Doctors’ disagreement confuses patient

October 7, 2011 By

DEAR DR. GOTT: I’ve seen three different cardiologists and have gotten three different answers to whether it is safe to go off Plavix for a short time before and after having surgery. (I take it because I had a heart attack.) Some say yes and some say no. I’m hoping to have surgery to correct a hearing problem.

What do you think?

DEAR READER: Plavix is prescribed to prevent blood clots. It is commonly taken following a heart attack or stroke and by some individuals with certain heart or blood vessel disorders. Therefore, while on the medication, blood flows more easily, making excessive loss even with a relatively minor injury or dental procedure, a possibility.
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Plavix and Prilosec like oil and water

March 11, 2010 By

DEAR DR. GOTT: I have a heart condition and take both Plavix to prevent blood clots and Prilosec for stomach acid. I was recently informed there are new reports out that advise me not to take my Prilosec. What is this all about, and what are my options?

DEAR READER: Plavix is prescribed by physicians to prevent blood clots that could lead to heart attack or stroke in some patients. Prilosec (omeprazole) reduces the incidence of excess stomach acid. In November 2009, the Food and Drug Administration issued a warning to patients not to take one if you are on the other. [Read more...]

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Daily Column

May 6, 2008 By

DEAR DR. GOTT:
I am facing a dilemma regarding medication. Following a diagnosis of atrial fibrillation, my internist and cardiologist very strongly say I must be on Coumadin to reduce my chance of stroke.

I am not interested in doing this if there is any other possible alternative. I would appreciate your thoughts on this matter.

DEAR READER:
Many studies have proven that atrial fibrillation (an erratic, fast pulse rate) can cause a stroke if a clot forms within the heart, breaks off, and is carried to the brain. Warfarin (Coumadin) appreciably reduces this risk. Therefore, I advise you to follow your doctors’ recommendations.

Coumadin is available in pill form, is inexpensive and easy to monitor. To my knowledge, there are no other inexpensive substitutes. Plavix is another pill, but is expensive and may need to be combined with aspirin for optimal effects. Other anti-coagulant drugs (such as heparin) are given by injection, are expensive and are not suitable for home care.

I suggest you take the Coumadin. With proper dosing and monitoring, it is safe.

To give you related information, I am sending you a copy of my Health Report “Coronary Artery Disease”. Other readers who would like a copy should send a self-addressed, stamped number 10 envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

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