A year on from my NSTEMI ... So I'm being told to stop taking Clopidogrel (and it's accompanying Lansoprazole) just leaving the following:
Losarton and Amlodipine for BP
Aspirin for blood thinner
Bisoprolol as a beta blockers
Atorvastatin as a statin
Does that sound about right? Not asking for a medical opinion just a comparison with what others take.
Thanks
C
I carried on with the Lansoprazole to protect the stomach from the potential side effects of the daily mini-Aspirin . Others are the same and I thought it was in prescribing guidelines.
My Dr (and pharmacist) says it's only needed until I stop clopidogrel. They didn't issue it when I left hospital at all.
I've messaged the gp practice pharmacist to check.
I was on 30mg lansoprazole for15 months after my CA despite stopping ticagrelor at exactly 1 year after. My surgery’s pharmacist then said I could see how I fared on half that dose for a month. That’ s been fine, so the plan is for me to stop it altogether in a couple of weeks.
Thank you
Same here. No lansoprazole issued by hospital but by GP a few weeks later. Stopped it once I stopped ticagrelor. No issues. Other meds v similar.
Thank you
Yep about right. 12 months post nstemi I stopped clopidogrel.
Leaves me with aspirin, pantoprazole, 1.25mg bisoprolol and half a1.25 mg ramipiril (might be titrated up to a full 1.25 tablet) 10mg Rosuvastatin.
How are you getting on after your anniversary? Did you have surgery ?
I had a stent fitted and yes, I'm doing OK. Thanks. I hope that you are too
Loving my rebirth , living life full post quadruple bypass July 2023.
👍🏻
12mths post NSTEMI & CABG x 4 I was on Bisoprolol, Ramipril, Aspirin, Lansoprazole & Atorvastatin. 3 years on I've dropped the Bisoprolol.
It's interesting how everyone differs. No word on my stopping anything but the clopidogrel and lansoprazole
It is an important comment as we are all individuals and we can share about similar journeys. Any treatment or recovery is unique to each one of us.
Indeed
I assume you are on coated aspirin in which case the lansoprazole is probably not needed. If on ordinary aspirin then that is a different matter.
It's a dispersible one is all I know. I've messaged the gp practice pharmacist to check. Thank you 😊
My doctor said I should be taking "chewable aspirin". I assume that the reason for that is for quick absorption into one's system. But you are saying COATED aspirin, just the opposite. Wonder why? I am on amlodipine, meoprolol, ticagrelor, and asprin 81 mg. PS--I decided to take regular aspirin because I do no like ingesting the artificial coloring dye and taste modifiers in chewable--but thinking your coated aspirin may have some merit.
Normal (cheap) uncoated 75mg aspirin that you put in water to dissolve can irritate the stomach lining over time so the lansoprazole is intended to offset this.
If the aspirin is coated the effect is different.
verywellhealth.com/enteric-...
Neither should be chewed except in an emergency so I assume you will be offered genuinely chewable and more expensive aspirin that suits your condition . In that case the lansoprazole is presumably not needed but do check with your GP or pharmacist.
I have. The hospital gave me dispersable and discharged me with no lansoprazole. Got that several days later due to nausea from the cocktail of meds from the gp. Been on it ever since with no issues.
If you have standard dispersible you will need lansoprazole. If your doctor is changing you to chewable then presumably that will not be needed. Did they explain why the change to chewable? My GP has never suggested it
No one is changing my aspirin. Just dropping the clopidogrel and lansoprazole. I'm going to play it by ear and see what happens. Will go back to the gp if I have issues.
Devonian186--Thank you for the reply and the reference article on aspirin. Good article. Read to pros and cons regarding which aspirin to take. Another example of the value of being on the British Heart Foundation forum and receiving good feedback to consider. But as important, as you know, one has to educate themselves on all medications and alternatives that are prescribed.
still, at 20 months, on same meds as at discharge apart from Ticagrelor. Asked GP and was told they are all needed.
We are all different though …
It's interesting. I was told at the hospital I'd only stay on clopidogrel for one year to stop my stent clogging. Its been 13 months now. Thank you
My surgeon and GP were adamant I had to stop the Ticagrelor at 12 months without fail. So the only anti-coagulant for me is the aspirin.
Mine will be too. Did you take something to protect the stomach?
Yes, I take Lansoprazole, I'm not convinced it is is essential. I'm also on Carvedilol, Felodipine, Ezetimibe, Losartan and Rosuvastatin. I'm nearly 20 months on from my OHS. For my sins I ended up with two stents, a single bypass and a bovine aortic valve.
Apart from the drug regime I'm leading an almost fully normal life, I've still got a little weakness/tenderness in my right shoulder/pectoral muscles which means I can't lift as much as I used to. Silly thing is I can do chin ups without a problem. As part of my routine I do a 5k run most Saturdays (parkrun) as well as a cardiac gym class weekly. I'm a very active 72 year old!
I ran into problems with Bisoprolol which I was on initially. I developed dry eye , diagnosed by my optician a year ago. If I picked up a book or tried to do any work on my computer I ended up with my eyes streaming and really painful within 5 minutes. Changing to Carvedilol has completely resolved it.
I also had terrible problems with statins before my HA in May 23, I used to get painful swollen legs and joint pain, hospital put me on Ezetimibe and Rosuvastatin and my Cholesterol levels are way, way down without any problems. Normal HDL is 1.2, mine is 1.9 and total Cholesterol <5 and mine is 3.8 at my last test.
If you’re still on Bisoprolol I would suggest you should not stop the Lansoprazole.
From my personal experience Bisoprolol alone plays havoc with the stomach.
Hope this helps!
Well, we shall see what the dr says. I've sent a message. I'm being told I only need it when I'm taking Clopidogrel. I can monitor and go back on it I guess.
We all react differently
Completely normal. I stayed on a stomach protector because my statin affects my stomach but I'm now down to just aspirin and statin. No need to taper off the clopidogrel. Just stop
Thank you
If I were you, I would do what your health professionals require drop the clopidogrel and lansoprazole, then wait and see if you start to get any gastric upsets caused by taking the other meds. If you do, simply change from the dispersible aspirin you currently take to coated, which is available over the counter. That's what I take. Coated dissolves further down the digestive system and comes with a reduced chance of causing upsets. But if you still continue to get gastric upsets it's back to the GP to discuss, with the possible outcome of restarting a PPI.
Sounds like the most sensible approach. We are all different after all. Thank you
Medication review 
Review
Pip review 
Meds 
