Can you have a stroke while on clopidogrel?

Intracranial hemorrhages occurred in 5 patients (0.2%) receiving clopidogrel plus aspirin and in 2 patients (0.1%) receiving aspirin. All of these were hemorrhagic strokes.
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Can clopidogrel prevent stroke?

taking clopidogrel, is more effective at preventing strokes, and has fewer side effects compared to other antiplatelet medicines such as aspirin and/or dipyridamole. Clopidogrel is considered to be one of the most effective treatments to reduce your chances of having another stroke or TIA.
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Does Plavix increase risk of stroke?

Combination therapy with clopidogrel (Plavix) and aspirin did not reduce risk of recurrent stroke, but did significantly increase risk of bleeding and death, researchers found.
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Can clopidogrel cause a hemorrhagic stroke?

Intracranial hemorrhages occurred in 5 patients (0.2%) receiving clopidogrel plus aspirin and in 2 patients (0.1%) receiving aspirin. All of these were hemorrhagic strokes.
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What should you not take with clopidogrel?

Clopidogrel may interact with other medications
  • Diabetes drug. In most cases, repaglinide should not be taken with clopidogrel. ...
  • Stomach acid drugs (proton pump inhibitors) ...
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) ...
  • Blood thinners.
  • Drugs used to treat depression. ...
  • Salicylates (aspirin) ...
  • Opioids.
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Chance--Clopidogrel with Aspirin in Acute Minor STroke or TIA and IAS



How long can you stay on clopidogrel?

Clopidogrel and low-dose aspirin

The key question for your doctor is whether the benefits outweigh the extra risk. This combination treatment is prescribed for a limited period of time, usually up to a maximum of 12 months.
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What are the most common side effects of clopidogrel?

Clopidogrel may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
  • excessive tiredness.
  • headache.
  • dizziness.
  • nausea.
  • vomiting.
  • stomach pain.
  • diarrhea.
  • nosebleed.
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Does clopidogrel affect blood pressure?

You likely won't have blood pressure changes while you're taking Plavix. However, sudden drops in blood pressure may be a symptom of serious internal bleeding, which is a possible side effect of Plavix.
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How do you know if clopidogrel is working?

Talk to a pharmacist or your doctor before buying any over-the-counter medicine to check if it is compatible with clopidogrel. You may notice that you bruise or bleed more easily and it will take longer to stop bleeding while you are taking clopidogrel. This shows that clopidogrel is working.
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Can you drink alcohol with clopidogrel?

Can I drink alcohol while taking clopidogrel? ️ Yes (within the recommended limits). Alcohol doesn't affect clopidogrel itself, but just be aware that drinking alcohol can irritate your stomach lining. This could increase the risk of getting a bleeding in the stomach.
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What is the best time of day to take clopidogrel?

You can take clopidogrel at whatever time of day you find easiest to remember, but take your doses at the same time of day each day. Most people prefer to take it in the morning, as they find this helps them to remember to take it regularly. You can take the tablet either before or after a meal.
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What should I monitor with clopidogrel?

HPR while on this drug is associated with major adverse cardiovascular events. The best assays to monitor clopidogrel therapy include VerifyNow and Multiplate ADP test.
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Which is safer aspirin or clopidogrel?

Aspirin combined with the antiplatelet drug clopidogrel is no better than aspirin alone for stroke prevention in people with a history of lacunar strokes, and the combination carries a greater risk of gastrointestinal bleeding, according to results of a trial funded by the National Institutes of Health.
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Does clopidogrel affect sleep?

The organic nitrates (isosorbide) and the antiplatelet agents (acetylsalicylic acid, clopidogrel) are among the most prescribed drugs in cardiology and are not cited as causing insomnia or sleepiness.
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When Should clopidogrel be stopped?

While current guidelines recommend cessation of clopidogrel 5 to 7 days before an operative procedure, our data demonstrate that timing of clopidogrel cessation within 7 days of an operative procedure does not affect the prevalence of postoperative bleeding requiring transfusion or mortality.
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Does clopidogrel affect the kidneys?

Conclusions. In summary, among patients hospitalized with ACS and treated with clopidogrel, lower levels of kidney function were associated with a greater risk of death, hospitalization for AMI, and major bleeding.
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Is it OK to take clopidogrel every other day?

Conclusions: Long term dual anti-platelet therapy with aspirin 81 mg daily and clopidogrel 75 mg every other day beyond 12 months after PCI with DES may be a safe and efficacious cost-saving strategy to prevent VLST.
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Can clopidogrel cause anxiety?

headache, fever, weakness, feeling tired; little or no urination; a seizure; low blood sugar--headache, hunger, sweating, irritability, dizziness, fast heart rate, and feeling anxious or shaky; or.
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What is secondary prevention of stroke?

Secondary prevention refers to the treatment of individuals who have already had a stroke or transient ischemic attack (TIA). Measures may include the use of platelet antiaggregants, antihypertensives, statins, and lifestyle interventions.
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How long should I take clopidogrel after a stent?

Background: American and European cardiology societies recommend six to 12 months of dual-antiplatelet therapy with aspirin and clopidogrel (Plavix) after drug-eluting stent placement to prevent late stent thrombosis.
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Is clopidogrel a blood thinner?

Clopidogrel is an antiplatelet blood-thinning medicine that may help prevent future heart attacks, strokes, and other clot-related diseases in patients who have already had a heart attack, stroke, or have certain cardiovascular conditions.
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Does clopidogrel affect platelet function?

Clopidogrel efficiently reduces ADP-induced platelet aggregation and prolongs bleeding time and is a safe and efficacious antiplatelet drug.
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What is the black box warning for Plavix?

[03-12-2010] The U.S. Food and Drug Administration (FDA) has added a Boxed Warning to the label for Plavix, the anti-blood clotting medication. The Boxed Warning is about patients who do not effectively metabolize the drug (i.e. "poor metabolizers") and therefore may not receive the full benefits of the drug.
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Should aspirin and clopidogrel be taken together?

Aspirin combined with clopidogrel has been shown to decrease the risk of cardiovascular events in patients at higher risk of cardiovascular disease, as well as in those with acute coronary syndrome.
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What painkillers can I take with clopidogrel?

Painkillers. It's fine to take paracetamol with clopidogrel. You can also take opioid-type painkillers such as codeine, co-codamol, tramadol or morphine alongside clopidogrel.
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