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Clopidogrel and warfarin

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  • Clopidogrel and warfarin

    Does anybody know in what circumstances this combo would be prescribed?

    I can't see any mention in BNF or NICE guidance.

    If anybody knows of a good reference I would be v grateful if they could share it with me.


  • #2
    Is this a hypothetical question or in real life.?
    Clop often prescribed along with aspirin.
    Please give us exact details of the circumstances.
    johnep

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    • #3
      Real life. Looking at the patients pmr they have been on both for a few months now. I don't have it in front of me at the moment to double check time.

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      • #4
        Thanks, myself would just ensure Dr is aware. Very often meds are changed but old med stays on rpt list in error.
        Good vigilance on your part. If a locum, better check with regular pharmacist first. Perhaps an MUR wiyh this pt.
        I always remember the pt on mephalan who was on repeat. As a DD , not picked up ny a pharmacist.

        johnep

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        • #5
          Thank for your reply.

          As you say there is lots of info on aspirin and clopidogrel but not warfarin on clopidogrel.

          I will speak to GP next week and see if they can give me some more info.

          Thanks again.

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          • #6
            In case this might help for future reference, I find this infographic from BMJ very useful.
            At the bottom right there's a scenario where aspirin and warfarin could be prescribed.

            I've only seen it once in real life and it was recommended by the cardiologist, so if I ever come across the combination would definitely query is not been a mistake

            https://www.bmj.com/content/bmj/supp...ac_v14_web.pdf
            Click image for larger version

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