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Plavix, Clopidogrel (generic): Frequently Asked Questions

What is Plavix or clopidogrel bisulfate?

PLAVIX is designed to help keep platelets from sticking together and forming clots, which could help protect against a future heart attack or stroke. PLAVIX, taken daily, can help protect you if you've had a recent heart attack or stroke, or if you have poor leg circulation (called PERIPHERAL ARTERY DISEASE P.A.D. ) Important Information: If you have a stomach ulcer or other condition that causes bleeding, you should not use PLAVIX. ...

What should I do if I take Plavix (clopidogrel) or aspirin?

Plavix and aspirin do not need to be stopped prior to undergoing an endoscopic procedure.

I take Plavix (clopidogrel) and or Aspirin do I need to stop?

Not necessarily. Most often times it is based on the procedure you will be undergoing. Therefore, please call our office to determine if stopping these medications is necessary. If you must stop, please do so 7 days prior, as this is the time required for the medication’s effects to be inactive.

How long must I take Plavix?

Plavix should be taken between six and twelve months, unless otherwise instructed by your cardiologist. Do not stop taking Plavix without first checking with your cardiologist.

Is it safe to take Plavix and aspirin together?

Generally speaking, it is safe to take Plavix and aspirin together. It must be understood that risk of bleeding is increased slightly, and bruising can occur more frequently.

Are there side effects of Plavix and/or Aspirin?

Apirin and Plavix can cause some stomach irritation. We recommend taking your Aspirin with food. Plavix is best taken in the evenings. If you experience stomach irritation, you can use an over the counter medication like Prilosec or Prevacid to help with the discomfort. If you notice any rectal bleeding or blood in the urine, please call us immediately. This is very uncommon but should be addressed if this occurs.

What is the cost to treat a patient with clopidogrel for 1 year?

The price of clopidogrel varies depending on the country and the region. In the United States, clopidogrel costs approximately $3USD per day. Treatment for one year would therefore be in the range of $1095USD.

What if I am on Blood Thinners like Aspirin, Coumadin or Plavix?

Make sure you tell the Pain Nurse when she calls for an interview. We will contact your medical doctor, or your cardiologist to see if it is OK for you to stop them for a while. We will instruct you when to stop these drugs and when to restart them.

How long should I take Plavix and aspirin after stenting?

Due to concerns about clots forming on stents, the usual recommendation is at least one year of aspirin and Plavix following coronary stenting. You should avoid discontinuing Plavix without first discussing this with your physician.

Why do you use a format of joint sales and promotion for Plavix?

Daiichi Pharmaceutical had planned a joint sales, however, the scheme changed during the integration. We also believe an agreement was reached that has the least anti-synergy to Daiichi Sankyo. Q8. If there is a blueprint for the 100.0 billion yen sales in the healthcare business, we wish to be told. A8. We wish to take the sales to 100.0 billion yen in the mid to long term. In addition, we newly entered the market on skin care and health food, and expect about 30% of the sales from there.

When should I stop my blood thinners (coumadin, plavix, ticlid, aspirin, herbs)?

There are specific guidelines regarding when blood thinners (Coumadin/warfarin, low molecular weight heparin/lovenox, plavix, ticlid, aspirin, garlic, ginko,ginseng, etc.) should be stopped before surgery. Please make sure you reveal the use of these medications during pre-assessment so that the proper measures can be taken. If not, your procedure may be postponed until enough time passes so that the blood resumes normal clotting function. ...

Would you recommend treatment for greater than 1 year with clopidogrel following an episode of ACS?

Patients in CURE were treated for a minimum of 3 months or a maximum of 1 year (with a mean duration of 9 months) post randomization. Therefore CURE does not provide data on patients who were treated for greater than 1 year post ACS. The benefits of clopidogrel were observed early, i.e. within the first 30 days and from the period greater than 30 days after randomization to the end of follow up. There was incremental benefit in treating patients with clopidogrel longer than 30 days after randomization. ...

How long do I need to stay on Plavix after my stent?

Generally our patients stay on Plavix for 3-6 months depending on the complexity of the procedure and a number of other factors.

Will the lump-sum payment for Plavix occur in the current term?

Daiichi Pharmaceutical has received in return for a certain business, under a certain commitment. Q36.We wish to know the current required staff count overseas. A36.Daiichi Sankyo Inc 1,500, Luitpold 500, Europe 1,500, and 1,000 in Asia, etc.

In this term, what is the profit and loss for Panaldine and Plavix combined?

We promote Panaldine for the cardiac disease area, Plavix for the brain disease area. For Panaldine we anticipate fall in revenue, but we expect to receive a co-promotion revenue of some amount for Plavix.

Should patients who have suffered an acute myocardial infarction be treated with clopidogrel long-term to prevent further cardiac events?

Patients with suspected myocardial infarction without ST segment elevation were eligible for the CURE Study and accounted for approximately 25% of the patients enrolled. There was a significant reduction in the primary outcome of CV death, MI or stroke with clopidogrel compared to placebo in this group of patients. The question of whether patients with acute myocardial infarction with ST segment elevation who are candidates for reperfusion therapy will benefit from clopidogrel was not an objective of the CURE trial. ...

I take a blood thinner such as Coumadin, Plavix, etc., will they interfere with the treatment/procedure?

The physicians at Algology Associates take each patients medical history into consideration when a treatment plan is discussed. When scheduling for a procedure to be performed, patients are asked to stop any and all blood thinning medication one full week prior to the procedure.

I bruise easily, can I still get a massage? I take Coumadin, Plavix, or another "blood thinner" can I still be massaged?

Yes, you can still receive massage therapy. You should inform your Massage Therapist that you bruise easily and why i.e. medications (coumadin, plavix, heparin, etc), medical condition, etc. Your Massage Therapist can adjust his pressure and technique to prevent or minimize bruising. You may also request that techniques such as Ortho-Bionomy and Natural Reflex Therapy are used since they do not require "rubbing" but are very relaxing and can be used to effectively relieve pain.

My mother who takes blood thinner Plavix is having memory problems and I would like to introduce her to Ginkgo. I heard you were not supposed to mix these two. What do you think?

There is no specific report on the interaction of Plavix and ginkgo in human. It is true that caution should be taken in taking a blood thinner and ginkgo together because several cases of adverse effects were reported after their combined use. However, it does not mean that they can not be taken together because most people are still fine with the combination and only a few such cases were observed. Please consult your physician to decide the potential benefits and risk of such combination.
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