for 4-6 weeks of clopidogel. Beyond those indications and beyond 24 months post stent, research data doesn't give strong support that clopidogrel is beneficial. If an indication exists to use the medication, THEN one should weigh the risk/benefit of use
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