Sudden Cardiac Arrest & Heart Attack
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Medication post Heart Attack

Hi all

Hope you're all in good spirits and feeling good. I had my heart attack on May 9th (95% stenosis of the 1st diagonal and 40% LAD) and judged unattractive for stents. I've been on medical management and I'm doing OK. Few episodes of pain and weird feelings bur all in all I feel fine.

I've been talking with my cardiac nurse who tells me that the local health board (Glasgow) only allow 3 months Ticagrelor yet I spoke to a colleague in Manchester who had Ticagrelor for a year after his event.

I have been investigating the various health boards' policies and it seems quite varied across the UK. I am approaching 3 months and due to come off the Ticagrelor but I went to see my gp last week (locum who had plenty of time on her hands) and she decided I should be taking Ticagrelor for 6 months, not 3. So I now have another 3 months supply and to be honest I'm confused!

What normally happens in your area? Do you get switched off Ticagrelor to just aspirin or do they give you a new drug? I've heard that you should get clopradil instead of Ticagrelor as it's cheaper. (Ticagrelor costs £52 per monthly box and Clopradil is £3 per month)

Be good to find out what others have been given, especially those on medical management due to not getting stents fitted.

Thanks!

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I get Ticragelor for a year as prescribed by Papworth. Everyone in my rehab class who were on it were getting it for a year.

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Oops need to spell better! Ticagrelor 90mg twice daily for one year. I had a 99 % stenosis in LAD and a drug eluting stent inserted during the HA in Papworth on 28/11/2016

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Hi Scotserica,

Interesting! Yes my colleague in Manchester had it prescribed for 12 months so it's something I am going to look into more.

I'm at the hyper aware stage of everything (think my cardiac care nurse hates me!) so I'm asking questions about everything and double checking what I'm told. I wasn't too bothered about the 3 month limit but when a locum GP said it's normally 6 months and extended my prescription, it confused me.

Wonder if the 3 month thing is a cost saving measure or has some clinical reasoning behind it?

Oh well. Im not a huge fan of Ticagrelor anyway due to the hungry air gasps I get with it.

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That subsided very quickly with me!

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Hi I live in Essex and had HA in March. Afterwards I had one stent fitted but they were unable to block another artery low down so have decided medical management by tablets. If symptoms persist they would plan rotablation. This has resulted in a bit of uncertainty for me.

However the plan is to stay on Ticagrelor twice a day for 12 months at least. From my research this is a very effective drug. Not sure if not having a stent will make a difference, but for me getting the most effective medication is a must as far as I can influence things. Not sure if there are any NICE Guidelines covering prescribing for these situations but would expect that there are. Good luck and keep researching so you get what you need.

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I had HA in September last year with 4 stents. Then given Ticagrelor twive daily for 12 months. I'm in Oxfordshire. I can suggest you check NICE guidelines (they are all on line) then if you can use this to help you get what you need.

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I couldn't have a stent either after ha. Am on ticagrelor twice daily for a year along with aspirin Northern Ireland. Was on Isodur and ramapril as well as Ranoxin. Couldn't go on with first two as my BP is naturally quite low and they take it too low. Ranoxin doubled to 750mgs twice daily which is huge amount but the only tablet of its kind I can take. So I'm left thinking I'm not on enough to manage my condition. I'm 3 months in and have heart pains regularly which I've eventually discovered is unstable angina. A doctor and one c. Nurse didn't offer this explain. Another c. Nurse was surprised.- so keep asking. I think no practitioner knows it all and we are all different. Your doing well to feel ok. Best wishes.

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I was given Ticagrelor for 12 months and after that was given Prasugrel 10mg once a day following 2 more stents in March 2017 and Aspirin for life.

Good e

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I had an anterio-lateral Stemi in Feb 2016, still on Ticagrelor 90mg twice daily, plus aspirin for life, Ivabradine 7.5mg twice daily, and Ramipril 5mg twice daily. I'm in Cumbria, and I have also been diagnosed with a heart murmur. Despite this , I have not seen a cardiologist since I was discharged from hospital!

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In heart disease, studies have suggest that badly diseased hearts with multiple stents- life long antiplatlet therapies should considered.

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I had a heart attack in early 2013 99.9% blockage of mid LAD. couldn't get the artery opened. After numerous attempts sucessfully opened. Three stents and home next day. Had terrible chest pains and three angios over 4 years, all showing slight segmental disease but the stents had remained clear. Still have angina since that fateful heart attack. I have never ever felt completely well since 2103 and now diastolic heart failure. I felt better after the MI and before the stents. For whatever reason I have never fully recovered.!!

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