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Should Plavix Intake Be Discontinued For A Shirt Duration While Getting A Tooth Extracted?
Question: I take 75 mg of plavix every day because I have stents. I am going to have my teeth pulled and I need to know how soon before the dental work should I stop taking my plavix and when can I resume taking it after
Brief Answer:
Bleeding usually mild, balance risk of bleeding vrs stroke or heart attack
Detailed Answer:
Hi,
It is understandable to be concerned re the risk of bleeding which also needs to be balanced with the risk of heart attack or stroke.
Bleeding from these procedures is usually mild and can be controlled.
Some persons on anti clotting meds stop 2 to 5 days before but this is only if directed by the dentist who would/should confirm with the cardiologist because of the risk of stopping the medication.
Because of these risks a lot of medical studies have been conducted to determine if discontinuation is necessary or safe.
You can confirm the statement below with your dentist and cardiologist, it is information printed online from the XXXXXXX Dental Association:
(1) in 2013, a systematic review ( a medical study combining information from a lot of different studies)- found that there was no increased of bleeding from persons using one or more anticoagulant when having dental procedures done
This means that they looked at different studies with hundreds of persons using one or two anti clotting meds at a time- there was no increased bleeding
(2) the Dental Association actually wrote a statement along with the Heart Association and College of cardiology- saying that any dentist that are concerned or think that the meds may need to be stopped, need to speak to the person's doctor. This was released in 2007
It would really be in your best interest (to balance the risk of bleeding vrs problems stopping medication) to speak to your dentist and cardiologist.
I hope this helps, feel free to ask any other questions.
Bleeding usually mild, balance risk of bleeding vrs stroke or heart attack
Detailed Answer:
Hi,
It is understandable to be concerned re the risk of bleeding which also needs to be balanced with the risk of heart attack or stroke.
Bleeding from these procedures is usually mild and can be controlled.
Some persons on anti clotting meds stop 2 to 5 days before but this is only if directed by the dentist who would/should confirm with the cardiologist because of the risk of stopping the medication.
Because of these risks a lot of medical studies have been conducted to determine if discontinuation is necessary or safe.
You can confirm the statement below with your dentist and cardiologist, it is information printed online from the XXXXXXX Dental Association:
(1) in 2013, a systematic review ( a medical study combining information from a lot of different studies)- found that there was no increased of bleeding from persons using one or more anticoagulant when having dental procedures done
This means that they looked at different studies with hundreds of persons using one or two anti clotting meds at a time- there was no increased bleeding
(2) the Dental Association actually wrote a statement along with the Heart Association and College of cardiology- saying that any dentist that are concerned or think that the meds may need to be stopped, need to speak to the person's doctor. This was released in 2007
It would really be in your best interest (to balance the risk of bleeding vrs problems stopping medication) to speak to your dentist and cardiologist.
I hope this helps, feel free to ask any other questions.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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