Question

My father is taking blood thinner ecosprin with some other medicines for heart due to the stents fixed. Now faced duodenal ulcer bleeding and taking medicines along with heart medicines. If he has to get complete cure ,blood thinner can be replaced by magnesium or any other supplement? And what medicines should be avoided?

Dr.Paramjeet Singh · Accepted Answer

In general every patient who has a significant blockage in the heart or has a history of heart attack should be on at least 4 types of medications
1) antiplatelets which increase the clotting time of blood and decrease chances of future heart attacks and Re-stenosis of the stent. Initially you are kept on two types of antiplatelets and depending upon your disease and your progress your then shifted to single antiplatelet after 6 months or 1 year. 
Eg: ecosprin, clopidogrel, Prasugrel, brillianta
2) Statins - are cholesterol lowering medications which are supposed to again prevent future heart attacks.  Eg. Tonact / atorvas
3) ARB / ACE Inhibitors - which help decreasing pressure on the heart and prevents remodeling injuries. Eg. Cardace / telma
4) Beta Blockers - They decrease the heart rate thereby reducing the work load on the heart and decrease BP also. 
eg. Atenolol / Betaloc / metolar /bisoprolol or Ivabradine
usually all post angioplasty patients are kept on at least these 4 types of medications and depending upon the side effects and contraindications of medications are changed and slowly over period of time the dosage of these medications are decreased depending upon the recovery
Get back to me with the reports for a detailed consultation.

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