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Can Aspirin And Plavix Be Taken Prescribed For Heart Issue After Being Diagnosed With Bleeding In Brain?
My father was on aspirin and plavix - he fell and hit his head, he was diagnosed with a bleed on the brain. We asked his primary to consult his cardiologist who put him on the aspirin and plavix. We understand that he can NOT be on any blood thinning medications, we just wanted the cardiologist who was treating his heart issues aware and give his input. However the primary refused to consult him and then told my father that plavix is not an antiplatelet. A neurosurgeon was consulted in and he recommended no blood thinners, repeat CT in one month ( after the 2nd one showed an increase in the bleed and another small area of bleed). We asked for a neurologist to see my dad and again we were refused. What resources do we the family have when the doctor will not work with you?
Mon, 13 Jan 2014
Hi,
Thank you for posting your query.
Aspirin and plavix (clopidogrel) are both anti-platelet agents and would increase the chances of bleeding. They are both contraindicated in patients with recent bleeding in the brain.
On the other hand, if we do not start the anti-platelets, then, there is a risk of getting heart attack.
So, the benefit of using plavix should be weighed against the risk of bleeding.
In patients with recent bleeding in the brain, it is generally safe to start plavix or any other anti platelet agent after two weeks. However, I would advise to use only a single one, and not a combination of plavix and aspirin.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Thank you for posting your query.
Aspirin and plavix (clopidogrel) are both anti-platelet agents and would increase the chances of bleeding. They are both contraindicated in patients with recent bleeding in the brain.
On the other hand, if we do not start the anti-platelets, then, there is a risk of getting heart attack.
So, the benefit of using plavix should be weighed against the risk of bleeding.
In patients with recent bleeding in the brain, it is generally safe to start plavix or any other anti platelet agent after two weeks. However, I would advise to use only a single one, and not a combination of plavix and aspirin.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
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