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Pavix and Statin
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Silas
medicine forum beginner


Joined: 18 May 2005
Posts: 35

PostPosted: Thu May 19, 2005 10:36 pm    Post subject: Pavix and Statin Reply with quote

Hi All

Very brief history:

Heart attack LAD resulting in a stent fitted
5 years later CABG.
2 years post CABG
Age 56

With everything OK (cholesterol and feeing OK) my doc has insisted that
I go on a Statin and Plavix.
He tells me that Plavix is essential as is a statin for my well being.
He also said that without these drugs my risk factor rose to 5 times the
chance of another attack and that the by pass graft can "occlude"
(spelling?).

My questions are: if my cholesterol levels are within normal range why
should I risk the potential side effects of a statin, are there other
benefits from statins other than lowering cholesterol.

I have been following the threads on statins and am worried that I may
just be one of the unlucky one's to have a bad reaction, (bad luck seems
to follow me about,in fact I think it is attached permanently to my hip).
When I left hospital after the CABG I was put on (by the surgeon)
Metoprolol 25mg twice per day, nothing else.
My Cardio suggested that I add Plavix, he didn't push it just suggested
that I think about adding it which I did but it made me nauseous so I
stopped it after about 6 months.
Obviously I don't want another attack but I would like some quality of
life and the thought of being nauseous every day is not good.

Comments appreciated.

Other info:
Doctor didn't know I had stopped the Plavix and there was never any
mention of a statin until now.
Esophagitis.
Awaiting results of PSA for possibility of prostate cancer.
Also results of Faecal Occult Blood test.
And full blood test for everything else.
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Juhana Harju
medicine forum Guru


Joined: 06 May 2005
Posts: 1056

PostPosted: Fri May 20, 2005 2:06 am    Post subject: Re: Pavix and Statin Reply with quote

Silas wrote:

:: My questions are: if my cholesterol levels are within normal range
:: why should I risk the potential side effects of a statin, are there
:: other benefits from statins other than lowering cholesterol.

Statins also lower CRP, a marker of inflammation, in addition to
cholesterol. But there are also dietary means and supplements that are
effective in reducing CRP. The Mediterranean diet, vitamin C, vitamin E,
weight reduction (if you are overweight) and exercise are some ways to
reduce CRP.

--
Juhana
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Sbharris[atsign]ix.netcom
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1218

PostPosted: Fri May 20, 2005 10:34 pm    Post subject: Re: Pavix and Statin Reply with quote

You probably should be on aspirin (after your stool test). If Plavix
causes you problems, most docs would at least add dipyridamole to keep
you from getting clots in those vessels. Bypass grafting is not a fix.
The things last 10 years or less unless they get really good care.
Statins and fish oil and that Mediterranean diet can be part of that.
The fish oil and the diet may be even more important than the statins.
We don't know because they've never been directly compared in patients
who've had bypass already.
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Andrew B. Chung, MD/PhD
medicine forum Guru


Joined: 25 Mar 2005
Posts: 8540

PostPosted: Sat May 21, 2005 8:50 am    Post subject: Re: Pavix and Statin Reply with quote

Silas wrote:
Quote:

Hi All

Very brief history:

Heart attack LAD resulting in a stent fitted
5 years later CABG.
2 years post CABG
Age 56

With everything OK (cholesterol and feeing OK) my doc has insisted that
I go on a Statin and Plavix.

Before allowing the "everything is OK," what is your height and weight?

Quote:
He tells me that Plavix is essential as is a statin for my well being.
He also said that without these drugs my risk factor rose to 5 times the
chance of another attack and that the by pass graft can "occlude"
(spelling?).

My questions are: if my cholesterol levels are within normal range why
should I risk the potential side effects of a statin, are there other
benefits from statins other than lowering cholesterol.

Before allowing "cholesterol levels are within normal range," what is
your lipid profile (total, LDL, HDL, and triglycerides)?

Quote:
I have been following the threads on statins and am worried that I may
just be one of the unlucky one's to have a bad reaction, (bad luck seems
to follow me about,in fact I think it is attached permanently to my hip).
When I left hospital after the CABG I was put on (by the surgeon)
Metoprolol 25mg twice per day, nothing else.
My Cardio suggested that I add Plavix, he didn't push it just suggested
that I think about adding it which I did but it made me nauseous so I
stopped it after about 6 months.
Obviously I don't want another attack but I would like some quality of
life and the thought of being nauseous every day is not good.

Comments appreciated.

You've got it.

Quote:
Other info:
Doctor didn't know I had stopped the Plavix and there was never any
mention of a statin until now.

I would suggest you inform your doctor about your decision.


In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129
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Silas
medicine forum beginner


Joined: 18 May 2005
Posts: 35

PostPosted: Sat May 21, 2005 10:50 pm    Post subject: Re: Pavix and Statin Reply with quote

Andrew B. Chung, MD/PhD wrote:
Quote:
Silas wrote:

Hi All

Very brief history:

Heart attack LAD resulting in a stent fitted
5 years later CABG.
2 years post CABG
Age 56

With everything OK (cholesterol and feeing OK) my doc has insisted that
I go on a Statin and Plavix.


Before allowing the "everything is OK," what is your height and weight?

Height: 185 cm
Weight: 89 Kilo
Quote:


He tells me that Plavix is essential as is a statin for my well being.
He also said that without these drugs my risk factor rose to 5 times the
chance of another attack and that the by pass graft can "occlude"
(spelling?).

My questions are: if my cholesterol levels are within normal range why
should I risk the potential side effects of a statin, are there other
benefits from statins other than lowering cholesterol.


Before allowing "cholesterol levels are within normal range," what is
your lipid profile (total, LDL, HDL, and triglycerides)?

Having a fasting blood test tomorrow (Monday) so should have an updated
figure a few days after that depending on Doc's appointment schedule.
Last test approx 2 years ago was total 3.9 with LDL's a bit high (doc's
words), but since then I changed my diet to less fat, more fish, smaller
proportions and increased excerize, am now approx 9 kilo's lighter and
seem to have levelled out.
Since heart attack in late 98 I have lost approx 17 Kilo's.

Quote:


I have been following the threads on statins and am worried that I may
just be one of the unlucky one's to have a bad reaction, (bad luck seems
to follow me about,in fact I think it is attached permanently to my hip).
When I left hospital after the CABG I was put on (by the surgeon)
Metoprolol 25mg twice per day, nothing else.
My Cardio suggested that I add Plavix, he didn't push it just suggested
that I think about adding it which I did but it made me nauseous so I
stopped it after about 6 months.
Obviously I don't want another attack but I would like some quality of
life and the thought of being nauseous every day is not good.

Comments appreciated.


You've got it.

Thank you
Quote:


Other info:
Doctor didn't know I had stopped the Plavix and there was never any
mention of a statin until now.


I would suggest you inform your doctor about your decision.

Yes I realise my mistake there, guess I got caught up in the "I'm
feeling OK" so everything is alright.
I am now back on the Plavix and taking it at night in the hope that I
will be able to sleep through any nauseousness.
Quote:


In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129
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Andrew B. Chung, MD/PhD
medicine forum Guru


Joined: 25 Mar 2005
Posts: 8540

PostPosted: Sun May 22, 2005 9:00 am    Post subject: Re: Pavix and Statin Reply with quote

Silas wrote:
Quote:

Andrew B. Chung, MD/PhD wrote:
Silas wrote:

Hi All

Very brief history:

Heart attack LAD resulting in a stent fitted
5 years later CABG.
2 years post CABG
Age 56

With everything OK (cholesterol and feeing OK) my doc has insisted that
I go on a Statin and Plavix.


Before allowing the "everything is OK," what is your height and weight?

Height: 185 cm
Weight: 89 Kilo

Height: 73 inches
Weight: 196 lbs

You might still be 21 lbs heavier than "ideal" despite already losing a
significant amount of weight as you describe below.

Quote:

He tells me that Plavix is essential as is a statin for my well being.
He also said that without these drugs my risk factor rose to 5 times the
chance of another attack and that the by pass graft can "occlude"
(spelling?).

My questions are: if my cholesterol levels are within normal range why
should I risk the potential side effects of a statin, are there other
benefits from statins other than lowering cholesterol.


Before allowing "cholesterol levels are within normal range," what is
your lipid profile (total, LDL, HDL, and triglycerides)?

Having a fasting blood test tomorrow (Monday) so should have an updated
figure a few days after that depending on Doc's appointment schedule.
Last test approx 2 years ago was total 3.9 with LDL's a bit high (doc's
words), but since then I changed my diet to less fat, more fish, smaller
proportions and increased excerize, am now approx 9 kilo's lighter and
seem to have levelled out.
Since heart attack in late 98 I have lost approx 17 Kilo's.

Good.

Quote:

I have been following the threads on statins and am worried that I may
just be one of the unlucky one's to have a bad reaction, (bad luck seems
to follow me about,in fact I think it is attached permanently to my hip).
When I left hospital after the CABG I was put on (by the surgeon)
Metoprolol 25mg twice per day, nothing else.
My Cardio suggested that I add Plavix, he didn't push it just suggested
that I think about adding it which I did but it made me nauseous so I
stopped it after about 6 months.
Obviously I don't want another attack but I would like some quality of
life and the thought of being nauseous every day is not good.

Comments appreciated.


You've got it.

Thank you

You are welcome. All praises belong to my heavenly Father, Whom I love
with all my heart, soul, mind, and strength :-)

Quote:

Other info:
Doctor didn't know I had stopped the Plavix and there was never any
mention of a statin until now.


I would suggest you inform your doctor about your decision.

Yes I realise my mistake there, guess I got caught up in the "I'm
feeling OK" so everything is alright.

Not necessarily a mistake since you were having adverse symptoms.

Quote:
I am now back on the Plavix and taking it at night in the hope that I
will be able to sleep through any nauseousness.

You should still inform your doctor about your adverse symptoms with the
clopidogrel (Plavix).

In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129
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