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Q: Plavix Rebound?
asked by: Norwester on July 10th, 2008
New User, Becoming EHEALTHy
Hi,first post here,I'll try to keep it fairly short and concise.
I'm almost 53 yrs old and had a heart attack in Nov of 2006. I had two Cypher drug eluting stents implanted. I've been taking daily since then 1 Plavix and an aspirin. My cardiologist told me at last visit in January that I could quit taking the Plavix as he actually recommends it for only one year after surgery. At the time I told him that the cost was no problem and I really feared having a clot induced stroke more than anything. He told me that he would leave it up to me. Since then my finances have taken a downturn besides the fact that I'm getting tired of excessive bleeding and bruising. I've been considering getting off it,but I've just become aware of the study regarding "Plavix Rebound" that suggests that incidence of heart attacks/clots strokes etc are doubled within the 1st 90 days after stopping taking it. I guess what I'd like to know if anybody has any experiences positive or negative to relate or if theres been any further studies to prove that tapering off may reduce the risks?
Thanks for any replies
Jeff
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Dr. Nikola replied on July 11th, 2008
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Why are bleeding and bruising so much?
Have you ever reported these bleeding and bruising to your doctor?
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Norwester replied on July 11th, 2008
New User, Becoming EHEALTHy
Yes,while it seems excessive to me he thought it was normal and told me to expect it. I have to say that I've never bruised easily if at all but I now often have bruises and can't remember any reason for them. Just a small cut such as from shaving is hard to stop bleeding. At this time I'm also undergoing some severe anxiety problems and am hesitant about using anything such as Lexapro due to elevated risk of upper GI bleeding while on the Plavix. I will be taking the aspirin for life but if I could at least get off the Plavix it seems like it would help to reduce that risk somewhat. I'll ask that question on the Stress & Anxiety forum also but any feedback here would also be appreciated.
Thanks
Jeff
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Dr. Nikola replied on July 11th, 2008
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Guidelines say that Plavix is recommended to be used up to one year after inserting the stent. Aspirin should be used for life according to guidelines. Guidelines also says that if the patient has stomach disorders (reflux, gastritis, stomach ulcer...) then Plavix can be used for life instead of Aspirin.
You can make several blood coagulation tests to check if there is some coagulation disorder that causes excessive bleeding.
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