Conversation: The conversation between human and AI assistant.
[|Human|] I recently found out I have AFIB & a blood clot on my heart. They gave me coumaden. Everyone thinks I should switch to Plavic?I am having a time getting my INR regulated & do not like all the restrictions with coumadin. I have bronchial asthma also & need antibiotics almost once a month & it is affecting my INR.
[|AI|]  Hi there, I understand your concern regarding Coumadin, but only this is time tested and effective treatment for blood clot on heart with FIB, Plavix is not enough for this condition and as the risk of blood clot may go outside heart and cause a stroke or embolism is high, so I would strongly recommend Coumadin for at least 6 months. Some newer anticoagulant like Debigatran is also available which do not need INR monitoring but experience with these agents are less. If you are not willing to take Coumadin then you can consult your physician for debigatranHope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health Chat Doctor.