The basic points to be remembered while prescribing in the above situations are not regularized in the world scenario. I have got a five-point charter for prescription in these cases with the scientific base. Prevention of further thrombosis : Antiplate drugs namely Clopidogrel and or Aspirin inadequate doses depending on the situation along with H2 receptor antagonist or PPI to prevent long-term gastric problems. A newer version of antiplatelets like Prasugrel can be used depending on the necessity. Heart rate limiting drugs: Depending on the heart rate, the rate limiting drug namely beta blocker preferably Metoprolol 25 to 50 mg twice daily only.
No, thrice daily as seen in a number of prescriptions which are not the accepted schedule. Nebivolol can also be used as a once-daily dosage. Ivabradine is nowadays used for the same purpose. In the case of the increase in heart rate needed,…
