Aggrenox
Started by climbingdocs
so it won't increase risk of hematoma? Apparently they are not going to D/C it at all....
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Nope.
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.
http://www.aaofl.com/page4/page7/page5/files/EPIDURAL%20POLICY.pdf
This hospital permits Epidural/Spinal placement while on Aggrenox (asa plus persantine).
This hospital permits Epidural/Spinal placement while on Aggrenox (asa plus persantine).
Based on what?
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 can confirm this
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?
Are the Europeans giving combined Aspirin/Dipyridamole now? and are they routinely doing epidurals with that combination?
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Yes - we did it.
I don't have a study to asses the risk - this is based on my practice.
I'll check pubmed.
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
You are probably right, and If I were still practicing in France I would have agreed with you.
But, Unfortunately, I practice in the U.S. and this means that the right thing to do is what the majority of practitioners would do.
This is what lawyers call the "standard of care" and in this case it is not very clear.
