Plavix and coumadin prior to surgery

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Anticoagulation and Antiplatelet Therapy in Urologic Practice ICUD. Plavix at recommended doses forms less of the active metabolite and so has a reduced effect on platelet activity in patients who are homozygous for nonfunctional alleles of the CYP2C19 gene, (termed "CYP2C19 poor metabolizers"). Anticoagulation <strong>and</strong> Antiplatelet Therapy in Urologic Practice ICUD.
Medications include a statin, aspirin, and clopidogrel. Enoxaparin therapy was withheld on the evening before the procedure and restarted at 12 to 48 hours.

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