Can you give too much Plavix?
- Long story short - I give Wendy her medicines at 9am and 9pm every day. She gets Plavix and spironolactone in the morning and Enalapril at night (she also gets furosimide 3 times a day). I just went to give her her evening medicine and I found a plavix pill that I think she spit out this morning. She spends mornings and nights in a spare bathroom because we feed her separately from the other cats and she likes to sleep on a blanket in there. So we typically give her the medicine in the same place every day. So with that being said, I THINK this pill was today's pill but I'm not positive. My husband gave her the meds this morning and in the past he's been oblivious to her spitting out the pills once he thinks she's swallowed them. Usually I'm right there though and notice it immediately. I didn't watch him give her medicine this morning which is why I'm assuming that pill is from this morning, but it could also be from another day and I just didn't notice it until now.
So my question is - should I give her another Plavix dose now? Or wait until the morning to give her the normal dose at the normal time? I don't want her to miss a dose, but I also don't want to accidentally overdose her if she already got some this morning and actually spit that pill out another day.
- Hey there,I've been there and I can understand your frustration. Tiger's vet told me that it is best to skip the "missed" dose and then give the next dose as you do regularly rather than risking giving your kitty too much of a medicine. If you kitty is doing well otherwise then I do not see the harm in maybe missing one dose... I wouldn't risk it but that is just me. I hope you can sort this out.Emily and Tiger (DCM)Emily Valentin-Baker, SSPLicensed Specialist in School PsychologyNationally Certified School Psychologist"Winners never quit. Quitters never win" ~ Mom
- Ugh! I hate this when it happens! Such a quandry ... did they get the pill or not? Was that scrappy looking pill fragment on the floor under the couch from today, yesterday .... last month?!? It's the same sort of brain frizz that happens when they barf soon after getting the medication. Can drive you crazy.I think the best solution is to just return to the normal dosing schedule and not re-give the med. With some meds, there's enough of a dosing buffer before an overdose that you can repeat the dose and not worry (like with cerenia for vomiting).When I got Leo's first Rx for plavix, I asked the pharmacist how soon before it would take effect. Right away (like lasix), or would it take awhile before full effect is achieved. The pharmacist told me that it would take 2-3 doses before full effect. That tells me that the effectiveness of the drug lasts longer than 24 hours. This may be due to that the drug binds to platelet membranes (functional platelets are needed for clots to form). I suspect that it would take longer than 24 hours for enough new plavix-free platelets to be made before normal clotting would occur.Leo gets 1/4 tablet of plavix daily. The pharmacist also told me that if I don't cut the tablet into exact 1/4's not to worry. What he doesn't get today, he will get tomorrow. Or the next day. That info further supports that effects of plavix last longer than 24 hrs.HTHmary & Leo
- I have been in this situation too. Our cardiologist has said the same as everyone has indicated. Skip the missed dose and give it again the next day at the designated time.Plavix can cause GI upset and occassionallymy kitty will vomit it up 15-30 mintues later if she has broken through the protective seal on the gel cap. When this happens, I just dose it again the next day, per his instruction.Good luck,Jordan and Sheba
- Thank you everyone! It makes me feel better to know that I'm not the only one who has run into this situation. I ended up just waiting to give her the normal dose this morning and everything seems fine at the moment! I really appreciate the responses :-).