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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Talking Post Acitrom Withdrawal?

My dad suffering problem of blood clotg due to which his blood circulation of brain was reduced and he unable to talk . so Dr suggested acitrom 4 mg . After inr report came normal he suggested us to use ward 3 mg but now again he find difficulty to talk. Plz suggest
Tue, 27 Mar 2018
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Diabetologist,  's  Response
Hello,

It seems from your message that your father has had a stroke. Therefore, there may have been the need for Acetrom drug. However, this medicine can cause bleeding and so INR needs to be maintained.

There are 2 possibilities in view of the difficulty in speaking:

1. He has had a minor stroke again- this is usually quite common in stroke patients (the development of the 2nd stroke).

2. There is edema developing in the brain that is leading to the recurrence of the symptoms. There remains a possibility, however this I have not considered chiefly because you have not mentioned any suggestive symptoms, that he may have a metabolic/infectious cause going on which may be leading to the recurrence of the symptom.

Having said all that, I don't think it is related directly to the dose of Acetrom- if the doctor had increased the dose, I would have considered a risk for hemorrhage. But in this situation, it does not seem to be likely.

I would suggest admission, and testing with a repeat scan and blood tests. Continued speech therapy may help him.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Saumya Mittal
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What Causes Difficulty In Talking Post Acitrom Withdrawal?

Hello, It seems from your message that your father has had a stroke. Therefore, there may have been the need for Acetrom drug. However, this medicine can cause bleeding and so INR needs to be maintained. There are 2 possibilities in view of the difficulty in speaking: 1. He has had a minor stroke again- this is usually quite common in stroke patients (the development of the 2nd stroke). 2. There is edema developing in the brain that is leading to the recurrence of the symptoms. There remains a possibility, however this I have not considered chiefly because you have not mentioned any suggestive symptoms, that he may have a metabolic/infectious cause going on which may be leading to the recurrence of the symptom. Having said all that, I don t think it is related directly to the dose of Acetrom- if the doctor had increased the dose, I would have considered a risk for hemorrhage. But in this situation, it does not seem to be likely. I would suggest admission, and testing with a repeat scan and blood tests. Continued speech therapy may help him. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Saumya Mittal