Good Day Everyone. I have been diagnosed with APS for a while now (cannot remember exact date). I have had many issues. I have had several strokes and multiple TIAs. I had a stomach bleed and had to be taken off the Plavix and placed on aggrenox for it to heal. Recently during a cerebral angiogram an artery was damaged during the procedure. They put me back on Plavix immediately but asked me to stop the Nexium for my stomach. Stomach pains immediately returned within 2 days. I tried other meds but they did not work so I began taking Nexium again. I almost died from the last bleed so I am pretty stressed out about it all. Should I ask to switch to Coumadin as they tell me I should not take Plavix and nexium together. I do not know how to treat both areas successfully. I know I need some type of blood thinner as my TIAs worsen and I loose my vision more frequently when not on them. Any suggestions?