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Posted inDr. Roach

Many approaches for treating atrial fibrillation

DEAR DR. DONOHUE: Will you please discuss heart fibrillation? I take a medicine for high blood pressure. Medicines for atrial fibrillation made me wild. I also take warfarin for the fibrillation. I’d appreciate any information you have. — M.L. ANSWER: Atrial fibrillation is one of the most common heartbeat irregularities. The atria are the two […]

Posted inDr. Roach

Estrogen, the pluses and minuses

DEAR DR. DONOHUE: My OB-GYN doctor prescribed 25 milligrams of Vagifem (estrogen) vaginal tablets to combat vaginal dryness. I am an older woman and am fearful of starting estrogen replacement therapy. Is this risky? Should I try it? — L.A. ANSWER: You have vaginal atrophy, one of the common consequences of decreased estrogen production, something […]

Posted inDr. Roach

New drug rivals Coumadin

DEAR DR. DONOHUE: What is your opinion of the newly approved drug dabigatran for stroke prevention? My husband and I currently take warfarin (Coumadin). I have had the cardioversion procedure, but it was unsuccessful. — W.G. ANSWER: Pradaxa, dabigatran’s brand name, is the first anticoagulant (blood thinner) to emerge on the scene in more than […]