APIXABAN vs CLOPIDOGREL

**🛎️ DING 🛎️ DING 🛎️ DING** Clinicians… **Are.**  **You.**  **Ready?** For a fight messier than ward politics… For a battle bloodier than supratherapeutic INR… For a tussle rougher than back-to-back night shifts… For the very first time, two clot-stopping heavyweights step into the ring. 

Okay, so picture this: you’re the stroke consultant. You have a patient with recurrent ischaemic stroke. You’ve *already* covered them with clopidogrel. What more can you do 🤔? Your apixaban is collecting dust because the patient doesn’t have AF.  So the PA asks “Hey, what if we gave this patient a

(I'm on inpatient neurology now...) What cause of intracranial hemorrhage is treated with tPA? >!Venous sinus thrombosis!< What drug can you use to treat migraine in pregnancy? >!Botox injections!< What is the effect of pregnancy on migraines? >!Makes migraines less severe!< The "v

Time to quiz you little nerds … who can tell me how long we treat a ***provoked*** VTE for? …Anyone?? To the trained *Passmed* monkeys who blurted “3 months!”, well done. Have a cookie 🍪 But just pause that Pavlovian hand-raise for a sec. **Why** ***three*** **months?** Why not two? or four? http

**Background:** Hi everyone! I’m a foreign pharmacy graduate from the Philippines who graduated in 2020 and moved to the US in 2021. From there I started working as a full-time hospital pharmacy technician, passed the FPGEE in 2022, completed internship hours in 2023, and recently passed the NAPLEX

Okay, so picture this: you’re the stroke consultant. You have a patient with recurrent ischaemic stroke. You’ve *already* covered them with clopidogrel. What more can you do 🤔? Your apixaban is collecting dust because the patient doesn’t have AF.  So the PA asks “Hey, what if we gave this patient a

UPDATE: I PASSED 😭😭😭😭 I took the test yesterday, and honestly, it felt pretty random. It was confusing rather than difficult. Some of the tables were hard to read or figure out. There were also a few weird management questions with vague answer choices.Time was really tight — I’d definitely reco

Hell yeah! Sorry to nerd out, but **nothing** is better than a head-to-head intervention study. **Nothing**. Not even…well… you know 😏 We’ve had [Ozempic Vs Zepbound](https://thehandover.beehiiv.com/p/calcium-catfish-glp-1-war-and-blood-bots). We’ve had [Prostate Biopsies Vs Rectal Ultrasounds](htt

TLDR: 98% recovered from long covid for almost a year. Had multiple symptoms, and tests that showed many things wrong. Tried insane amount of treatments. But a psychology first approach used for chronic pain finally got me out. Before you judge this as me trying to shill an approach, please look at

UPDATE I PASSED !!! Hey everyone, I took the NAPLEX yesterday and wanted to share what stood out to me topic-wise. If I remember anything else as I go along, I’ll add it here hope it helps someone. I don’t think I did well, so take this with a grain of salt. I definitely need to review and piece thi

There is an impostor among us… Do you know who it is? https://preview.redd.it/ktwcb0oy1f2g1.png?width=934&format=png&auto=webp&s=2c2c1500f3bb0fbd2df81291fcd602fa5c3bbda7 Following a heart attack, secondary prevention is a must.  Aspirin. Clopidogrel. Atorvastatin. Ramipril. Spiranolac

**“Err … cloppy-dog-grill?”** Classic. We’ve all butchered a drug name and felt our clinical cred collapse quicker than a 90 year old’s veins. Sadly, juniors everywhere suffer from **mispronouncitis**: a tragic condition characterised by vowel invention and incoherent mumbling when put on the spot.

Finally saw a Doctor after experiencing symptoms of stable angina (chest pain during exertion/exercise) that I've been feeling since the start of April, but finally saw a doctor about it on May 19th. IAMA male in my late 30s. He took my blood pressure and it read as 152/119. He also took an EKG and

I wanted to give an update after roughly one year. Maybe it helps some of you who are afraid of high CAC scores, especially at younger ages. **History:** One and a half years ago, I (then 39 y.o.) accidentally found out that I have a high Lp(a) (>240 nmol/l). This is a red flag, especially with

40, male here. My lpa was 48 mg/dl four years ago. I didn't know what it was and ignored it. Three months ago, it was 137 mg/dl. I read about it and panicked. Consulted a cardiologist who put me on Aztolet 20 (Atorvastatin (20mg) + Clopidogrel (75mg)). I've been on it for the past three months but b