Pharmacology · single question
A patient on aspirin AND clopidogrel needs a dental extraction. What medication modification is required?
Show answer and explanation
Correct answer: D. No medication modification required
No modification required. Current AHA/ADA guidelines: continue antiplatelet drugs for routine dental extractions. Risk of thromboembolic event from stopping outweighs manageable bleeding risk.
- A. ❌ Stopping aspirin alone risks thromboembolism; local hemostasis manages bleeding.
- B. ❌ Stopping clopidogrel alone similarly dangerous; not recommended for routine dental procedures.
- C. ❌ Stopping both drugs significantly risks stroke, MI, or stent thrombosis.
- D. ✅ CORRECT – Continue aspirin and clopidogrel; use local hemostasis (sutures, gelfoam, pressure).