Therefore, having considered that aspirin might lead to us both positive and negative effects, we should use aspirin correctly and effectively. However, the effects of aspirin on cancer or other diseases were likely to appear when people take aspirin more than three years. Nevertheless, some benefits would still maintain after a long-term user stop taking aspirin (Brown, 2014). In the meantime, it is generally accepted that the excess bleeding is the major threat related with the usage of aspirin, and its fatality rate increased with age. As a consequence, in order to balance the benefits and harms through using aspirin, for one thing, doctors must provide the appropriate treatment plan and the best care to identify exactly the diseases that
Coumadin (non specific name: warfarin) is an anticoagulant, or blood diminishing drug, that is endorsed to numerous patients who are at danger for creating blood clusters that could bring about heart assaults or strokes. Warfarin is near the most astounding purpose recently and simultaneous investigations of medications that provoke ER visits and occurring an expansion in healing center based offices with the affirmation of patients. Anticoagulation treatment stances perils to patients and over and over prompts unfavorable solution events in light of complex dosing, fundamental ensuing watching, and clashing patient consistence. As a result, various patients who meet current evidence based principles for warfarin treatment are not being managed
Due to the corporate competition between large pharmaceutical companies and their purpose as a business to “make money,” modern medicine is often characterized by the overuse of chemical drugs. Under current US law, it is perfectly legal to pay doctors to promote drugs. Big Pharma, the collective group of big pharmaceutical companies, continues to pay billions of dollars to doctors promoting and prescribing their drugs. The common assumption when one goes to the doctor is that he or she is going to get the best medication to cure his or her illness or disease. Sometimes, the medicine fixes the problem in the short term, but it does not target the underlying cause. On top of this, the drugs may aim to fix one problem but can cause unwanted side effects in the process. This creates the never-ending cycle of dependency on chemical drugs as patients are often prescribed more drugs to deal with the new problems that are created.
However, 32 patients (42.1%) were using Warfarin prior to Dabigatran. The prior use of Warfarin was significantly associated with bleeding (p= 0.014), hospitalization (p< 0.001) , and death (p= 0.007). This was more prominent in older patients > 75 years, and in patients with comorbid conditions. The rate of hospitalization in the cohort for fifty one patients was (67.1%). There were no significant associations between hospitalization, and the tested variables. The levels of hemoglobin (taken as mean of 3 values) ≥130 versus 65 years. The causes of death in patients using Dabigatran were not relevant to the drug as per the death certificates (p <0.611), [Table 3]. The reported causes of death were attributed to TE, cardiac, and respiratory arrests. The only variables that were significantly associated with death were TE [p= 0.024, (95% CI for B= 0.44 - 0.586)], and blood transfusion [p= 0.011, (95% CI for B=0.085 - 0.639];
In this experiment the concentration of acetyl salicylic acid (ASA) in an aspirin tablet will be determined. This can be done by dissolving a tablet in a strong base, NaOH, and titration it with a strong acid, HCl. The quantity was found to be about 75.5% of the weight of the tablet, or about 318 mg per tablet. This value tells the pharmaceutical companies how much to state the recommended dosage as based on how much ASA is needed to feel the headache and pain resistant effects. Also it can be used to state precautions for the customers based on the known LD50 value (200 mg/kg).
The PLATO (Platelet Inhibition and Patient Outcomes) study was a large head-to-head patient outcomes study of Brilinta versus Plavix. The study was conducted to determine whether Brilinta with aspirin was superior to Plavix with aspirin for prevention of vascular events and death in a broad population of patients presenting with an ACS. The PLATO trials, a randomized, double-blind, double-dummy, event-driven trial, studied 18,624 patients which were hospitalized for an ACS, with or without ST-segment elevation. Treatment for these patients included either primary PCI procedure or medical management. Of those patients participating, 11,289 had at least 1 intracoronary stent. Patients were randomly given either a loading dose of Brilinta 180 mg with a maintenance dose of 90 mg twice daily, or a loading dose of Plavix 300 mg with a maintenance dose of 75 mg daily. All patients received aspirin at a dose of 325 mg daily for up to 6 months and dosage was decreased thereafter. At 12 months, 176 cases of definite stent thrombosis had occurred. Brilinta, compared to Plavix, reduced definite stent thrombosis (71 versus 105). Additionally, 275 events of definite or probable stent thrombosis and 355 events of any stent thrombosis also were documented. Again, Brilinta decreased the occurrence in probable stent thrombosis (118
NSAIDs can lead to an increased risk of adverse cardiovascular thrombotic events, including MI and stroke. Platelet adhesion and aggregation may be decreased with Naproxen, prolonging bleeding time. Hematologic side effects induced by Naproxen include platelet dysfunction resulting in increased bleeding times, decreased hematocrit, eosinophilia, granulocytopenia, neutropenia, leukopenia, thrombocytopenia, and agranulocytosis. Due to hematologic side effects, a complete blood count and coagulants must be monitored closely (Lexi-Comp,
The two diseases are analogous, as deposits of LDL cholesterol can cause narrowing of blood vessel walls and decrease blood flow in both types of arteries (Chambless et al., 1997). However, coronary artery disease affects the coronary arteries – arteries that branch off of the aorta and deliver blood to the heart (Chambless et al., 1997). Nevertheless, coronary artery disease and carotid artery disease share many common risk factors, including hypertension, diabetes, smoking, and high cholesterol (Chambless et al., 1997). Antiplatelet drugs are commonly prescribed for those suffering from coronary artery disease; thus, many patients who undergo a carotid endarterectomy for carotid artery disease, a procedure that removes material on the inside of an artery in order to correct narrowing, are on blood-thinning medications (Knight, 2003). Two of the most common antiplatelet drugs include acetylsalicylic acid, which is more commonly known as aspirin, and Clopidogrel (Knight, 2003). Both of these drugs can be effective in preventing blood clots in those with coronary artery disease, but they can induce serious complications for those with carotid artery
Aspirin is a non-opioid analgesic, non-steroidal anti-inflammatory, antipyretic, and antiplatelet. It acts to block pain impulses by blocking COX-1 in CNS, reduces inflammation by inhibition of prostaglandin synthesis, antipyretic action results from vasodilation of peripheral vessels; decreases platelet
With access to prescription drugs, people are able to treat a multitude of diseases and illnesses. These drugs help deal with pain, inability to sleep, depression, and much more. Every day we are increasingly living in a world where there is better living through chemicals. However, what most do not seem to see is the rising tide of pain, illness, and ultimately death being caused by the pills people take every day. Most keep drugs in a special place in their minds, where they see them as harmless. Sadly, this is not the case, and in some cases our prescription drugs can be just as harmful as illegal drugs (King 68).
The risk of embolism is one of the major problems in patients with AF. The annual risk of stroke in patients with a CHADS score = 0 is low, 0.36%; yet, the risk or stroke exists. Interestingly, patients with persistent or chronic lone AF have a risk of embolism of 1.3% per year, and this percentage may be low but not absent, especially if we bare in mind the cumulative risk. (4) Although this controversy deals with patients without structural heart disease, patients with AF frequently have hypertension, a condition that increases the risk of embolism (CHADS 1). Oral anticoagulant agents or aspirin
Warfarin is a very common used drug worldwide. Warfarin is used to prevent harmful blood clots from forming or growing larger. Beneficial blood clots prevent or stop bleeding, but harmful blood clots can cause a heart attack, stroke, deep vein thrombosis or pulmonary embolism. Although warfarin is commonly used, its management is very challenging. First, it has a very narrow therapeutic index- increased anticoagulant effect puts the patients at a risk of bleeding, while decreased anticoagulant effect puts them at a risk of thromboembolic disorders such as heart attack and stroke. And second, the wide variation among patients in drug response. Therefore, it needs long time to determine the adequate dosage for each patient. Complications from inappropriate warfarin dosing are among the adverse events most frequently reported to the US
Everyone loves pain relievers for one thing, their ability to take away all the sores and pain from whatever ails at the moment. However, the FDA is strengthening its warning about pain relievers and how they increase the risk for heart attack and stroke from the ingredient known as NSAID or Non-Steroidal Anti-Inflammatory Drug (http://www.webmd.com/arthritis/features/pain-relief-how-nsaids-work).
After reading this scenario about this patient, there are a few things that I wonder about and things that could have potentially contributed to this patient’s death. First, I do not understand why they did not place an Ewald tube down this patient and perform some sort of gastric lavage with activated charcoal (Gastric, 2017). They did all the work to stabilize the patient, but did not remove the remainder of the product, causing the acidosis. Basically, I feel that the patient came in with metabolic acidosis because of the aspirin, was stabilized, but then developed metabolic acidosis again. Which could have lead to a whole new list of complications to develop.
This can reduce the tendency of the blood clotting, which helps prevent obstruction of the coronary arteries. Therefore Aspirin can also help prevent future heart attacks which would reduce the strain on the NHS. If the blood vessels are restricted as the result of a build-up of atheroma (fatty deposits) or if it cannot be controlled using medication, interventional procedures surgery may be needed to open up or bypass blocked arteries. A problem with drug treatment is that they aren’t a long term solution, and only increases the time until a more permanent solution is needed. As soon as the drug treatment is stopped then the problem recurs as they medication eliminates/reduces the level of symptoms while they are being taken, however they do not target the
Salicylate poisoning is still one of the major clinical hazards, usually resulting from the accidental ingestion in young children, intentional overdose in both adults and teenagers and the therapeutically obtained intoxication in all ages. (Temple, 1981) As little as 10 to 12 adult 325mg tablets of aspirin can cause mild toxicity in an average five year old child (20kg). (Barile, 2004) Toxicity can range from mild to fatal. Aspirin is relatively easy to obtain as it is an active ingredient in many therapeutic and over the counter products and in several prescription medications. This makes it a very important drug and knowing how it acts as a toxicant is