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Pharmacology · single question

The patient needs extraction of teeth. What is the appropriate treatment modification?

  1. Continue the aspirin; no dose change needed
  2. Stop aspirin 7 days before extraction
  3. Double the clonazepam dose on the day of extraction
  4. Add prophylactic antibiotic
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Correct answer: A. Continue the aspirin; no dose change needed

Low-dose aspirin (81 mg) should NOT be discontinued before routine dental extractions. The bleeding risk is negligible and the cardiovascular/ thromboembolic risk of stopping the medication outweighs the minor bleeding risk. Local hemostatic measures (sutures, pressure, gelfoam) are sufficient.

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