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.
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