HomeAnswersHematologyperipheral vascular diseaseIs it acceptable to take two blood thinners at the same time?

My diabetic father has shooting pain in his right foot. Will blood thinners help?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At December 8, 2020
Reviewed AtJuly 27, 2023

Patient's Query

Hello doctor,

My father is 80 years old. He has diabetes for the past 30 years and hypertensive for the past five years. Has had a bypass before six years and also had a stroke before 14 years.

For the past two days, he had shooting pain in his right foot, so we consulted a podiatrist. He changed his medicine from Maxgalin 75 mg to Maxgalin NT. My father is already feeling better. He also ordered an arterial Doppler. Based on this, he has started him on Cilostazol 50 mg once in the morning for 15 days and then review. He is already taking Ecosprin 75 mg once in the morning and also Arreno twice a day. My father's platelets usually remain close to 150000.

Is it acceptable to take so many thinners, and please review if it can interact with any of his other drugs or have any effect on the heart or brain? Is it safe to take Cilostazol with Pan D or Pan 40? Also, please review his Doppler.

He is now taking Mixtard Insulin 30/70 - 50 units in the morning,13 units in the night, Glycomet GP2 1-0-1, and Linagliptin 5 mg 1-0-0.

His regular medications are Mixtard Insulin 30/70 42 units morning,12 units night, Glycomet GP2 1-0-1, Linagliptin 5 mg, 1-0-0, Fibator 10 mg -0-0-1, Telma CT 40/12.5 - 1/2-0-0, Dynapress 0.4 - 0-0-1, Arreno 1-0-1, Ecosprin 75 1-0-0, Thyronorm 25 mg one tablet on Monday and Thursday two tablets on Friday and Sunday, and capsule Uprise once a month.

Hello,

Welcome to icliniq.com.

He is on blood thinner, drug for peripheral vascular disease, prostate problems, and drug for neuropathic pain.

Among provided list Cilostazol which has been prescribed based on colour Doppler and can interact with Aspirin. However still, these two can be prescribed if necessary.

Arreno also contains Aspirin. So you can stop Aspirin either in Arreno or 75 mg Ecosprin. There is no need to take both Arreno and Ecosprin. You can discuss it with your doctor.

If you have any bleeding or blood in stool symptom, contact your doctor. Pantoprazole can be prescribed if gastritis develops with all these drugs.

There is no major arterial narrowing in the attached Doppler report (attachment removed to protect patient identity) as per my opinion.

Patient's Query

Thank you doctor,

Our cardiologist has started Arreno and Ecosprin so I do not want to touch those. As per our family doctor, he need not start Cilostazol as he is already on the other two thinners. His platelets also stay in the range of 150,000 per microliter of blood. So I guess we will continue with the existing medications. I hope the existing thinners also help in PVD.

Hello,

Welcome back to icliniq.com.

You can continue with the prescribed antiplatelet, vasodilator, and blood thinner. Do not start Cilostazol if it is not necessary. It will interact with Aspirin. If you plan to start Cilostazol, then only Aspirin should be prescribed, or else you can continue the same medicine.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

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