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Antiplatelet Drugs: Causes, Symptoms, Treatment and Cost

Last Updated: Jul 06, 2023

What is Antiplatelet drug therapy?

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Antiplatelet drug therapy is a type of medical treatment that helps to reduce the risk of blood clots and other serious cardiovascular events. It entails taking medications to prevent platelets from clinging and creating clots, which may result in a heart attack or stroke.

Types of Antiplatelet drug therapy:

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  • Aspirin: Aspirin is one of the most widely used antiplatelet drugs, and is typically used to reduce the risk of stroke and heart attack. It works by inhibiting the formation of blood clots in the arteries.
  • Clopidogrel: Clopidogrel is an oral antiplatelet drug that works by blocking certain receptors on platelets, which prevents them from forming clots in the arteries. It is often used to lower the chance of a stroke or an attack in those who have already suffered from these conditions.
  • Ticagrelor: Ticagrelor is an antiplatelet medication that is taken orally. It works by blocking particular receptors on platelets, preventing them from developing clots in the arteries. It is often given to people who have already suffered a heart attack or stroke to make them less likely to have another one, as well as those with unstable angina or peripheral artery disease (PAD).
  • Dipyridamole: Dipyridamole is an oral antiplatelet drug that works by inhibiting platelet aggregation and reducing clot formation in blood vessels. It can be used alone or combined with other medications such as aspirin to reduce the risk of stroke and heart attack in people who have already had a heart attack or stroke, as well as those with unstable angina or PAD who are at high risk for further cardiovascular events.

Benefits of Antiplatelet drug therapy:

The benefits of antiplatelet drug therapy include:

  • Reduced risk of heart attack and stroke: Antiplatelet drugs can help reduce the risk of cardiovascular events, such as heart attack and stroke, by reducing the formation of clots in arteries.
  • Improved circulation: Antiplatelet medications may enhance circulation by stopping platelets from sticking to one another and creating clots in arteries.
  • Reduced risk of blood clotting disorders: Antiplatelet drugs can help reduce the risk of developing certain types of blood clotting disorders, such as deep vein thrombosis (DVT).
  • Improved quality of life: By reducing the risk for cardiovascular events, antiplatelet drugs may improve quality of life for those at high-risk for these conditions.
  • Reduced need for other treatments: In some cases, antiplatelet drugs may be used to replace more invasive treatments such as surgery or stenting to treat blocked arteries or other conditions caused by plaque buildup in vessels leading to the heart or brain.

Why is Antiplatelet drug therapy done?

Antiplatelet drug therapy is often used to lower the risk of major cardiovascular diseases like heart attack or stroke. It may also be recommended for people with certain conditions, such as atrial fibrillation or coronary artery disease, who are at higher risk for developing dangerous blood clots.

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What are the risks of Antiplatelet drug therapy?

The most common risks associated with antiplatelet drug therapy include:

  • Bleeding: Antiplatelet drugs may increase the chance of bleeding, particularly in those who already have bleeding problems or who take other medications that impact blood clotting.
  • Drug Interactions: Antiplatelet drugs can interact with other medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), and some antibiotics and antifungals, so it is important to discuss all medications with a healthcare provider before starting treatment.
  • Allergic Reactions: Some people may experience an allergic reaction to an antiplatelet drug, which can range from mild skin rashes to more serious symptoms such as difficulty breathing or swelling of the face, lips, tongue or throat.
  • Gastrointestinal Side Effects: Antiplatelet medicines may induce nausea, vomiting, and stomach pain in some people. In rare instances, they may also induce stomach or intestinal ulcers or bleeding.
  • Heart Attack Risk: While antiplatelet drugs are used to prevent heart attacks, they may also increase the risk of having one in some people who already have a high risk for heart attack due to existing conditions like diabetes or high cholesterol levels.

How do I prepare for Antiplatelet drug therapy?

  • Before beginning any antiplatelet drug therapy, it is essential to talk about your medical history with your physician.
  • Your doctor must be aware of any allergies, drugs you are currently taking, and any medical issues you may have.
  • In addition, you should tell your physician if you are pregnant or intend to get pregnant.
  • Your doctor may also recommend certain tests before beginning antiplatelet drug therapy. These tests may include blood tests, an electrocardiogram (ECG), and a physical exam.

How is Antiplatelet drug therapy done?

The most common way to administer antiplatelet drug therapy is through oral medications, although other forms such as injections and topical creams may also be used depending on the individual's medical situation.

Generally, patients will take their medication once per day and it is important that they take it at the same time every day in order to ensure its effectiveness.

Antiplatelet drug therapy works by preventing platelets from sticking together and forming a clot, which can block the flow of blood to the heart, brain, or other organs.

Steps to perform before the procedure

Ask the doctor about proper medication use and potential side effects of the medication(s).

Avoid activities that could increase risk of bleeding (e.g., contact sports).

Steps to perform during the procedure

  • Take antiplatelet medications as prescribed by doctor/healthcare provider (usually at least once daily).
  • Follow all instructions for taking medications properly (e.g., with food, drink, etc.).
  • Monitor blood pressure, heart rate, and other vital signs regularly while on antiplatelet drug therapy (as directed by healthcare provider).
  • Report any side effects or unusual symptoms immediately to healthcare provider (e..g., bleeding or bruising more easily than normal).

Steps to perform after the procedure

Continue taking antiplatelet drugs as prescribed by doctor/healthcare provider for as long as recommended by healthcare provider or until a new treatment plan is established with different medications/therapies (if applicable).

How much does Antiplatelet drug therapy cost in India?

The cost of antiplatelet drug therapy varies depending on which medication(s) are prescribed but typically ranges between Rs 500-2000 per month.

What to eat After Antiplatelet drug therapy?

  • Eat a well-balanced diet that includes plenty of fresh fruits and vegetables, whole grains, lean proteins, and low-fat dairy products.
  • Foods high in saturated fat, trans fat, cholesterol, salt, and added sugar should be avoided.
  • Limit high-sodium processed meals such as canned soups and frozen dinners.
  • Instead of butter or margarine, use healthy fats like olive oil when you cook or bake.
  • If you want to decrease inflammation and cholesterol, eating fish at least twice a week is a good way to start.
  • Avoid alcohol or limit it to one drink per day for women and two drinks per day for men to reduce the risk of bleeding complications from antiplatelet drugs such as aspirin or clopidogrel (Plavix).
  • Talk to your doctor about any dietary supplements you are taking as some may interact with antiplatelet drugs or increase bleeding risk.

Is Antiplatelet Drug Therapy Safe?

Antiplatelet drug therapy is generally safe when taken as prescribed by your doctor and monitored closely during follow-up visits. However, certain patients may have a higher risk of bleeding than others, so it's essential to talk to your doctor about the risks involved before beginning treatment.

Is Antiplatelet Drug therapy Painful?

Antiplatelet drug therapy does not cause any pain or discomfort and most people do not experience any side effects from taking these medications. However, report any serious or ongoing negative effects to your doctor promptly.

How Long Does it Take to recover from Antiplatelet drug therapy?

Individual reaction to antiplatelet medications affects recovery time. Most patients may return to regular activities within a few days after commencing therapy.

What Are the Side Effects of Antiplatelet drug therapy?

  • Antiplatelet drugs may cause:
  • Bleeding, bruising, and/or clotting problems.
  • Nausea and vomiting.
  • Diarrhea or constipation.
  • Stomach pain or cramping.
  • Dizziness or lightheadedness.
  • Headache
  • Skin rash or itching.
  • Muscle pain or weakness.

Antiplatelet drug therapy Aftercare:

  • Aftercare following antiplatelet drug therapy is essential for ensuring that the medication is working correctly and that any side effects are monitored.
  • Patients should be aware of the potential side effects of the medication, such as bleeding or bruising more easily, and should contact their doctor if they experience any of these symptoms.
  • It is also important for patients to take their medications as prescribed and keep up with regular follow-up visits with their doctor to monitor their progress.
  • Patients should also maintain a healthy lifestyle by eating a balanced diet, exercising regularly, and avoiding smoking and excessive alcohol consumption.
  • Additionally, patients should inform their doctor about all medications they are taking including over-the-counter drugs and supplements to ensure there are no potential interactions with the antiplatelet drug therapy.
  • Finally, it is important for patients to understand how antiplatelet drugs work in order to maximize their effectiveness. For example, some antiplatelet drugs work better when taken on an empty stomach while others may need food in order to be absorbed properly into the bloodstream. Understanding these details can help ensure that the medication works correctly and reduces the risk of side effects or complications from taking it incorrectly.

Conclusion:

Antiplatelet Drug Therapy prevents platelets from clumping and forming clots, lowering the chance of a heart attack and stroke. While it has been shown to be effective for many people, there are some risks associated with this type of treatment so it’s important that you discuss all potential risks with your doctor before starting treatment.

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Written ByDrx Hina FirdousPhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child CarePharmacology
Reviewed By
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Reviewed ByDr. Bhupindera Jaswant SinghMD - Consultant PhysicianGeneral Physician

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