Don't Jump to Clopidogrel if Patients Have a GI Bleed on Aspirin

September 2015

The first generic for Aggrenox will raise questions about how to choose an antiplatelet agent to prevent RECURRENT ischemic stroke.

About 1 in 25 patients with a first stroke will have another within a year. Consider these tips when choosing antiplatelet therapy.

Aspirin is still a good choice for most patients. Give 81 mg daily. Higher doses are NOT more effective and increase GI bleeding.

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Table of Contents

Cardiology Save Entresto for Persistent Heart Failure Symptoms
Influenza Don't Automatically Give the Live Intranasal Vaccine to Kids
NSAIDs Limit NSAIDs in Patients With Cardiovascular Disease
Cardiology Don't Routinely Use Praluent for High Cholesterol
Pharmacogenetics Be Aware of Situations Where Pharmacogenetic Testing Makes Sense
Infectious Diseases Dispel the Myth That Discolored Nasal Mucus Always Means a Bacterial Infection
Gastroenterology Explain That Any Risk of Heart Attack With PPIs Is Very Small
Otics Consider Alternatives for Unapproved Otics
Stroke Don't Jump to Clopidogrel if Patients Have a GI Bleed on Aspirin
Antipsychotics Ensure Patients Get At Least 4 Months of Invega Sustenna BEFORE Invega Trinza
Lice Advise Reapplying Nix in 7 to 10 Days Even if Labels Say Otherwise
Sleep Disorders Don't Use Hetlioz for Most Insomnia Patients