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Do you prefer a loading dose of 300mg or 600mg plavix for patients presenting with NSTEMI or unstable angina about to undergo LHC?

Does your preferred dose change if this were in a non-ACS setting with elective outpatient PCI?
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Do you prefer a loading dose of 300 mg or 600 mg Plavix for patients presenting with NSTEMI or unstable angina about to undergo LHC?

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2 Answers
Mednet Member
Mednet Member
Cardiology · Johns Hopkins University
Answered on · Updated on

Interesting question! As a rule of thumb, 600mg loads faster than 300mg. Therefore, it is more important when you anticipate your ballooning/stenting happening sooner rather than later (within minutes/hours). Per guidelines, Plavix is preferred over prasugrel/brilinta for stable angina (which was no...

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Mednet Member
Mednet Member
Cardiology · Bergen Invasive Cardiovascular Consultants
Answered on

600 mg.

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