This is my situation. Following recent tests and Holter testing, my Cardiac Consultant feels one of the NOAC's : Apixaban/Rivaroxaban/Dabigatran, new generation anticoagulants, would offer me better protection against a further stroke than my current medication of 5 years standing. (Aspirin 75mgs and Clopidogrel).Consultant said I'm high risk and has added Microvascular Disfunction to my notes.
My TIA was in 2018
3 Stents in 2019
Whilst I'm obviously accepting of his opinion, I'm slightly wary of "upsetting the apple cart" as it were, as I have to take a vast amount of additional medication - and so far, they are all well tolerated and cohabit quite happily together.
However, I believe that I may have recently experienced a lesser TIA in my sleep . Not confirmed.
Has anyone else been in this change of medication situation, and how did it work out for you ?
Thank you 🙏
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WardijaWardija
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I had a heart attack December 2021 and a stent fitted. After a year they stopped my clopidogrel but kept me on aspirin.Fast forward to February this year I was diagnosed with AF so they stopped my aspirin and I now take Edoxaban because of a stroke risk.
I'm always very wary too about taking new medication as I'm on statins, beta blockers and BP medicine too, along with thyroxine. So far so good on Edoxaban. Hope that helps.
Hi Lily. Sorry to hear of your situation too. I'm also on the same range of drugs as you. Yes, your reply is comforting to read, thank you. I'm glad it was straightforward for you.
I think it's the fear of the unknown that's causing my anxiety. Ive had a lot to deal with medically over the last 18 months (diagnosed out of the blue with Chronic KidneyDisease, stage 3) and so I guess I'm just waiting for something else that's going to tip the scales in a negative direction.
I'll let you know which one they opt to put me on . .
My Warfarin was replaced by GP with Apixaban (no strong persuasion by him though) a few years ago and I find it agrees with other meds. but there's not a lot of them. He also suggested Rivoroxaban at the time but I thought Apixaban was the best choice as it seemed the simplest to take . Cardio. quite happy with the change.I had had a TIA before taking Warfarin and had been reluctant to take anything!Ignorance of what I was dealing with.
Hi All. I Just collected my new medication. It's Edoxaban 60mgs 1 tablet a.m. Will be reading the PI leaflet very thoroughly before I make any changes.
Was hoping I'd be put on the Apixaban, as it seems more popular on here and pretty well tolerated.
Don't worry too much about CKD stage 3. It is surprisingly common! I have had both CKD and Hepatitis type 1 for many years. They are both monitored annually and occasionally fluctuate from the limits. Treatment is not necessary in most cases so long as you watch your diet etc.
The new anticoagulants are very reliable it seems and are easier to take-I am on Edoxaban and just take it once a day at bedtime. If I have to have surgery or dental treatment it can be stopped temporarily as well. It has a half-life of 17hours. Much easier to manage than aspirin or warfarin -and if it has to be taken for life it makes things easier too!
Yes similar - after a second stroke (whilst on clopidogrel) was put on Rivaroxaban, didn’t agree in several ways (back pain, mood changes etc). Got it changed to apixaban and it’s tolerable albeit still feel there are some side effects. It’s all very individual. If a doac can stave off another stroke it’s worth it in my book for now…
I took apixaban for about a month fine, but then started getting pain in my stomach and bloodshot eyes I think they may have thinned my blood too much. I had to come off
I started Rivaroxaban about 3 years ago, never looked back really always been good to me my AF has a tendancy to be rather uncontrolled at times but it definatly does not bother it my other tablets ramipril and bisoprolol seem ok with it too
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