New data will raise questions about optimal use of short-term dual antiplatelet therapy (DAPT) after an ischemic stroke or TIA. We know that short-term DAPT, such as aspirin plus clopidogrel for 21 days, reduces recurrent stroke risk compared to aspirin alone. But most evidence is with starting DAPT within 24 hours. And data are mostly for patients with a minor st…
قراءة المزيدAs a cardiovascular pharmacist, you will hear debate about shorter dual antiplatelet therapy (DAPT) durations after a stent in acute coronary syndrome (ACS) . The standard has been DAPT with aspirin AND a P2Y12 inhibitor ( clopidogrel , prasugrel, or ticagrelor ) for 12 months, with the option to extend for those at high thrombotic and low bleeding risk. …
قراءة المزيدAs a cardiovascular pharmacist, you may be asked about the risk of stopping aspirin, clopidogrel, or other antiplatelet drugs too soon. This applies to the many patients with cardiovascular disease taking aspirin to prevent a recurrent event, or aspirin plus clopidogrel for acute coronary syndrome or after a stent. Stopping these t…
قراءة المزيدAs a cardiovascular pharmacist, you will be asked whether "an aspirin a day" is still good for the heart, based on new U.S. Preventive Services Task Force recommendations. Help patients sort out the facts. This is a case of guidance catching up with the evidence... Recommend aspirin 81 mg/day for SECONDARY prevention , such as…
قراءة المزيدAs a hospital pharmacist, you will hear ticagrelor ( Brilique, Brilinta ) plus aspirin promoted after a MINOR ischemic stroke or high-risk TIA. New evidence shows that taking this combo for 30 days after a minor stroke or high-risk TIA decreases the composite of death or stroke in 1 in 91 patients, compared to aspirin monotherapy. But the benefit is mostly fro…
قراءة المزيدAntiplatelets medications ㅡ The preferred options of antiplatelets for recurrent ischemic stroke are aspirin, clopidogrel ( Plavix ) or combination of aspirin and clopidogrel for short term then followed by EITHER aspirin or clopidogrel alone. Dipyridamole ER/aspirin ( Aggrenox ) can be used. Non-preferred options include aspirin plus ticagrelor ( Brilique ), Ticlop…
قراءة المزيدPRODIGY has published a guideline on antiplatelet treatment. This contains a scenario on the management of gastrointestinal adverse effects. This scenario discusses how to manage a patient at high risk of gastrointestinal bleeds. Ensure that general measures to reduce risk of gastrointestinal (GI) adverse effects have been taken... Prescribing …
قراءة المزيدIt can be tricky to know when to recommend an antiplatelet, an anticoagulant, or both... These are some important questions to know the difference between antiplatelet and anticoagulant, and when to use each other... What Are Antiplatelets and Anticoagulants? Antiplatelets : Medications like aspirin, clopidogrel (Plavix), and ticagrelor (Briliq…
قراءة المزيدMore patients will be discharged on a SHORT course of aspirin plus clopidogrel ( Plavix ) after a minor ischemic stroke or high-risk Transient Ischemic Attack (TIA). We know aspirin alone is generally used to prevent another stroke. But you'll see growing acceptance of DUAL antiplatelet therapy in these patients. It's already an option in guidelines based on …
قراءة المزيدAs a pharmacist, you will see warfarin ( Marevan ) used in combination with aspirin AND clopidogrel ( Plavix ) in more cardiac patients especially the elderly. Older patients are at higher risk for conditions that require two antiplatelet drugs plus anticoagulation. A common scenario is a patient who needs clopidogrel and aspir…
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