Doctor Consultation Note
Patient History:
- In 2021, patient had a heart attack and underwent angioplasty (stent placement).
- Since then, patient has been taking Clopidogrel (Clopid) 75 mg twice daily (total 150 mg).
- Recent CBC report shows platelet count of 130,000/μL (mild thrombocytopenia).
Consultation Questions:
1. Since it's been more than 3 years post-angioplasty, can the Clopidogrel dose be reduced to 75
mg once daily?
2. Is the low platelet count related to long-term Clopidogrel use?
3. Should any monitoring (like platelet function test or repeat CBC) or medicine change be
considered?
Note: No active bleeding, bruising, or other bleeding symptoms at present.
Requesting your advice regarding dose adjustment or further tests.
Answers (1)
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1. Clopidogrel 75mg once a day is sufficient
2. Very unlikely. Mild thrombocytopenia usually doesn't need further evaluation. Can repeat platelet count after 2 weeks.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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