Is clopidogrel lifelong after stroke?

Currently, the uses of aspirin, clopidogrel, or aspirin plus extended-release dipyridamole are valid alternatives for stroke or transient ischemic attack
transient ischemic attack
Risk factors for TIA include family history of stroke or TIA, age above 55 years or older, higher risk of TIA in males than females, high blood pressure, diabetes mellitus, and tobacco smoking. Genetics, race, and imbalance in lipid profile are other risk factors of TIA.
https://www.ncbi.nlm.nih.gov › pmc › articles › PMC4832890
patients. To maximize the beneficial effects of these agents, the treatment should be initiated as early as possible and continue on a lifelong basis.
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How long should you take clopidogrel after a stroke?

In some cases, aspirin and clopidogrel are used together for the first 21 to 90 days after an ischemic stroke. This strategy is called "dual antiplatelet therapy" or DAPT. After 21 to 90 days, however, the treatment is changed so that only one of these antiplatelet medications is continued.
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How long do you stay on blood thinners after stroke?

If you have a stroke and your brain scan confirms that it has been caused by a blood clot, you will probably be given a daily dose of aspirin, which you will need to take for up to two weeks.
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How long should you be on clopidogrel after a TIA?

Aspirin plus clopidogrel for 21 to 30 days after TIA or minor stroke reduces recurrent stroke. Aspirin plus clopidogrel is more effective than aspirin but less effective than anticoagulation for preventing stroke from atrial fibrillation.
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Will clopidogrel stop me having a stroke?

If you take it every day, clopidogrel stops platelets clumping together to form unwanted blood clots. This helps to prevent heart attacks and strokes.
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Medication after stroke



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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Can clopidogrel be taken long term?

Safety Announcement. [ 11-06-2015 ] A U.S. Food and Drug Administration (FDA) review has determined that long-term use of the blood-thinning drug Plavix (clopidogrel) does not increase or decrease overall risk of death in patients with, or at risk for, heart disease.
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How long should you be on blood thinners after a TIA?

After a TIA or ischaemic stroke, you are likely to be given anti-platelet medication immediately. This could include aspirin, clopidogrel and dipyridamole, or a combination of aspirin and dipyridamole. After two weeks you might stay on the same type of medication, or move to an anticoagulant.
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How do you permanently cure a stroke?

To cure an ischemic stroke, doctors must dissolve the blood clot through either drugs or surgery. Common drugs used to cure ischemic stroke include tPA or aspirin, which help thin the blood and dissolve the clot in the brain. When drugs cannot be used, doctors may need to manually remove the clot through surgery.
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How long should you be on blood thinners?

Blood thinner treatment for PE is usually advised for at least 3-6 months. Your healthcare provider may advise a longer course depending on why you had the blood clot. Some people at high risk of blood clots may stay on blood thinner indefinitely.
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What percentage of stroke patients make a full recovery?

Although just 10% of people fully recover from a stroke, 25% have only minor impairments and 40% have moderate impairments that are manageable with some special care.
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How long is ischemic stroke recovery?

Many seniors who experience ischemic strokes recover in two to four months, but it may take longer. Hemorrhagic strokes can be very serious and debilitating.
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Can ischemic stroke be cured?

Ischemic stroke is a serious condition and requires prompt treatment. However, with the correct treatment, most people with ischemic stroke can recover or maintain enough function to take care of their basic needs.
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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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Can you fully recover from a TIA?

TIA is an early warning for stroke

Without prompt medical treatment, the surrounding brain cells may also die. A TIA has identical symptoms to a stroke, but these last for less than 24 hours and are followed by a full recovery.
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Can you go back to normal after a stroke?

After experiencing a stroke, survivors can begin to recover through rehabilitation. However, recovery from stroke is a process that survivors need to continue throughout their lives. Formal stroke rehabilitation is important for survivors to regain their independence and control of body movements and functions.
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Can you still have a mini-stroke while on blood thinners?

Unfortunately, blood thinners can reduce the risk of clot-related stroke only to increase the risk of stroke related to bleeding and blood vessel rupture. To prevent unwanted complications from blood thinners, patients may need to make lifestyle and adjustments moving forward.
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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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What are the side effects of long term use of Plavix?

Side effect details
  • Allergic reaction. As with most drugs, some people can have an allergic reaction after taking Plavix. ...
  • Bruising. You may have bruising while you're taking Plavix. ...
  • Skin rash. It's possible to have skin rashes while you're using Plavix. ...
  • Nosebleeds. ...
  • Headaches. ...
  • Blood in your urine. ...
  • Itching. ...
  • Diarrhea.
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How long do you stay on Plavix after a stent?

It has been common practice for patients who have had a stent placed to clear a blocked artery to take an anti-clotting drug (such as Plavix, Effient, or Brilinta) plus aspirin for 12 months after the procedure. Taking these two medications, called dual anti-platelet therapy, reduces the risk of forming blood clots.
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Can you suddenly stop taking clopidogrel?

Feb. 5, 2008 -- Heart attack survivors and other heart patients may be more likely to die or suffer a heart attack in the first three months after stopping the drug Plavix, new research shows. Plavix is an antiplatelet drug.
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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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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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Can you recover from a stroke after 2 years?

2 Years: Recovery Looks Increasingly Different for Everyone

Some might have fully recovered function while others are still pursuing rehabilitation. One comforting statistic is that, of the stroke survivors that could not walk without assistance at the 6 month mark, 74% should be able to walk by the 2 year mark.
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