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Changing From Aspirin To Xarelto And Clopidogrel

Updated April 28, 2023
DK Says:
Sun, July 24, 2022

I have 3 stents (seven years) and a heart valve replacement (5 years) but have thin blood, which can cause nose bleeds and prolonged bleeding after cuts or injuries. So my cardiologist put me on Aspirin rather than Warfarin to help prevent blood clots/stroke. Since then I have had only a handful of minor heart issues (palpitations but no chest pain, heart attack or stroke).

My cardiologist recently retired and my new specialist has insisted that I need to replace the Aspirin with a combination of Xarelto and Clopidogrel. I fear if i make this change I will have serious side effects, including serious nose bleeds (I once spent 3 days in hospital with a nose bleed). If I choose to stay on the Asprin will I be at serious risk of having a stroke?

1 Reply

1
VerFree Says:
Fri, April 28, 2023

You could ask them to check your clotting factor, before you make any changes, that should let them know if your blood is thin enough, or if you need to try other medications.

As you are well aware, if your blood is too thin, it can create a risk of dangerous bleeding, so while those medications may be what are regularly used, they may not be appropriate for you.

It also might be a good idea to seek a second opinion to be sure.

The FDA warns that blood thinners may cause other side effects, along with bleeding, such as nausea, headache, easy bruising, and dizziness.

Ref: Blood Thinner Information

Are you on any other medications?

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