Question

After experiencing transient ischemic attacks. Mr. D. has been started on clopidogrel (Plavix). He has had a history of atherosclerotic heart disease and has had problems with peptic ulcer disease.

1.Mr. D. asks, "Why am I taking this fancy medicine? Why can’t I just take an aspirin a day, like they say on television?" What do you tell him?

2.What should Mr. D be taught to report to his health care provider while he is taking this drug?

3.What herbal products should Mr. D avoid while he is taking this drug and why?

4.What precautions should Mr. D follow while he taking this drug and why?

Answer 1

Clopidogrel (Plavix) is prescribed to prevent clotting in patients with cardiovascular disease. Mr. D is taking it instead of aspirin to minimize the risk of ulcers. He should report bleeding or bruising, avoid certain herbal products, and follow precautions to reduce the risk of bleeding.

Step-by-step explanation:

Clopidogrel (Plavix) is a medication commonly prescribed to prevent clotting in patients who have had a heart attack, unstable angina, ischemic strokes, TIA (transient ischemic attacks, or "little strokes"), and other forms of cardiovascular disease. It is usually given preventively when there is evidence of plaque buildup but not yet a major artery obstruction. While aspirin is also an antiplatelet medication, clopidogrel is specifically prescribed for patients with a history of atherosclerotic heart disease.

1. Why can't Mr. D just take an aspirin a day?

Aspirin is often recommended for preventive use in patients at risk for cardiovascular disease, but it can also increase the risk of ulcers. Since Mr. D has a history of peptic ulcer disease, his healthcare provider has prescribed clopidogrel instead of aspirin to minimize the risk of ulcers while still effectively preventing clotting.

2. What should Mr. D report to his healthcare provider?

Mr. D should report any unusual bleeding, easy bruising, or prolonged bleeding time to his healthcare provider while taking clopidogrel. These may be signs of potential side effects or complications.

3. What herbal products should Mr. D avoid?

Mr. D should avoid herbal products that have antiplatelet properties or can increase the risk of bleeding. Examples include garlic, ginger, ginkgo biloba, and high doses of vitamin E. These products may interact with clopidogrel and increase the risk of bleeding or decrease its effectiveness.

4. What precautions should Mr. D follow?

Mr. D should follow the precautions provided by his healthcare provider. This may include avoiding activities or medications that can increase the risk of bleeding, such as vigorous exercise, contact sports, and non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen. It is important for Mr. D to communicate regularly with his healthcare provider and report any new symptoms or concerns.