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Interesting reading - gp handbook info re diabetes

  • Thread starter Thread starter badcat
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I mentioned this in another thread here, Aspirin and Xarelto (Rivaroxaban) do not go together.

Here's a quote from the package insert:

XARELTO® can cause bleeding, which can be serious, and rarely may lead to death. This is because XARELTO® is a blood thinner medicine that reduces blood clotting. While you take XARELTO® you are likely to bruise more easily and it may take longer for bleeding to stop.

You may have a higher risk of bleeding if you take XARELTO® and take other medicines that increase your risk of bleeding, including:
Aspirin or aspirin-containing products
Non-steroidal anti-inflammatory drugs (NSAIDs)
Warfarin sodium (Coumadin®, Jantoven®)
Any medicine that contains heparin
Clopidogrel (Plavix®)
Selective serotonin reuptake inhibitors (SSRIs) or serotonin norepinephrine reuptake inhibitors (SNRIs)
Other medicines to prevent or treat blood clots
Click to expand...

https://www.xarelto-us.com/shared/product/xarelto/medication-guide.pdf

https://www.xarelto-us.com/
 
I was taken off asprin by the angiogram performing cardiologist. I am at risk of a stroke. The leaking type.
I'm just thanjful one less tablet to take. I'd bought some for pennies to save gp prescription so now gathering dust.
We were given disprol throughout our childhood, more than paracetamol like kids today.
 
DavidGrahamJones said:
It's surprising the number of people who don't understand that. Having said that, many decades ago, my GP, now long retired, used to prescribe antibiotics to prevent bacterial infections that would find it easier to get a hold while the body was fighting off the virus. I shall probably add that little gem to all the other cods wallop I've been given over the years.
Click to expand...
The majority of all antibiotics are used in farming. https://www.nhs.uk/news/medication/antibiotic-use-in-farm-animals-threatens-human-health/
 
Sadly I feel that "doctoring". i.e. gp's in my experience are rapidly turning into businesses. That has always been the case but is but it is apparent that this is now more so than at any other time in my life. I've talked this over with my brother ( a GP) he agrees. My experience is that now seeing a doctor is more akin to going to quick fit. Its a bish-bosh-bang new tyre/exhaust/drug/op .... "please stand behind the line".... ("for safety you do understand don't you") ... If the government gets its way this approach will increase.
 
Contralto said:
one doc told me that Metformin itself is a blood thinner which is why I had to stop it vefore a procedure. It was on a list of things that had to be stopped for this reason
Click to expand...
I got told it affects the liver and if need to give us meds in op they may cause damage?
 
heli2010 said:
can I ask why aspirin should not be given to diabetics?
Click to expand...

It used to be thought that giving aspirin lowered the risk of hart issues, this was disproved in a large trail of people with Type2. Hence there is no benefit to someone taking an aspirin a day for the rest of their life.
 
One issue with operations is that the drugs used to put you to sleep make the liver and kidneys work harder removing them from your body, hence Metformin is an unnecessary risk when having an operation. I think they only care about Metformin for pre-planned operations, and will not take it into account when deciding about emergency operations.
 
ringi said:
It used to be thought that giving aspirin lowered the risk of hart issues, this was disproved in a large trail of people with Type2. Hence there is no benefit to someone taking an aspirin a day for the rest of their life.
Click to expand...

Agreed except for those already with CVD where there is thought to be some benefit, but the downside is aspirin is not a good idea for those at risk of a stroke caused by bleeding.
 
ringi said:
One issue with operations is that the drugs used to put you to sleep make the liver and kidneys work harder removing them from your body, hence Metformin is an unnecessary risk when having an operation. I think they only care about Metformin for pre-planned operations, and will not take it into account when deciding about emergency operations.
Click to expand...
Yes. A non-essential lifethreatening drug. A drug to help with a condition rather than a disease. Metformin helps not cures.
 
Contralto said:
one doc told me that Metformin itself is a blood thinner
Click to expand...
I find this very hard to believe, if so my GP would not have put me on Metformin if this was 100% correct.

As I have stated before that I already take a anti coagulant Zarelto as directed by my cardio specialist, who also asks what medications I am on when I go to see him. He would no doubt would have told me to desist from taking Metformin.

So have to call BS on this one.
 
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