Am a diabetic and hypertension patient and under medication. As prescribed by cardiologist using CervinA 75 mg for more than 10 years. Recently it is diagnosed duodenal ulcer to me and doctor gastroenterologist advised medication with an advice to stop all citric contents, spicy food, chilli etc. But not reviewed other medication. One of my welwisher expressed to get a clarity that can I use CervinA 75 even after ulcer is traced. Request to advise me suitably. Regards Appi Reddy.

Dr. Sameer MehrotraCardiologist19yrs exp

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CeuvinA contains two blood-thinners, Clopidogrel and Aspirin, they need to be taken only if you have a stent or bypass or blockage in heart vessels and even in this case after one year only anti-platelet is required. The combination drug does put you at risk of having bleeding and Clopidogrel has higher chances of causing bleeding as compared to aspirin in gastric ulcer patients. You have not mentioned why your cardiologist is giving you this combination whether it was started as a preventive treatment or secondary to a stent/bypass/coronary artery disease, but given the fact that you have dudodenal ulcer, if you were given this combination as a preventive treatment your cardiologist can stop Ceruvin-A. If you have had a stent/BYPASS/coronary artery disease then you should stop the combination drug and continue only single blood thinner. 

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