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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Person With History Of Heart Attacks Be Given Blood Thinners?

Pt has atrial fib and is already on plavix 75mg od. Just was prescribed xarelto 15 mg a day along with his plavix. Has had 2 strokes in past 10 years with no residual. Is it save to take 2 blood thinners as noted above. Pt also takes Asa 80 mg and fish oil Thank you
Fri, 28 Nov 2014
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Internal Medicine Specialist,  's  Response
Risk is increased with more blood thinners. The combination of aspirin, Plavix, and Xarelto can greatly increase the risk for a bleed. Fish oil may also have a blood thinning effect. This combination of medications needs to be very closely monitored by a doctor. Does the doctor prescribing the Xarelto know about the other drugs? It might be best to go off at least one of the others. This should be discussed with a cardiologist who would best know the nature of the atrial fibrillation and other heart problems and the best combination of treatments for his condition. Hope this helps.
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Can Person With History Of Heart Attacks Be Given Blood Thinners?

Risk is increased with more blood thinners. The combination of aspirin, Plavix, and Xarelto can greatly increase the risk for a bleed. Fish oil may also have a blood thinning effect. This combination of medications needs to be very closely monitored by a doctor. Does the doctor prescribing the Xarelto know about the other drugs? It might be best to go off at least one of the others. This should be discussed with a cardiologist who would best know the nature of the atrial fibrillation and other heart problems and the best combination of treatments for his condition. Hope this helps.