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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Gemfibrozil Prescribed For High Cholesterol Increase The Risk Of Bleeding Stroke?

I am concerned about resuming gemfibrozil for very high cholesterol. I was previously on this med until I had a bleeding stroke. My neurologist informed me I should NEVER take aspirin. Since gemfibrozil seems to have some blood thinning effect will this increase my risk for another bleeding stroke?
Wed, 2 Nov 2016
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General & Family Physician,  's  Response
Hi! I have gone through your questions and I understand your concern.

I would say that Gemfibrozil and Aspirin are not the same group of drugs .Gemifibrozil is used for high cholesterol level , aspirin as real thinning blood. Yes you should not take aspirin.

The only effect that Gemfibrozil has in related to bleeding is Thrombocytopenia ( low platels level) .
This is a side effect that is very rare, less than 0.1%
So the main cause of the bleeding stroke could probably have been something else than Gemfibrozil. The risk oof having bleeding stroke cause of Gemifibrozil is very low.
I suggest todo blood test , check your liver kidney every 3-6 month .

Wish these help .
Thank you for using HCM.If you have any other questions please feel free to ask me .
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Does Gemfibrozil Prescribed For High Cholesterol Increase The Risk Of Bleeding Stroke?

Hi! I have gone through your questions and I understand your concern. I would say that Gemfibrozil and Aspirin are not the same group of drugs .Gemifibrozil is used for high cholesterol level , aspirin as real thinning blood. Yes you should not take aspirin. The only effect that Gemfibrozil has in related to bleeding is Thrombocytopenia ( low platels level) . This is a side effect that is very rare, less than 0.1% So the main cause of the bleeding stroke could probably have been something else than Gemfibrozil. The risk oof having bleeding stroke cause of Gemifibrozil is very low. I suggest todo blood test , check your liver kidney every 3-6 month . Wish these help . Thank you for using HCM.If you have any other questions please feel free to ask me .