Pharmacology · single question

A patient on aspirin and clopidogrel (dual antiplatelet therapy) needs a simple dental procedure. The appropriate management is to:

  1. Proceed without stopping the medications, using local hemostatic measures
  2. Stop both drugs for 7 days first
  3. Switch to warfarin
  4. Cancel all dental care permanently
Show answer and explanation

Correct answer: A. Proceed without stopping the medications, using local hemostatic measures

  • A. Correct. For routine dental procedures, antiplatelet therapy is generally continued; bleeding is controlled with local measures (pressure, sutures, hemostatic agents).
  • B. Stopping antiplatelets risks thrombotic events (stroke/MI) and is usually unnecessary.
  • C. Switching to warfarin is not indicated and adds risk.
  • D. Dental care is not contraindicated—only managed with local hemostasis.

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