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  Can you briefly discuss what 'Ticlid' is and how it is used
  relating to the brain?  Would it be used in a patient who had a
  bleeding stroke in the past(four years ago)? Would it be used
  in the presence of an aneurysm?  Thank you
Thanks for your question.  Ticlopidine (Ticlid) is an anti-platelet medication
that was frequently used in patients with risks for small-vessel stroke and
who were "intolerant" to aspirin (because of allergies, gastro-intestinal
problems, etc.).  Its use has decrease recently because of the emergence
a new drug of the same class, clopidogrel (Plavix) which does not have the
same potential hematologic side-effects of ticlopidine, i.e. thrombocytopenia
(decrease in the number of circulating platelets).  Anti-platelet medications
are usually not used when a patient has long-term bleeding problems, or
acutely shortly after a hemorrhagic episode.  However a remote hemorrhagic
stroke is not a contraindication, unless it results from persistent bleeding/
clotting problems.  Anti-platelet medications might be used in an unruptured/
unresectable aneurysm to decrease the risk of a clot formation.
I hope this information is helpful.  Best of luck.
This information is provided for general medical education purposes only.
Please consult your doctor regarding diagnostic and treatment options.

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