What is the treatment for stemi?

Treatment – STEMI Medical Therapy. Initial medical therapy during STEMI consists of oxygen administration, antiplatelet therapy (aspirin, thienopyridines and glycoprotein IIb/IIIa inhibitors), anticoagulation (heparin or bivalirudin), anginal pain relief with nitrates and morphine, and beta-blockade.

What replaced Mona?

Cardiovascular disease and its sequalae remain one of the largest health care problems in the United States.

Why is aspirin given for MI?

Long-term aspirin therapy reduces the yearly risk of serious vascular events (nonfatal myocardial infarction, nonfatal stroke, or vascular death), which corresponds to an absolute reduction of nonfatal events and to a smaller, but still definite, reduction in vascular death.

What is the drug of choice for myocardial infarction?

The pain of myocardial infarction is usually severe and requires potent opiate analgesia. Intravenous diamorphine 2.5–5 mg (repeated as necessary) is the drug of choice and is not only a powerful analgesic but also has a useful anxiolytic effect.

Is aspirin better than clopidogrel?

Clopidogrel is another guideline‐recommended antiplatelet agent21 and has been shown to be superior to aspirin in preventing composite vascular events and reducing hemorrhagic complications in a randomized controlled trial, CAPRIE (Clopidogrel versus Aspirin in Patients at Risk of Ischaemic Events).

What foods should I avoid when taking clopidogrel?

Is there any food or drink I need to avoid? Do not drink grapefruit juice while taking clopidogrel. Grapefruit juice may increase the effects of your medicine, and make you bleed or bruise more easily.

Are aspirin and clopidogrel the same?

Aspirin and Plavix (clopidogrel bisulfate) are drugs used to prevent blood clots. Aspirin and Plavix belong to different drug classes. Plavix is an anticoagulant and aspirin is a nonsteroidal anti-inflammatory drug (NSAID). Aspirin also is used to reduce fever, and to treat pain and inflammation in the body.

What is the best time to take clopidogrel?

You can take clopidogrel at whatever time of day you find easiest to remember, but take your doses at the same time of day each day. Most people prefer to take it in the morning, as they find this helps them to remember to take it regularly. You can take the tablet either before or after a meal.

Can I take clopidogrel at bedtime?

Bedtime administration of clopidogrel also significantly decreased morning surge of platelet aggregation induced by ADP while kept similar antiplatelet efficacy of clopidogrel during other time points of the day compared to the day-time administration group.

What can you not take with Plavix?

FDA Warns Plavix Patients of Drug Interactions. Nov. 17, 2009 – The FDA today warned patients not to combine Plavix with Nexium, Prilosec, and nine other drugs — including Prozac and Tagamet. The drugs may make the anti-clotting drug Plavix dangerously less effective, the FDA says.

Can you ever stop taking Plavix?

CHICAGO (Reuters) – Patients given the blood-clot preventer Plavix after a heart attack or after receiving a stent have a far higher risk of heart attack or death in the three months after they stop taking the drug, U.S. researchers said on Tuesday.

Does clopidogrel cause joint pain?

Arthralgia and backache are also known to occur with its use. There have been case reports linking arthritis with the use of clopidogrel. We describe the case of a 64-year-old man who reported symptoms of fever and joint pains following initiation of therapy with clopidogrel. Acute-phase reactants were elevated.

How long do I have to take blood thinners after stent?

People who have drug-eluting stents need to take medications, such as clopidogrel or ticagrelor, to reduce the risk of stent clotting for at least one year after the stent is inserted. For most people with bare-metal stents, additional anti-clotting medication is only recommended for one month after stent placement.

Can I drink coffee with clopidogrel?

It is observed that caffeine can also increase cAMP accumulation and alter the aggregation of platelets by upregulating the adenosine A2A receptor [118]. Acute caffeine administration was reported to increase the platelet inhibition effect of clopidogrel in healthy subjects and CAD patients [119] .

Can I take vitamin D with Plavix?

No interactions were found between Plavix and Vitamin D3. This does not necessarily mean no interactions exist. Always consult your healthcare provider.

What vitamins should not be taken with clopidogrel?

Gingko biloba Ginkgo biloba increases your risk of bleeding if you also take: Aspirin. Clopidogrel.

What vitamins should be avoided when on blood thinners?

If you are a heart patient who is taking blood thinners, such as warfarin (Coumadin®), you need to be careful not to overdo vitamin K. Blood thinners are often prescribed for people at risk for developing harmful blood clots.

Can you take vitamin D with blood thinners?

Interactions between your drugs No interactions were found between Vitamin D3 and warfarin. This does not necessarily mean no interactions exist. Always consult your healthcare provider.

Can you take vitamin D with beta blockers?

No interactions were found between bisoprolol and Vitamin D3. This does not necessarily mean no interactions exist. Always consult your healthcare provider.