[quetza]

Originally Posted by Glockguy ↗

I'm a surg resident, pradaxa and xarelto are the devil. Spontaneous GI bleeds and no reversal agent as of yet. Basically, you need emergent surgery, you're going to bleed. A lot..

word....ive seen brain bleeds from people being put on xarelto. warfarin may require tedious dosing and monitoring, but when administered correctly (first example in the OP where they started at with an initial dose of 10mg was nuckin futs) it works well. its years on the market and loads of research speak volumes

[LadyCPlum]

Originally Posted by quetza ↗

word....ive seen brain bleeds from people being put on xarelto. warfarin may require tedious dosing and monitoring, but when administered correctly (first example in the OP where they started at with an initial dose of 10mg was nuckin futs) it works well. its years on the market and loads of research speak volumes

Yeah but the big draw the companies are using to get people on the newer drugs is mainly the fact that the patient doesn't have to watch their diet or stay away from foods high in Vitamin K and crap like that. You'll end up crapping out your internal organs if you get a paper cut, sure, but you can at least have all those leafy greens you want so badly!

[Shakey]

[Xfactor]

Originally Posted by LadyCPlum ↗

Thank God my father (stroke) and sister (pulmonary embolism) don't have to take that shit anymore!

After a stroke you are permanently on Warfarin/Coumadin.

[quetza]

Originally Posted by Xfactor ↗

After a stroke you are permanently on Warfarin/Coumadin.

i love it.

Not true in the least bit. anticoagulation (warfarin) vs antiplatelet (aspirin, plavix, many others) therapy are different and are determined according to the etiology of the stroke. this topic could drag on for pages so heres a quick and dirty, semi-cliff note version:

-stroke due to embolism because patient has atrial fibrillation or some other cardioembolic event? yes, patient will need to be on a drug like coumadin (or one of the many new drugs that prevent clots)

-stroke NOT due to embolisms but rather cerebrovascular disease (lots of times, plaque in the vessels of the brain)?? aspirin is the most commonly used antiplatelet agent and has tons of studies that show its effectiveness at preventing ischemic stroke. other drugs like Plavix (another anti-platelet agent) can also be used

-hemorrhagic stroke.....give a person that stroked because of a bleed a drug that further increases their risk of bleeding? uhhh...generally, no. this presents a dilemma for healthcare and requires individual assessment of risks and benefits. blood pressure control is key and generally only those with incredibly high risk for thrombotic or cardioembolic (clot from the heart) events get antiplatelet or anticoagulation treatment, respectively.