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.

Is clopidogrel safe for kidneys?

Conclusions: Clopidogrel 75mg once daily was well tolerated in patients with either moderate or severe renal failure, and provided good inhibition of ADP-induced platelet aggregation without excessive extension of bleeding time. Dose adjustment in such patients does not appear to be required.

Do blood thinners decrease kidney function?

Study findings

“Our study demonstrated that renal function decline is very common among atrial fibrillation patients on blood thinners,” says Dr. Yao. “About 1 in 4 patients had significantly reduced kidney function within two years of being on any of these medications, and 1 in 7 patients had acute kidney injury.”

Does clopidogrel increase creatinine?

In clopidogrel group there was an increase in creatinine clearance by 8.2% (P = 0.0009) but in aspirin group it was decreased by 2.5%. The change in clopidogrel group was found to be highly significant (P = 0.0008) over aspirin group.

What effect does Plavix have on kidneys?

Clopidogrel treatment significantly increased the risk of minor bleeding in all tertiles of renal function.

Keeping Kidneys Safe - Know How Medicines Affect the Kidneys

What medications are hard on the kidneys?

What are the most common side effects of clopidogrel?

Common side effects

bleeding more easily than normal – nosebleeds, bruising more easily or bleeding that takes longer to stop. diarrhoea. stomach pain. indigestion or heartburn.

Is there an alternative medication to clopidogrel?

Besides oral anticoagulants, such as warfarin and the more recent dabigatran[9], and niche agents, such as cilostazol and ticlopidine[10,11], the most promising alternatives to clopidogrel in those with background aspirin therapy are prasugrel and ticagrelor.

How long should clopidogrel be taken?

The optimal duration of dual antiplatelet therapy is not known; 12 months has been the commonly recommended duration. A recent large trial changed recommendations. Rates of stent thrombosis and death from stroke or heart attack were lower when the two meds were continued for 18 more months.

What medications can cause creatinine levels to rise?

Several drugs, such as cimetidine, trimethoprim, corticosteroids, pyrimethamine, phenacemide, salicylates and active vitamin D metabolites, have been reported to increase plasma creatinine without influencing its glomerular filtration.

Which blood thinner is easiest on your kidneys?

DOACs are a novel type of blood thinner that require less monitoring and are easier to take than VKAs like warfarin. They've been shown to work as well – if not better – at preventing strokes with fewer side effects. DOACs also appear safer than VKAs in patients with early stage kidney disease.

What are the long term effects of blood thinners?

What are the negative side effects of blood thinners?

Can you take clopidogrel long term?

Clopidogrel oral tablet is used for long-term treatment. It comes with serious risks if you don't take it as prescribed. If you stop taking the drug or don't take it at all: You increase your risk of heart attack or stroke. These conditions can be fatal.

Is aspirin safer than 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.

When is the best time 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.

What foods should I avoid when taking clopidogrel?

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.

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.

Does clopidogrel cause joint pain?

Arthralgia and backache are also known to occur with its use. There have been case reports linking arthritis with the use of clopidogrel. We describe the case of a 64-year-old man who reported symptoms of fever and joint pains following initiation of therapy with clopidogrel.

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.

Does clopidogrel make you tired?

Clopidogrel may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: excessive tiredness. headache.

What is the most serious adverse effect of clopidogrel?

Serious side effects

severe stomach ache or abdominal pain. uncontrolled bleeding or unusual bruising. vomiting with blood. weakness or numbness in an arm or leg.

Can you suddenly stop taking clopidogrel?

Do not stop taking clopidogrel without first talking to your health care professional. Suddenly stopping the use of antiplatelet medicines can put you at risk for heart attacks, strokes, and blood clots. Be aware that while taking clopidogrel you may bruise more easily, and it may take longer for any bleeding to stop.

Can clopidogrel cause blood in urine?

Clopidogrel increases your risk of bleeding, which can be severe or life-threatening. Call your doctor or seek emergency medical attention if you have bleeding that will not stop, if you have blood in your urine, black or bloody stools, or if you cough up blood or vomit that looks like coffee grounds.