tag:blogger.com,1999:blog-18943510.post8319464810815859998..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Pradaxa, Your Days are NumberedDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger30125tag:blogger.com,1999:blog-18943510.post-31283614257667905052012-03-01T07:44:19.953-06:002012-03-01T07:44:19.953-06:00Hi, I was on warfarin for a dvt and was on clexane...Hi, I was on warfarin for a dvt and was on clexane injections until my inr reached appropriate levels. I became allergic to the clexane and so was referred to a haemotologist to see what i could take. He gave me pradaxa to take with the warfarin.<br />Two hours after taking one pradaxa tablet, i had a subarachnoid haemorrage. I was then urged by the neurologist in the hospital to resume the Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-75909154141105534562012-01-11T23:20:57.387-06:002012-01-11T23:20:57.387-06:00I decided on Pradaxa last Feb., 2011. I had strugg...I decided on Pradaxa last Feb., 2011. I had struggled taking Coumadin to get my blood thinned to where my cardiologist wanted it and I tired of the frequent dosage adjustments and getting stuck with the darn needles. Pradaxa seemed like my answer and I asked my doctor about it and he approved. The first week of December, 2011, I entered the hospital with A-Fib. I had previously been in in OctoberEddie S.https://www.blogger.com/profile/08503564993393452099noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-76092327468599945842012-01-05T21:20:34.958-06:002012-01-05T21:20:34.958-06:00Warfarin kills more patients than ANY prescription...Warfarin kills more patients than ANY prescription medication.<br />We move to new drugs for 2 reason....less morbidity, or less mortality. Dabigatran was statistically superior for morbidity (Stroke/Sys. Embolism) as well as having a stastistically significant reduction in vascular death, in trial 3x larger than all the trials for Warfarin combined Seems simple to me.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-37560486032863503442011-12-16T08:16:54.929-06:002011-12-16T08:16:54.929-06:00Thank you Dr Wes for responding! Unfortunately, w...Thank you Dr Wes for responding! Unfortunately, while this information may be tried and true in clinical studies, surgeons in the real world are not convinced - nor willing to take that chance. Would you?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-78506996635101388982011-12-11T08:08:49.879-06:002011-12-11T08:08:49.879-06:00Anony 09:03 -
The half life of dabigatran (Pradax...Anony 09:03 -<br /><br />The half life of dabigatran (Pradaxa) is about 19 hours (hence why it is dosed twice daily). As such, the majority of the drug's effects are gone after two to three days, not ten.DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-80776372656989437792011-12-08T09:03:26.638-06:002011-12-08T09:03:26.638-06:00My mother was on coumadin since 2005 for Afib and ...My mother was on coumadin since 2005 for Afib and also has a pacemaker. She started pradaxa in January 2011. She experienced few if any side effects and although her thin skin bruises very easily the bruising is much less severe and healing time is amazing. Three days ago she suffered a GI bleed. Of course she was admitted to hospital but because she was on pradaxa, her ONLY option was a CT Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-61471162508728622652011-10-22T18:28:26.603-05:002011-10-22T18:28:26.603-05:00Thank you for presenting the pros and cons of Prad...Thank you for presenting the pros and cons of Pradaxa on this website. I wish my husband and I had known that there is no reversal antidote for Pradaxa. His local cardiologist put him on Pradaxa last Feb. Three weeks later he got the call for a heart transplant. He had been on the list for three years. The transplant doctors had not even heard of Pradaxa when we got to UVA. My husband decidedAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-10255909556375825062011-08-28T11:27:43.947-05:002011-08-28T11:27:43.947-05:00J Wilder, MD
Encountered first patient on Pradaxa...J Wilder, MD<br /><br />Encountered first patient on Pradaxa while evaluating for surgery. She is on the medication for AFIB in lieu of coumadin. Her cardiologist recently performed an ablation procedure and ran into bleeding complications. He advised I stop the medication for 1 week instead of the recommended 1-2 days prior to my procedure. the inability to reverse the drug easily should theAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-81619228159208047952011-08-17T02:29:00.316-05:002011-08-17T02:29:00.316-05:00Is Pradaxa basically just a replacement for Warfar...Is Pradaxa basically just a replacement for Warfarin, or is it only for people with Afib? I have Factor V Leiden deficiency with a history of DVT and have been taking Warfarin for ten years, and keeping a stable INR is nearly impossible. Is this something that I could potentially take in lieu of Warfarin?Kalindihttps://www.blogger.com/profile/14281559957484582354noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-30108638470796948682011-07-21T23:01:04.275-05:002011-07-21T23:01:04.275-05:00My 75 year old mom has been on warfarin for severa...My 75 year old mom has been on warfarin for several years, along with tambocor and verapamil... This past spring she began experiencing severe itching and rash. Some criticisms of warfarin have listed this as a long term side effect of warfarin and there was nothing new in her diet, or medicines to otherwise account for these symptoms. The best her doctor suggested was skin lotion (very short Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-88784686324718242502011-07-21T13:40:10.379-05:002011-07-21T13:40:10.379-05:006 months ago My Granmother a sprite healthy active...6 months ago My Granmother a sprite healthy active 90 yr old, not on coumadin , was given Sotalol due to her complaining of dizzyness to her cardiologist, She had this 7 yrs and no falls, injurys, just a bit hypochodriac if anything, She always ate Turkey, veggies walked sevaeral miles a day briskly about the neighborhood, shopped, etc, Well they gave both drugs to her and sent her home Keith Graysonhttp://kdgrayson@live.comnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-75869428683990987532011-07-07T22:01:11.994-05:002011-07-07T22:01:11.994-05:00We just received a trauma patient in our ER who is...We just received a trauma patient in our ER who is on Pradaxa. Almost lost him because of our inability to reverse Pradaxa's effects. What would you rather not do: Bleed or check your INR levels on a regular basis?Mikehttps://www.blogger.com/profile/13936593751286084060noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-50197139470777631862011-06-09T13:23:56.893-05:002011-06-09T13:23:56.893-05:00money, money, money, it's all about money, poc...money, money, money, it's all about money, pockets quite slick, need constant grease, in the form of the greenback we seldom get to keep...<br />as long as it comes in and we are forced to pay, money money, money, will guide the healthcare of today.. maybe in the future.. the care and well being of our people will come out on top... and the slick, green grease will be on the hills, in the Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-19518172833174110322011-06-08T00:10:27.145-05:002011-06-08T00:10:27.145-05:00I've been on Coumadin, and have had problems w...I've been on Coumadin, and have had problems with keeping a steady INR at times, too low, too high, and then I do something that I shouldn't like eat a huge spinach salad, and test two days later perfectly where they want it.<br /><br />I'm now on Pradaxa. No more monthly, weekly, biweekly trips to get tested, no having to remember when I'm scheduled. It took me two bottles Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-54881616664625474952011-05-26T08:13:06.525-05:002011-05-26T08:13:06.525-05:00Pradaxa killed my uncle. His INR levels were not w...Pradaxa killed my uncle. His INR levels were not watched and it caused him to have a massive stroke. The Dr. said they couldnt stop the bleeding due to no counteractive drug.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-74946615542975119122011-05-23T10:31:53.360-05:002011-05-23T10:31:53.360-05:00I work in the healthcare industry and I also worke...I work in the healthcare industry and I also worked in pharma. And Ive lived in both Canada and the US, though Ive lived most my life in MI. <br /><br />I like the fact you're highlighting some of the great reasons pradaxa might be a good product for certain patients. Most drugs have associated risks and concerns like unmanageable bleeding are quite important to consider when looking at theAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-4975471036065213062011-05-21T02:41:57.724-05:002011-05-21T02:41:57.724-05:00Dr. Wes,
I greatly appreciate your post on this m...Dr. Wes,<br /><br />I greatly appreciate your post on this matter and hope you and all your readers will take the next step and post your objections/proposed modifications to this proposed rule per the CMS agency's feedback requirement and before the commenting deadline. <br /><br />For Immediate Release: Thursday, March 31, 2011<br /><br />Contact: <br />CMS Office of Public Affairs<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-49341169606172428332011-05-19T14:04:50.530-05:002011-05-19T14:04:50.530-05:00Anony 01:35pm -
For an individual person, a blog ...Anony 01:35pm -<br /><br />For an individual person, a blog with reach is one of the best ways I know to express my views to effectively change things. Given the corporate control and command of health care delivery today, do you have a better way to express the front line's concerns? If so, let us know.DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-27460842201153994832011-05-19T13:35:22.424-05:002011-05-19T13:35:22.424-05:00If you feel the current ACO rule is unacceptable, ...If you feel the current ACO rule is unacceptable, why don't you take action to change it? Legislators are just that - legislators. They need input from people like yourself. You can't fix a problem if you don't know there's a problem to begin with.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-37832238665008550792011-05-15T21:58:55.311-05:002011-05-15T21:58:55.311-05:00so, now what....???? My first question was "h...so, now what....???? My first question was "how to measure 'how' thin the blood is"....told it just does it correctly.....not so sure after reading this....now what do you do or say to a doc who really wants and thinks this is the best drug for you....besides of course,finding another doc.....as for me..I have barrets esph. and don't think this is a good idea for me...and Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-61833787953101268642011-04-17T20:06:38.674-05:002011-04-17T20:06:38.674-05:00Several years back, my husband experienced lower e...Several years back, my husband experienced lower extremity blood clots and a PE. Due to his Crohn's disease and short bowel, his INR levels on Coumadin were too erratic. He was switched to Lovenox and clotted while on Lovenox. He was then successfully switched to Arixtra. All went well for awhile - until last week. He clotted while on Arixtra. Fortunately, Pradaxa is available. And, Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-40777636428070953022011-04-14T06:55:44.235-05:002011-04-14T06:55:44.235-05:00wes i am being put into a conner by my pc dr he wa...wes i am being put into a conner by my pc dr he wants to take me off warfin and start pradaxa after reading ur info i do not think i will do it i have a hard time keeping my level right but like others have said at least they know what to do for me while on warfinAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-85533837372462875182011-04-07T11:20:00.680-05:002011-04-07T11:20:00.680-05:00Anon at 2:21 - what about those people who cannot ...Anon at 2:21 - what about those people who cannot take warfarin because it interacts with some other medication they need?<br /><br />My mother who passed away last summer, had lung cancer (no, before you ask, she has never smoked nor did anybody in the family). She had a rare ALK-EML mutation for which there was an effective drug (crizotinib) in clinical trials. She had aetrial fibrillation a Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-59967627790804961262011-04-05T02:21:46.881-05:002011-04-05T02:21:46.881-05:00We in the ED, and our Trauma Surgeons, dislike thi...We in the ED, and our Trauma Surgeons, dislike this drug. Any anticoagulant without a workable reversal agent is... gravity waiting for death.<br /><br />Fall and bang your head on Coumadin? It's bad, but we have Vitamin K and FFP.<br /><br />Fall and bang your head on Plavix? We have platelets to transfuse, so it's not perfectly awful, but not great.<br /><br />Now, fall and bang your Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-65038927361843233352011-04-04T13:09:37.561-05:002011-04-04T13:09:37.561-05:00So ...it looks like the ACO's is the " De...So ...it looks like the ACO's is the " Death Panel " the democrats told us did not exist ! God help us all !Anonymousnoreply@blogger.com