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PAGE 4 To advertise call (775)727-8787 OCTOBER 2024
are protected against a blood clot in the lung by

your filter, which is designed to catch any clot
before it can get to the lung. Unfortunately, the

IVC filter slightly increases the risk of a recur-

rence of a blood clot in the legs, so it’s important
to keep taking medication to reduce your risk.
Given the serious nature of a blood clot, I
can’t recommend disregarding your doctor’s ad-
vice, although you deserve a thorough explana-
tion from your doctor. If the main issue for your
wanting to change medications is the expense,

you might ask your doctor if there are less-ex-
pensive alternatives that would still be as effec-

tive as Xarelto. The manufacturer also offers a
1. What cyclist representing Great Britain DVT PATIENT SWITCHES TO ASPIRIN
won the Tour de France in 2013 and three WITH GOOD RESULTS program to help with expenses.
straight times from 2015-17? DEAR DR. ROACH: I am an 81-year-old
2. Comedian, actor and entertainer Bill Cosby female who has been on Xarelto for years due ***

was awarded a track and field scholarship to DEAR DR. ROACH: I am a 67-year-old
what university in 1961? to deep vein thrombosis (DVT). I also have an

3. What member of the 1996 Stanley Cup inferior vena cava (IVC) filter. I read that low- woman in good health. I have been taking ome-
champion Colorado Avalanche is the all- dose aspirin (325 mg) is just as effective in pre- prazole for at least 10 years, and it was originally

time leader for goals, assists, points and venting clots in the legs as Xarelto, which is very
games played by a Latvian in the NHL? expensive. My doctor advises against changing prescribed to help chronic cough. With all the
4. Name the tight end for the Los Angeles to aspirin, but won’t give me an explanation as talk of an increased dementia risk from this
Raiders who led the NFL in receptions twice medication, what is the safest way to wean off
with 92 in 1983 and 95 in 1986. to why.
5. A fictional TV network called ESPN8: “The I switched anyway, and the redness in my of it? -- C.H.

Ocho” was introduced in what 2004 sports foot disappeared. After one month of taking 325

comedy film starring Ben Stiller and Vince mg of coated aspirin daily, I have no symptoms ANSWER: There is some evidence that pro-

Vaughn? and actually feel better. What are your thoughts?
6. Daniel Wiffen, gold medalist in the men’s -- A.B. ton-pump inhibitors like omeprazole increase

800-meter freestyle swim at the 2024 Paris dementia risk. But the evidence isn’t strong, and
Olympics, competed for what country? there are studies that haven’t shown a risk. Still,
7. Name the Anaheim Angels third baseman ANSWER: Although aspirin is better than

who was named MVP of the 2002 World Se- nothing, it has been proven to be less effective omeprazole and similar drugs do have the po-

ries? than Xarelto and similar medicines in people tential for long-term side effects, and it is always

Answers: who are at risk for blood clots. In a yearlong worth a periodic trial off of the medicine to see
trial comparing the two, recurrences of DVT whether it is still needed.
(a blood clot in the deep veins of the leg) oc- If you and your physician agree to stop the
7. Troy Glaus.
curred in just over 1% of people taking Xarelto
6. Ireland.
and in 4.4% of people taking aspirin. (This study medication, my usual recommendation is to cut

5. “DodgeBall: A True Underdog Story.”
4. Todd Christensen.
used low-dose aspirin -- 100 mg -- rather than the dose in half for a week, then take it every
3. Sandis Ozolinsh.

the full-dose of 325 mg that you are taking.) The other day for another week before stopping.
2. Temple University.
risk of bleeding was about the same among the People on a high dose may need to cut the dose
1. Chris Froome.
(c) 2024 King Features Syndicate, Inc.
aspirin group and the Xarelto group. in half twice.
Aspirin is an anti-inflammatory, which may Dr. Roach regrets that he is unable to answer

Advertise With Us be why the redness in your foot disappeared. I individual questions, but will incorporate them
(775)727-8787 doubt it had anything to do with a blood clot. in the column whenever possible. Readers may
Call For Affordable Rates. For people at a high risk, I recommend email questions to ToYourGoodHealth@med.

Find out what all the BUZZ is about! against changing from a more-effective med-
icine like Xarelto to aspirin. In your case, you cornell.edu.
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