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I am doing lobectomy tomorrow, patient would benefit from epidural but he is on Aggrenox. Anyone knows if there are ASRA guidelines for Aggrenox? I tried to look it up but no luck... thanks!
so it won't increase risk of hematoma? Apparently they are not going to D/C it at all....
Nope.
http://www.aaofl.com/page4/page7/page5/files/EPIDURAL POLICY.pdf
This hospital permits Epidural/Spinal placement while on Aggrenox (asa plus persantine).
Really?
Why are you so sure?
I would stop the Aggrenox for 1-2 days, this will hopefully allow the Dipyridamole to be out of the picture and leave you only with the effect of Aspirin which should be OK.
Because in Europe we did it a lot - as you know it was custom to have all the vascular patients on Dipyridamole.
I didn't have any problem. I am sure that is fine too to stop it - nothing will happen ...
I remember in France that every one was on Dipyridamole but at that time they were not combining it with Aspirin.
Are the Europeans giving combined Aspirin/Dipyridamole now? and are they routinely doing epidurals with that combination?
Aggrenox contains 25mg of salicylic acid so not enough to inhibit platelet function.
Ok but you have two weak drugs combined which have not been related to a higher morbidity with neuraxial blocks