When do you start clopidogrel after a stroke?

Teaching Points. Aggressive medical management including aspirin and clopidogrel for 90 days after stroke from intracranial atherosclerosis reduces stroke recurrence compared to historical controls. Aspirin plus clopidogrel for 21 to 30 days after TIA or minor stroke reduces recurrent stroke.

How effective is clopidogrel in preventing stroke?

In addition, clopidogrel was proven to be as effective as aspirin plus dipyridamole in secondary stroke prevention with the advantage of fewer hemorrhagic complications in another randomized controlled trial, the PRoFESS (Prevention Regimen for Effectively Avoiding Second Strokes) trial.

How long should I take clopidogrel after a TIA?

In both studies, people received clopidogrel for 90 days, and also received aspirin for at least the first 21 days. The larger study of 5170 people in China found that clopidogrel with aspirin reduced the chance of another stroke in the 90 days after a TIA or minor stroke compared with aspirin alone.

How long do you have to stay on Plavix after a stroke?

The optimal duration of dual antiplatelet therapy is not known; 12 months has been the commonly recommended duration. A recent large trial changed recommendations. Rates of stent thrombosis and death from stroke or heart attack were lower when the two meds were continued for 18 more months.

How is clopidogrel used to treat a stroke?

a haemorrhagic stroke). Clopidogrel is given by mouth, usually as a tablet. TheNICE guideline on diagnosis and early treatment for stroke and TIA(NICE clinical guideline 68) recommends that people with a suspected TIA should be started on a daily dose of aspirin straight away to reduce their risk of stroke.

Which is the best way to take clopidogrel?

Clopidogrel is given by mouth, usually as a tablet. The NICE guideline on diagnosis and early treatment for stroke and TIA (NICE clinical guideline 68) recommends that people with a suspected TIA should be started on a daily dose of aspirin straight away to reduce their risk of stroke.

How is clopidogrel used to treat a TIA?

Clopidogrel is given by mouth, usually as a tablet. TheNICE guideline on diagnosis and early treatment for stroke and TIA(NICE clinical guideline 68) recommends that people with a suspected TIA should be started on a daily dose of aspirin straight away to reduce their risk of stroke. Once the diagnosis is confirmed, patients and healthcare

When to take clopidogrel for transient ischaemic attack?

known as a transient ischaemic attack or TIA). Two studies looked at how well clopidogrel works when given with aspirin to people who in the past 24hours had either a suspected TIA or a suspected minor ischaemic stroke with mild symptoms. In both studies, people received clopidogrel for 90days, and also received aspirin for at least the first