I'm a bit worried because my cardiologist just switched my medication from clopidogrel 75mg and aspirin 75mg to clopitab cv 20mg. I took the old meds this morning. Is it okay to start with the new one tonight? If I wait until tomorrow, itll be over 24 hours between doses. What should I do?

Answered by 1 Apollo Doctors

Dr Anshul Maheshwari

General Practitioner

MBBS
5+ Yrs

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If your cardiologist has advised you to switch from clopidogrel 75mg and aspirin 75mg to Clopitab CV 20mg (which combines clopidogrel and a lower dose of aspirin), you can start taking the new medication tonight. This will ensure continuous antiplatelet protection without a significant gap. However, to be absolutely certain and to avoid any potential interaction or complications, it is best to confirm this plan with your healthcare provider or pharmacist.

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Follow Instructions: Adhere to your cardiologist's guidance on medication changes.
Timing: Starting the new medication tonight is generally acceptable to avoid a long gap, but confirm with your healthcare provider.
Avoid Overlap: Do not take both old and new medications together without consulting your doctor.
Contact Provider: Reach out to your cardiologist to confirm the timing and ensure safety.
Immediate Action: If unable to contact your doctor, starting the new medication tonight is usually better than waiting over 24 hours, but only if advised by a healthcare professional.
Monitor: Report any concerns or side effects to your healthcare provider after switching medications.

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I'm really puzzled about something and could use some guidance. All my testsECG, echo, and TMTcame back normal, yet I'm experiencing this weird pain in my chest muscle, especially when I touch it or sit down. There's also this mild pain below my collarbone and at the back of my left rib when I touch those areas. It almost feels like there's some swelling right below my left collarbone, but everything looks normal when I check in the mirror. Any idea what might be going on?

Based on your description, it seems like you may be experiencing musculoskeletal chest pain rather than a cardiac issue since your ECG, echo, and TMT are normal. The pain you are feeling when touching your chest muscles and the mild pain below the collar bone and back side of the left rib could be due to muscle strain or inflammation. To help relieve the pain and swelling, you can try taking over-the-counter pain relievers such as acetaminophen. Additionally, applying a warm compress to the affected area and gently massaging the muscles may also provide some relief. If the pain persists or worsens, it would be advisable to consult with a doctor for further evaluation and management.