Question 1

I'm kind of worried about stopping Aspirin because I've been dealing with some stomach issues, and the doctor told me it might be gastritis. They said I should stop taking Aspirin and just stick with clopidogrel. I'm also a bit concerned because my platelet count came back at 110,000. Should I be thinking about a lower dose of Aspirin, like 50 or 25 mg, instead of stopping it altogether? Does that sound safer for someone with my heart condition?

Accepted Answer

Given your medical history and current condition, it is important to follow your doctor's advice to discontinue Aspirin and continue with Clopidogrel only. Aspirin is known to increase the risk of gastrointestinal issues, such as gastritis, which you experienced recently. Clopidogrel is a suitable alternative antiplatelet medication that can be used in place of Aspirin to prevent blood clots after procedures like PTCA. It is effective in reducing the risk of heart attack and stroke. Therefore, it is safe to discontinue Aspirin and rely on Clopidogrel for your cardiac health. It is not recommended to switch to a lower dose of Aspirin in your case.

Question 2

I'm curious about my health situation. I've been on Amcard for the past 10 years, but this year my blood pressure isn't controlled. I recently did a lipid profile, and while my cholesterol level went down from 210 to 165, my triglycerides have gone u...

Accepted Answer

Alcohol intake can significantly impact triglyceride levels. I recommend reducing your alcohol consumption to help lower your triglyceride levels. In addition, you can discuss with your doctor about adding a medication like Atorvastatin to help lower your triglyceride levels. The usual dosage for Atorvastatin is 10-80 mg per day, depending on your specific needs. Regular monitoring and follow-up with your healthcare provider are essential to manage your blood pressure and lipid levels effectively.

Question 3

I'm a bit worried because I've been checking my blood pressure at home for the last couple of days, and its been around 13585. Its usually about 12075 with the Telma 40 I'm taking, which I started after having COVID. I also had my wisdom tooth taken ...

Accepted Answer

It is normal for blood pressure to fluctuate, especially after a dental procedure like wisdom tooth extraction. However, since your blood pressure readings have been consistently higher for the past two days, it is important to monitor it closely. In this situation, it would be advisable to consult your doctor to discuss the possibility of adjusting your medication dosage or considering additional treatment options. In the meantime, you can also try to reduce stress, maintain a healthy diet low in sodium, and engage in regular physical activity to help manage your blood pressure.