Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.

Can I Combine Asprin And Aleve?

Friday, 16 July 2010 01:12 PM

Question: I had a mini-stroke a few months ago, which caused no side effects other than some vertigo, which has since abated. The doctor prescribed Plavix, which he now says I can replace with low-dose aspirin. I have read a lot about nattokinase, and had been taking it for about three months prior to my stroke. My doctor strongly recommended against using it, saying that there are no reputable clinical studies supporting its use.

I have severe osteoarthritis in both of my knees and take two Aleve a day. I am concerned that adding aspirin to that mix will be too much for my liver and kidneys. Therefore, I would prefer to use the nattokinase as a blood thinner. What do you think?

Dr. Hibberd's Answer:

Your doctor is right. Place your concerns aside and follow the advice of your consultant. Nattokinase is not an appropriate substitution for aspirin and/or Plavix for the very reason you were given. Aspirin is often sufficient, but many now recommend Aspirin-Persantine combinations or Aspirin-Plavix combinations in those for whom aspirin therapy alone is insufficient.

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