I take plavix for heart and have been taking 2 asprin a day for back pain
What can I take with plavix insted of asprin for back pain?
- Asked
- 30 Jun 2011 by oldhamcarol
- Updated
- 30 Jun 2011
- Topics
- plavix, heart attack, pain, back pain, aspirin
Responses (1)
Hey oldhamcarol,
The only other over the counter med you can take is tylenol (acetominophen) with the Plavix. Ibuprofen is contraindicated due to the following interaction:
ibuprofen ↔ clopidogrel
Applies to: IBU (ibuprofen), Plavix (clopidogrel)
MONITOR: The coadministration of clopidogrel with naproxen resulted in occult gastrointestinal blood loss in healthy volunteers. The mechanism has not been described, but may be due to additive platelet inhibition. The coadministration of nonsteroidal anti-inflammatory drugs (NSAIDs) and clopidogrel should be undertaken with extreme caution. Additionally, some NSAIDs are substrates for the CYP450 isoenzyme 2C9. Clopidogrel inhibits this isoenzyme and therefore may lead to decreased metabolism of these NSAIDs. The clinical magnitude of this interaction is not known.
MANAGEMENT: Close observation for increased NSAID toxicity is recommended if these agents are coadministered with clopidogrel. Patients should also be advised to promptly report any signs of GI bleeding to their caregiver, including pain, swelling, dizziness, weakness, bloody or coffee-ground emesis, or red or black stools, and to avoid any over-the-counter NSAID products.
Best wishes,
Laurie

Further Information
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
Similar Questions
Had a heart attack 10 years ago,3 stents,am on plavix75mg,aspirin 325mg,accuprill 40mg,toprol 75mg?
Posted 22 Jun 2010 • 1 answer
What is the difference between Plavix and Persantine/aspirin?
Posted 3 Aug 2010 • 1 answer
I"m affraid to take plavix. I already take aspirin -and bleed alot when cut.r?
Posted 22 Mar 2011 • 4 answers
My dad is 97 and has been on Plavix for 20 years. He bleeds like a stuck pig! Can he be taken off?
Posted 24 Sep 2017 • 2 answers
What dose of asprin is recommended to give somebody who has just had a heart attack?
Posted 17 Jan 2018 • 2 answers