Pharmacology · single question

A patient is taking aspirin AND clopidogrel and needs a routine dental extraction. The appropriate management is:

  1. No modification needed
  2. Stop both for 7 days
  3. Stop aspirin only
  4. Bridge with heparin
Show answer and explanation

Correct answer: A. No modification needed

  • A. Correct. Current evidence supports continuing dual antiplatelet therapy for routine extractions with local hemostatic measures; stopping risks thrombosis.
  • B. Stopping both unnecessarily exposes the patient to cardiovascular/thrombotic events.
  • C. Selectively stopping aspirin is not indicated for a routine extraction.
  • D. Heparin bridging is for certain anticoagulant (not routine antiplatelet) situations.

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