Managing Side Effects After Stent Placement: Dizziness and Dry Mouth Concerns

Dizziness and dry mouth?

Hello, Doctor! I underwent a cardiac catheterization and had a stent placed in early June of this year, and I started taking anticoagulant medication daily afterward.
I would like to ask if this stent can never be removed? Do I need to take anticoagulants permanently? Additionally, after starting the medication, I often feel dizzy and experience dry mouth; could these be side effects of the medication? Which specialist should I consult for further evaluation? Thank you.

A Guo, 40~49 year old female. Ask Date: 2020/10/28

Dr. Hong Yuanbin reply Internal Medicine

Hello,
1.
Based on your description, it seems you need to use anticoagulants long-term, which suggests that you have a metal stent.
Some metal stents have a limited lifespan and need to be replaced after a certain period, while others can remain in place for a long time unless they become deformed or damaged.
This depends on the specific type of metal stent you received, and you should consult the physician who placed the stent for more information.
2.
It is indeed necessary to use anticoagulant medications long-term with metal stents.
3.
Regarding whether your symptoms are side effects of the medication, you can inquire at the pharmacy of the hospital that prescribed the anticoagulants.
Typically, medium to large hospitals have free medication consultation services available, so you can ask there.
Thank you for your question.

Reply Date: 2020/10/28

More Info

After undergoing a stent placement procedure, it's common to have concerns about the long-term management of your health, especially regarding medication side effects and the implications of the stent itself. Let's break down your questions and concerns systematically.

Stent Removal and Anticoagulant Therapy
1. Stent Removal: Once a stent is placed in a coronary artery, it is generally not removed. Stents are designed to remain in place permanently to keep the artery open and ensure adequate blood flow to the heart muscle. In some cases, if a stent becomes blocked or if there are complications, further interventions might be necessary, but routine removal is not standard practice.

2. Anticoagulant Medication: After stent placement, patients are typically prescribed anticoagulant medications (such as aspirin and possibly other antiplatelet agents) to prevent blood clots from forming around the stent. The duration of this therapy can vary based on individual risk factors, the type of stent used, and the specific clinical guidelines followed by your healthcare provider. In many cases, patients may need to continue taking these medications for several months or even years, but this decision should be made in consultation with your cardiologist.

Side Effects: Dizziness and Dry Mouth
3. Dizziness: Feeling dizzy or lightheaded can be a side effect of various medications, including those used for anticoagulation. Additionally, it could be related to other factors such as dehydration, low blood pressure, or even anxiety. It’s essential to monitor how often you experience these symptoms and under what circumstances. If dizziness persists or worsens, it’s advisable to consult your healthcare provider to rule out any serious underlying issues.

4. Dry Mouth: Dry mouth (xerostomia) can also be a side effect of certain medications. Some anticoagulants and other medications prescribed for cardiovascular health can lead to decreased saliva production. This condition can be uncomfortable and may lead to difficulties in swallowing or speaking, as well as an increased risk of dental issues. If you suspect that your medications are causing dry mouth, discuss this with your doctor. They may suggest alternatives or recommend strategies to alleviate the symptoms, such as staying hydrated, using saliva substitutes, or adjusting your medication regimen.

Next Steps
Given your symptoms of dizziness and dry mouth, it would be prudent to consult with your primary care physician or a cardiologist. They can evaluate your current medication regimen, assess your symptoms, and determine if any adjustments are necessary. If needed, they may refer you to a specialist, such as an ENT (ear, nose, and throat) doctor for the dry mouth or a neurologist if the dizziness is concerning.

Conclusion
In summary, after stent placement, the stent is typically a permanent fixture, and anticoagulant therapy is often long-term but should be tailored to your specific health needs. Dizziness and dry mouth can be side effects of your medications, and it’s essential to communicate these concerns with your healthcare provider. They can help you navigate these issues and ensure that your treatment plan is both effective and comfortable. Always prioritize open communication with your healthcare team to manage your health effectively.

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