Do My Medications Include Blood Thinners or Antiplatelet Drugs? - Pharmacology

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Do I have any anticoagulants in my medication?


Hello, doctor.

1.
I have been experiencing severe stomach issues recently and need to undergo an endoscopy.
The precautions for the endoscopy state that I should not take anticoagulants or antiplatelet medications.

2.
I have left ear inner ear lymphatic fluid edema, and I am currently taking Fluzine 5 mg after dinner for one month, as well as Rasito 40 mg, half a tablet daily for seven days.
Could you please let me know if these medications are anticoagulants or antiplatelet agents? Thank you.

Xiao Lin, 20~29 year old female. Ask Date: 2019/05/11

Dr. Hou Fangmin reply Pharmacology


Hello, Xiaolin:
1.
FLUZINE 5MG is used for nausea, dizziness, vestibular disorders, motion sickness, and peripheral vascular circulation issues.
It is best to avoid combining it with alcohol, sleeping pills, or sedatives, and it is not an anticoagulant.

2.
Rasito 40mg is used as a diuretic and for hypertension.
It is advisable not to take it at night as it may lead to increased urination, affecting sleep quality.
Be aware of signs of electrolyte imbalance (such as loss of appetite, dry mouth, thirst, and rapid heartbeat).
If you need to undergo an endoscopy, it will not be affected.
Wishing you a smooth and safe endoscopy.

Reply Date: 2019/05/11

More Info


When considering whether your medications include blood thinners or antiplatelet drugs, it’s essential to understand the classifications and mechanisms of the medications you are currently taking. Based on the information provided, you are taking Fluzine (which contains flunarizine) and Rasito (which contains rabeprazole).
Fluzine (Flunarizine) is primarily a calcium channel blocker that is used to treat various conditions, including vestibular disorders and migraines. It works by inhibiting calcium influx into cells, which can help in reducing the symptoms associated with inner ear disorders. Flunarizine is not classified as a blood thinner or an antiplatelet drug. It does not have anticoagulant properties and is not known to affect platelet aggregation significantly.

Rasito (Rabeprazole) is a proton pump inhibitor (PPI) used to reduce stomach acid production. It is commonly prescribed for conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers. Rabeprazole does not have any anticoagulant or antiplatelet effects. Its primary function is to inhibit the proton pump in the stomach lining, thereby decreasing gastric acid secretion.

Given that neither Fluzine nor Rasito are classified as blood thinners or antiplatelet medications, you should be safe to proceed with your gastroscopy. However, it is crucial to consider any other medications or supplements you may be taking, as some substances can have blood-thinning effects. Common blood thinners include warfarin, direct oral anticoagulants (like apixaban or rivaroxaban), and antiplatelet drugs such as aspirin or clopidogrel.

If you are taking any additional medications, particularly over-the-counter supplements or herbal products, it is important to review those as well. For instance, supplements like fish oil, ginkgo biloba, or vitamin E can have blood-thinning effects and may need to be discontinued prior to procedures like a gastroscopy to minimize the risk of bleeding.

Before your procedure, it is advisable to inform your healthcare provider about all medications and supplements you are taking. They can provide personalized advice based on your complete medical history and current medication regimen. Additionally, if you have any concerns about potential interactions or the effects of your medications, do not hesitate to reach out to your healthcare provider or pharmacist for clarification.

In summary, based on the medications you mentioned (Fluzine and Rasito), you are not currently taking any blood thinners or antiplatelet drugs. However, always ensure that you disclose all medications to your healthcare provider before any medical procedure to ensure your safety and well-being.

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