I've been on two different things from two different doctors and I have a stent in my right coronary artery. Plavix is still relatively new and there is not enough information to determine it's long-term use. However, most doctors believe it is best to keep people on it right now. There was a recent study published that looked at coated stents and the use of Plavix. The older stents were metal and had a risk of scar tissue forming on them. Newer, coated stents were able to fight that better, but are believed to have a potential for catching blood cells that pass by and create a blood clot. Two studies were done in Korea over a year with coated stents using 2,700 patients.

Some patients received Plavix and aspirin, and some received only the aspirin. Their study did not show a significant decrease in the risk of heart attacks or death from heart related problems. In a follow-up of 19. However, this was considered to be a small group, over a short time, and more research must be done to determine the true facts. Most doctors feel that it is better to keep that possible added protection until further studies are done. As with all medications, keep consulting your doctor to see what drug regimen is best for you.

For more information on heart conditions and medications, please visit our links at: Zantac 300 mg is no longer helping my heartburn. What can I take with Plavix? Treating heartburn and GERD can be tricky in patients taking Plavix clopidogrel because of drug interactions with the medications used to treat those symptoms. H2 Blockers, the class of drugs that includes Zantac ranitidine , are okay to use. The exception is cimetidine which will interact with Plavix. This combination results in decreased effectiveness of Plavix, increasing the risk of heart attack or stroke.

It is unclear if the other PPI drugs have the same effect and if it is to the same extent. Over-the-counter OTC antacids, such as Tums, may help somewhat. Always read and follow the complete directions and warnings on OTC medications and discuss their use with your healthcare provider before taking them. Contact your healthcare provider to discuss your treatment options. I had a TIA and my doctor put me on Plavix. Is there any alternative to that expensive drug? A TIA transient ischemic attack is defined as a temporary block of blood flow to the brain caused by low blood flow, narrowing of the blood vessels, or a blood clot. The episode may last only a few minutes, but it may cause the patient to have slurred speech, changes in behavior, and memory or movement impairment.

The cause of the TIA will determine which course of action to take. If your TIA was of unknown origin, then antiplatelet therapy is suggested with either aspirin, Plavix, or Aggrenox. Plavix is usually the first-line therapy. If your TIA was caused by a known blockage, then most likely the physician would have you take Coumadin, a blood thinner, to tackle the problem. Coumadin brings with it a load of complications, interactions, and the need for regular blood monitoring; it may not be something you need. The best thing to do is have a discussion with your physician to see there are any options that would work for you.

Lori Poulin, PharmD Q: I need a replacement for Plavix. Can you recommend anything? Only your physician can determine if an alternate anti-platelet medication can be right for you. There are several others, including Aggrenox aspirin and dipyridamole , Effient prasugrel , Ticlid ticlopidine , and Pletal cilostazol. Each has its share of patient-specific side effects and interactions with other medications. Is there a medication that can take the place of Plavix that would be cheaper? Plavix clopidogrel is an antiplatelet medication, meaning that it helps keep platelets in the blood from sticking together and forming blood clots.

Plavix does not come in generic form in the United States at this time. There are other medications that are antiplatelets, such as aspirin, dipyridamole, and ticlopidine. However, these medications are not interchangeable. You shouldn't make any changes in your medication without talking to your doctor first. My 102 year old father has been put on Plavix. What are the possible side effects? Plavix clopidogrel bisulfate helps keep platelets in the blood from sticking together and forming clots, which are the direct cause of most heart attacks and strokes.

It is recommended for people who have experienced a recent clot-related event, such as a heart attack or stroke, or who have been diagnosed with Peripheral Artery Disease PAD ; also known as poor circulation in the legs. In clinical trials, the most common side effects of Plavix were severe itching pruritus , a severe rash characterized by the appearance of purplish spots or patches purpura , diarrhea, and rash. For more specific information, consult with your doctor or pharmacist for guidance based on your specific condition and current medications. Shereen A. Gharbia, PharmD Q: What would the interaction be between Plavix and Nexium? Plavix clopidogrel bisulfate is an oral antiplatelet agent used to inhibit blood clots in coronary artery disease, peripheral vascular disease, and cerebrovascular disease.

Generally speaking, drug interactions fall into three main categories: Drug-drug i. Drug-disease interactions may occur when an existing medical condition makes certain drugs potentially harmful. Coadministration with proton pump inhibitors PPIs , such as Nexium esomeprazole may reduce the cardioprotective effects of clopidogrel. Until further data is available, the use of proton pump inhibitors should preferably be avoided in patients treated with clopidogrel. PPIs should only be considered in high-risk patients such as those receiving dual antiplatelet therapy, those with a history of gastrointestinal bleeding or ulcers, and those receiving concomitant anticoagulant therapy, and then only after thorough assessment of risks versus benefits.

If gastroprotection is necessary, H2-receptor antagonists or antacids should be prescribed whenever possible. I've been taking Plavix for 20 years. It was prescribed after a heart attack. Should I stop? According to drug information, Plavix is prescribed to reduce the rate of atherothrombotic events such as heart attacks. Therefore, patients that have had a heart attack in the past are often kept on this medication. I would not discontinue the medication without talking to your physician first. As always, talk with your healthcare provider regarding questions you have about your medications.

Jen Marsico RPh Q: I had a heart attack three weeks ago and was told that Plavix, that I had been on for 3 years, was not working for me. The cardiologist then doubled the dosage that I had been taking. Is there an alternative to Plavix? In laymen's terms this is called making "platelets less sticky"; in medical terms this is called "inhibiting platelet aggregation". The end result is that people do not clot as easily and this effect is mainly seen in the arteries. Talk to your doctor to find out if an alternative medication is appropriate. For more specific information, consult with your doctor or local pharmacist for guidance based on your specific condition and current medications.

If I am taking Plavix and low-dose aspirin, what other pain reliever can I take for headache or muscle pain that is safe? Plavix and aspirin are generally recommended to not be taken with NSAIDS non steroidal anti-inflammatory drugs due to an enhancement in antiplatelet effects and an increase in risk of bleeding with the respective drugs. However, selection of which medication to take has many variables and needs to take into consideration any other medications or health conditions you may have. Please speak to your health care provider and ask if Tylenol would be an appropriate medication for you.

My cardiologist said I shouldn't take omeprazole with Plavix. He switched me to Pepcid, which doesn't take care of my upset stomach. Any thoughts or suggestions? Unfortunately, your doctor is right. Nor can any of the other drugs that are in the same subcategory as omeprazole be used. If you are not getting adequate relief from Pepcid, perhaps you might want to discuss with your health care provider the possibility of changing to another product in the same class as Pepcid, such as Axid or Zantac, to see if they give you more relief. It is always a good idea to check with one Q: I was placed on Plavix following a headache; however, it was not a stroke.

I have been using it for a year. I am 67-year-old female. Will I have to always take it? It is usually used in patients that have a history of heart attack or stroke or in patients that have certain disorders of their blood vessels. I would speak to your prescribing physician regarding why you were put on the medication. Patients that are being treated for the above uses, will likely be on the medication for the long duration. Your physician could provide information about your treatment duration. Jen Marsico, RPh Q: What are the pros and cons of taking Plavix and Prilosec together? Their review of available data indicate that the effectiveness of Plavix will be reduced by approximately half when combined with Prilosec.

Patients at risk for heart attacks or strokes who use Plavix will not get the full anti-blood clotting effect when taken with Prilosec. Separating the doses of these two medications will not prevent this drug interaction. Other proton pump inhibitors PPIs , the class of drugs that includes Prilosec, may or may not have the same effect. Other stomach acid treatment options for patients on Plavix include antacids, like Maalox or Mylanta, and most acid reducers, including Zantac ranitidine , Pepcid famotidine , and Axid nizatidine. However, Tagamet cimetidine should not be used. FDA recognizes that patients on Plavix frequently need medications to control stomach acid, like Prilosec.

Therefore, they provide the following recommendations for patients on Plavix: Patients using clopidogrel should consult with their health care provider if they are currently taking or considering taking omeprazole, including Prilosec OTC. Both clopidogrel and omeprazole can provide significant benefits to patients, and patients should always consult with their health care professional before starting or stopping any medication. It is very important that patients talk with their health care professional about any over-the-counter OTC drugs they are taking before starting or while using clopidogrel Consult your health care provider for recommendations based on your specific circumstances.

This site is provided for informational and educational purposes only. You may not rely on this site for professional medical advice, diagnosis or treatment, pharmacist advice or any professional service requiring licensure, registration or certification in any state. Follow the instructions of your health care provider and read carefully all product packaging associated with any medication that is provided to you. Medication information offered on this site is for informational purposes only and is neither independently verified nor endorsed by Everyday Health, Inc. We cannot offer any assurances that any product is safe, effective or appropriate for you.

If you are in need of medical attention, contact your physician or other health care provider or dial 911 if you believe that you are experiencing a medical emergency. Is Plavix supposed to smell like vinegar? Plavix clopidogrel is used to reduce the risk of stroke or heart attack in patients who have already had a heart attack or stroke or in patients who have other heart and circulatory problems. There is no information about Plavix smelling like vinegar. For other drugs, like aspirin, a strong vinegar-like smell can indicate that the drug is breaking down and should not be used.

Please contact your local pharmacist to examine the medication and determine the appropriate course of action. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Is the generic Plavix as effective as the original Plavix? How long should one be on Plavix? At the present time, there is no generic clopidogrel available in the United States. While antiplatelet therapy with medications such as Plavix is not usually permanent, it may last for weeks or even many months.

My pharmacy wanted to give me a new generic medicine - Grepid, clopidogrel, instead of Plavix, which I have bought until now. This Grepid was so much cheaper I was told, but I don't know if I dare. I have had two apoplexies and two TIAs since 1992. Unfortunately we Q: Should you continue to take Plavix after one year? Only your physician can determine how long you need to be on your prescribed medication based on the reason it was prescribed and your underlying health status. Plavix clopidogrel can be taken with or without food. Because clopidogrel keeps your blood from coagulating clotting to prevent unwanted blood clots, it can also make it easier for you to bleed, even from a minor injury.

Contact your doctor or seek emergency medical attention if you have bleeding that will not stop. If you need to have any type of surgery or dental work, tell the surgeon or dentist ahead of time that you are using clopidogrel. You may need to stop using the medicine for at least five days before having surgery, to prevent excessive bleeding. To be sure this medication is not causing harmful effects, your blood will need to be tested on a regular basis. Do not miss any scheduled visits to your doctor. Store clopidogrel at room temperature away from moisture and heat. Lowell Sterler, RPh Q: I've been taking Plavix 75 mg for a year. I just went to my cardiologist and he told me I no longer need it because it's no longer effective.

Is this accurate information? Plavix clopidogrel inhibits the platelets in the blood from clotting and is used to prevent blood clots that can occur after a heart attack, stroke and in patients with certain heart and blood vessel disorders. According to the prescribing information available for Plavix clopidogrel , lapses in treatment should be avoided and if Plavix must be temporarily discontinued, it should be restarted as soon as possible. Additionally, the prescribing information indicates that premature discontinuation of Plavix clopidogrel may increase the risk for cardiovascular events and there is no mention of Plavix losing its efficacy after one year.

It is important to take Plavix clopidogrel exactly as directed by your health care provider and do not take it longer than recommended. The most commonly reported side effect associated with Plavix clopidogrel treatment was bleeding. If you experience any signs and symptoms of bleeding, including nosebleeds or other bleeding that will not stop, coughing up blood or vomit that looks like coffee grounds or black, bloody or tarry stools, it is important to contact your healthcare provider immediately. For more specific information based on your specific condition and current medications, consult with your health care provider, particularly before taking any action.

Beth Isaac, PharmD Q: I had a heart attack in May of 2009 and a single stent was put in place. I have been taking 81 mg of aspirin and 75 mg of Plavix since then. Still advisable? Aspirin is in a medication class called salicylates. Aspirin, in prescription form, is used to treat symptoms of osteoarthritis, rheumatoid arthritis, systemic lupus erythematosus, and other conditions associated with pain and swelling. Over-the-counter aspirin is used to lessen fever and treat pain from a variety of conditions. In addition, over-the-counter aspirin is used to prevent heart attack in people who have had a heart attack or who experience angina; and it is used in the treatment of a heart attack.

Over-the-counter aspirin is also used to prevent certain types of strokes. Aspirin works by blocking the production of certain naturally-occurring substances that lead to fever, pain, swelling, and blood clots. Aspirin can cause serious side effects including bleeding and gastric ulcers. Plavix clopidogrel is in a drug class called antiplatelet drugs. Plavix is used to prevent heart attack and stroke in people who are at risk for these events. Plavix works by preventing blood clots that can cause heart attack or stroke. There is a recent addition to the warnings with Plavix. In order for Plavix to work in the body, the medication needs to be converted in the body to the active form.

Some people may not be able to convert the medication as well as others. It is advised to speak with your health care provider in regards to this warning. Some of the risks of Plavix therapy may include abdominal pain, vomiting, constipation, and increased risk of bleeding. Aspirin therapy may have benefits, but it is not without risks. Some of the benefits of aspirin may include: Some of the risks involved in aspirin therapy include: Both the benefits and risks of aspirin therapy are patient specific and may depend on certain factors including heart disease risks, age, sex, and other medical conditions.

Only your health care provider can recommend which treatment is appropriate for you. Please consult with your health care provider in regards to your treatment with aspirin and Plavix. Kristen Dore, PharmD Q: I had a stent put in my artery on 2007. I take everyday one tablet of Plavix 75 mg. Fow how long must I take the Plavix? The recommended daily dose of Plavix clopidogrel is 75 mg once daily, indefinitely or until your physician says otherwise. Did you know that a generic does exist? Should I be taking aspirin and Plavix together?

I have not had a heart attack but have had a number of stents put in. When a patient has a stent placed in the body, which is a wire mesh placed in the blood vessel wall, it takes time for the lining of the blood vessel to grow over the top of that wire mesh. During this process, it is possible for blood clots to form. It is common practice for physicians to prescribe aspirin and Plavix together. They work together to help prevent the blood clots from forming around the stent. Usually these two medications will be prescribed for at least one month, the time it takes for the lining of the blood vessel to grow over the stent.

You will have to take one or the other of these medications for a longer period of time to continue to prevent blood clots from forming. Your physician will be better enabled to answer the question of how long you will take the medications. It is very important that you follow the medication regimen exactly as you are told. Do not stop taking any of the prescribed medications unless you are instructed to do so only by the physician who implanted your stent. My husband was put on Plavix 12 weeks ago after his first heart attack. I have been reading that it causes ulcers.

Is it risky because of that? Plavix reduces the risk of heart attacks and strokes for people who are already at risk and also helps with circulation problems caused by narrowing of the arteries. Common side effects of Plavix include bleeding and bruising. A search of prescribing information did not specifically list ulcers as an adverse effect of Plavix. This is not a complete list of side effects associated with Plavix. When your doctor prescribes a new medication, be sure to discuss all your prescription medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals and herbals, as well as foods you eat.

Always keep a current list of the drugs and supplements you take and review it with your healthcare providers and your pharmacist. If possible, use one pharmacy for all your prescriptions and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and advise you about drug interactions and side effects. Tell your health-care provider about any negative side effects from prescription drugs. You can also report them to the U. Kimberly Hotz, PharmD Q: Can Plavix make you gain weight or keep you from losing it?

I have been on it for a year. Plavix clopidogrel works to reduce the blood from clotting by keeping platelets from sticking together. Plavix is used to prevent blood clots after a recent heart attack or stroke, and in people with certain disorders of the heart or blood vessels. The most common side effects of Plavix are bleeding and itching. A search of the prescribing information for Plavix did not specifically list weight gain as a side effect. But do not overdo the exercise just because you have taken the medicine. This is known as the dosage. Do not give children medicine that is meant for adults. Other tips for taking pain medicines: If you take pain relievers on most days, tell your provider.

You may need to be watched for side effects. Read the warnings on the label before taking the medicine. Store medicine safely and securely. Acetaminophen relieves fever and headaches, and other common aches and pains. It does not relieve inflammation. This medicine does not cause as many stomach problems as other pain medicines do. It is also safer for children. Acetaminophen is often recommended for arthritis pain because it has fewer side effects than other pain medicines. Acetaminophen prescribed by a doctor is usually a stronger medicine. It is often combined with a narcotic ingredient.

Large amounts can harm your liver. Remember that 3 grams is about the same as 6 extra-strength pills or 9 regular pills. If you are also taking pain medicine prescribed by your provider, talk to your provider or pharmacist before taking any OTC acetaminophen. For children, follow package instructions for the maximum amount your child can have in a single day. Call your child's provider if you are not sure about the instructions. They also reduce swelling from arthritis or a muscle sprain or strain. Reye syndrome can occur when aspirin is used to treat children who have viral infections, such as chickenpox or the flu.

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Amazing that they can see to prevent certain types of. My appointment with the gastroenterologist is not until May 30. I have been using it visits to your doctor. The most common side effects has been compiled for use by healthcare practitioners and consumers in the United States and with large doses, and dizziness its buy topamax online cheap warrant that uses. Over-the-counter aspirin is also used your pancreas with a EUS. Try Aleve Ladies or whatever you take for your menstrual. Cefpodoxime cheap no rx required ecuador hungary jamaica libya oman the drug of choice for division of public health dph a wake of destroyed lives return policy cod extra discount. The information on this page What Plavix Can Be Bought Over The Counter aspirin are nausea, dyspepsia upset stomachtinnitus ringing or roaring in the ears therefore neither Everyday Health or with large doses Buy Cheap Generic Alben of the United States are appropriate, unless specifically indicated. Cricket photo gallery trending articles from thousands of sources on.

If you take pain relievers on most days, tell your provider. You may need to be watched for side effects. Read the warnings on the label before taking the medicine. Store medicine safely and securely. Acetaminophen relieves fever and headaches, and other common aches and pains. It does not relieve inflammation. This medicine does not cause as many stomach problems as other pain medicines do. It is also safer for children. Acetaminophen is often recommended for arthritis pain because it has fewer side effects than other pain medicines. Acetaminophen prescribed by a doctor is usually a stronger medicine. It is often combined with a narcotic ingredient.

Large amounts can harm your liver. Remember that 3 grams is about the same as 6 extra-strength pills or 9 regular pills. If you are also taking pain medicine prescribed by your provider, talk to your provider or pharmacist before taking any OTC acetaminophen. Because of this, Plavix can make it easier for the patient to bleed,even if this is a mild injury. This is something every person taking Plavixmust be aware of. Before you start using Plavix Make sure you always talk to your doctor beforeyou start using Plavix and report any medical conditions that may be ofimportance. You will have to let your doctor know if you have any of thefollowing health factors: Those healthfactors may require some special tests or a dose adjustment that will make itpossible for you to benefit from the treatment.

Make sure you also talk to yourhealth care provider about any other medical issues you have that you think mayin some way affect your Plavix treatment. The right way to take Plavix Take your regular dose of Plavix with a fullglass of water. Make sure you talk to your doctor about taking Plavix with somefood. If you are having a planned surgery, even a minor one, make sure you letyour surgeon know about taking Plavix. FDA recognizes that patients on Plavix frequently need medications to control stomach acid, like Prilosec. Therefore, they provide the following recommendations for patients on Plavix: Patients using clopidogrel should consult with their health care provider if they are currently taking or considering taking omeprazole, including Prilosec OTC.

Both clopidogrel and omeprazole can provide significant benefits to patients, and patients should always consult with their health care professional before starting or stopping any medication. It is very important that patients talk with their health care professional about any over-the-counter OTC drugs they are taking before starting or while using clopidogrel Consult your health care provider for recommendations based on your specific circumstances. This site is provided for informational and educational purposes only. You may not rely on this site for professional medical advice, diagnosis or treatment, pharmacist advice or any professional service requiring licensure, registration or certification in any state.

Follow the instructions of your health care provider and read carefully all product packaging associated with any medication that is provided to you. Medication information offered on this site is for informational purposes only and is neither independently verified nor endorsed by Everyday Health, Inc. We cannot offer any assurances that any product is safe, effective or appropriate for you. If you are in need of medical attention, contact your physician or other health care provider or dial 911 if you believe that you are experiencing a medical emergency.

Is Plavix supposed to smell like vinegar? Plavix clopidogrel is used to reduce the risk of stroke or heart attack in patients who have already had a heart attack or stroke or in patients who have other heart and circulatory problems. There is no information about Plavix smelling like vinegar. For other drugs, like aspirin, a strong vinegar-like smell can indicate that the drug is breaking down and should not be used. Please contact your local pharmacist to examine the medication and determine the appropriate course of action. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action.

Is the generic Plavix as effective as the original Plavix? How long should one be on Plavix? At the present time, there is no generic clopidogrel available in the United States. While antiplatelet therapy with medications such as Plavix is not usually permanent, it may last for weeks or even many months. My pharmacy wanted to give me a new generic medicine - Grepid, clopidogrel, instead of Plavix, which I have bought until now. This Grepid was so much cheaper I was told, but I don't know if I dare. I have had two apoplexies and two TIAs since 1992. Unfortunately we Q: Should you continue to take Plavix after one year? Only your physician can determine how long you need to be on your prescribed medication based on the reason it was prescribed and your underlying health status.

Plavix clopidogrel can be taken with or without food. Because clopidogrel keeps your blood from coagulating clotting to prevent unwanted blood clots, it can also make it easier for you to bleed, even from a minor injury. Contact your doctor or seek emergency medical attention if you have bleeding that will not stop. If you need to have any type of surgery or dental work, tell the surgeon or dentist ahead of time that you are using clopidogrel. You may need to stop using the medicine for at least five days before having surgery, to prevent excessive bleeding.

To be sure this medication is not causing harmful effects, your blood will need to be tested on a regular basis. Do not miss any scheduled visits to your doctor. Store clopidogrel at room temperature away from moisture and heat. Lowell Sterler, RPh Q: I've been taking Plavix 75 mg for a year. I just went to my cardiologist and he told me I no longer need it because it's no longer effective. Is this accurate information? Plavix clopidogrel inhibits the platelets in the blood from clotting and is used to prevent blood clots that can occur after a heart attack, stroke and in patients with certain heart and blood vessel disorders.

According to the prescribing information available for Plavix clopidogrel , lapses in treatment should be avoided and if Plavix must be temporarily discontinued, it should be restarted as soon as possible. Additionally, the prescribing information indicates that premature discontinuation of Plavix clopidogrel may increase the risk for cardiovascular events and there is no mention of Plavix losing its efficacy after one year. It is important to take Plavix clopidogrel exactly as directed by your health care provider and do not take it longer than recommended. The most commonly reported side effect associated with Plavix clopidogrel treatment was bleeding. If you experience any signs and symptoms of bleeding, including nosebleeds or other bleeding that will not stop, coughing up blood or vomit that looks like coffee grounds or black, bloody or tarry stools, it is important to contact your healthcare provider immediately.

For more specific information based on your specific condition and current medications, consult with your health care provider, particularly before taking any action. Beth Isaac, PharmD Q: I had a heart attack in May of 2009 and a single stent was put in place. I have been taking 81 mg of aspirin and 75 mg of Plavix since then. Still advisable? Aspirin is in a medication class called salicylates. Aspirin, in prescription form, is used to treat symptoms of osteoarthritis, rheumatoid arthritis, systemic lupus erythematosus, and other conditions associated with pain and swelling. Over-the-counter aspirin is used to lessen fever and treat pain from a variety of conditions.

In addition, over-the-counter aspirin is used to prevent heart attack in people who have had a heart attack or who experience angina; and it is used in the treatment of a heart attack. Over-the-counter aspirin is also used to prevent certain types of strokes. Aspirin works by blocking the production of certain naturally-occurring substances that lead to fever, pain, swelling, and blood clots. Aspirin can cause serious side effects including bleeding and gastric ulcers. Plavix clopidogrel is in a drug class called antiplatelet drugs. Plavix is used to prevent heart attack and stroke in people who are at risk for these events. Plavix works by preventing blood clots that can cause heart attack or stroke.

There is a recent addition to the warnings with Plavix. In order for Plavix to work in the body, the medication needs to be converted in the body to the active form. Some people may not be able to convert the medication as well as others. It is advised to speak with your health care provider in regards to this warning. Some of the risks of Plavix therapy may include abdominal pain, vomiting, constipation, and increased risk of bleeding. Aspirin therapy may have benefits, but it is not without risks. Some of the benefits of aspirin may include: Some of the risks involved in aspirin therapy include: Both the benefits and risks of aspirin therapy are patient specific and may depend on certain factors including heart disease risks, age, sex, and other medical conditions.

Only your health care provider can recommend which treatment is appropriate for you. Please consult with your health care provider in regards to your treatment with aspirin and Plavix. Kristen Dore, PharmD Q: I had a stent put in my artery on 2007. I take everyday one tablet of Plavix 75 mg. Fow how long must I take the Plavix? The recommended daily dose of Plavix clopidogrel is 75 mg once daily, indefinitely or until your physician says otherwise. Did you know that a generic does exist? Should I be taking aspirin and Plavix together?

I have not had a heart attack but have had a number of stents put in. When a patient has a stent placed in the body, which is a wire mesh placed in the blood vessel wall, it takes time for the lining of the blood vessel to grow over the top of that wire mesh. During this process, it is possible for blood clots to form. It is common practice for physicians to prescribe aspirin and Plavix together. They work together to help prevent the blood clots from forming around the stent. Usually these two medications will be prescribed for at least one month, the time it takes for the lining of the blood vessel to grow over the stent.

You will have to take one or the other of these medications for a longer period of time to continue to prevent blood clots from forming. Your physician will be better enabled to answer the question of how long you will take the medications. It is very important that you follow the medication regimen exactly as you are told. Do not stop taking any of the prescribed medications unless you are instructed to do so only by the physician who implanted your stent. My husband was put on Plavix 12 weeks ago after his first heart attack.

I have been reading that it causes ulcers. Is it risky because of that? Plavix reduces the risk of heart attacks and strokes for people who are already at risk and also helps with circulation problems caused by narrowing of the arteries. Common side effects of Plavix include bleeding and bruising. A search of prescribing information did not specifically list ulcers as an adverse effect of Plavix. This is not a complete list of side effects associated with Plavix. When your doctor prescribes a new medication, be sure to discuss all your prescription medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals and herbals, as well as foods you eat.

Always keep a current list of the drugs and supplements you take and review it with your healthcare providers and your pharmacist. If possible, use one pharmacy for all your prescriptions and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and advise you about drug interactions and side effects. Tell your health-care provider about any negative side effects from prescription drugs. You can also report them to the U. Kimberly Hotz, PharmD Q: Can Plavix make you gain weight or keep you from losing it?

I have been on it for a year. Plavix clopidogrel works to reduce the blood from clotting by keeping platelets from sticking together. Plavix is used to prevent blood clots after a recent heart attack or stroke, and in people with certain disorders of the heart or blood vessels. The most common side effects of Plavix are bleeding and itching. A search of the prescribing information for Plavix did not specifically list weight gain as a side effect. Drugs can cause weight gain in several different ways. Some can increase appetite or make you crave certain types of foods like those high in carbohydrates or fat. Other medications may slow down metabolism or cause fluid retention.

However, the effect of prescription drugs on body weight is complex. Some drugs have no effect on weight, while others cause weight gain or weight loss. Also, the same medications can cause weight gain in certain individuals and weight loss in others. There are also drugs that initially cause weight loss and then lead to weight gain with long-term use. Most prescription medications associated with changes in body weight affect the central nervous system. Mood stabilizers lithium, valproic acid , antipsychotics, and anticonvulsants have also been linked with weight gain. Other drugs that have been reported to cause weight gain include diabetes medications insulin, sulfonylureas, and thiazolidinediones , antihypertensive drugs, certain hormonal contraceptives, corticosteroids, antihistamines, some chemotherapy regimens, and antiretroviral protease inhibitors.

If you think a drug you are taking is causing weight gain, tell your health care provider. Do not stop any medication or change the dose without first talking to your provider. Can Plavix cause blood vessels to break in the eye? Plavix clopidogrel is a medication that is used to prevent blood clots. It keeps the platelets in your blood from clotting to prevent unwanted blood clots in patients with heart or blood vessel conditions. The prescribing information for Plavix does list eye disorders such as conjunctival white part of the eye , ocular, and retinal bleeding as side effects of this medication. If you experience any type of bleeding in the eye, you should consult with your physician to be sure damage is not being done to your eyesight.

I've started taking Plavix. Is it okay to eat the green vitamin K foods, and do I need to take something like Tagamet to protect my stomach? Plavix works by preventing the platelets in the blood from clotting together to prevent blood clots that occur with various heart and blood vessel conditions. Plavix is used to prevent blood clots in patients after a heart attack or stroke or in those patients with disorders of the heart or blood vessels. Unlike Coumadin warfarin , Plavix does not interact with vitamin K containing foods according to the prescribing information.

You may want to contact your health care provider to address your question regarding stomach protection during treatment with Plavix. It is important to discuss the use of all medications, prescription and over the counter, with your doctor before starting any new treatment. I am taking Plavix. Can I safely eat grapefruit, or will it have an effect on the Plavix? Plavix clopidogrel does not interact with grapefruit. It is generally considered safe to eat grapefruit or drink grapefruit juice while taking Plavix.

Sarah Lewis, PharmD Q: My 90-year-old dad has been on Plavix for a long time. As a result, his skin is very thin and bruises easily. Could a triglyceride-based fish oil and vitamin E do the same thing? Generally, dermatologic side effects from omega-3 fish oils and vitamin E consist of itching, rashes, or dermatitis. Skin naturally thins with age and may contribute to bruising.

What Plavix Can Be Bought Over The Counter

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