My mom is on blood thinners and now getting some red spots on legs. Should she change that?

Hello,

Welcome to icliniq.com.

I have seen her reports (attachment removed to protect patient identity).

How old is she? Her platelet was not that low, but was just in a low normal range. Also, these spots are also not dangerous and life-threatening. She should avoid situations which may lead to trauma.

However, it is a usual protocol and I prefer to reduce the dose of Aspirin to 75 mg along with Clopidogrel 75, after one year of stenting. And in the light of these spots, in my opinion, she should be on 75 mg of Aspirin and Clopidogrel along with remaining other medications.

Also, it is better to get her tested for hemogram with platelet. Also, you should contact her treating cardiologist regarding making the change as he knows the details of arteries.

I hope this helps.

Hi,

Welcome back to icliniq.com.

Yes, I have seen those pictures (attachment removed to protect patient identity). She may continue with Atorva 40 only as it is not a blood thinner and cholesterol is under control (but not low).

It is advisable to continue with dual antiplatelets for three years after the stenting, however, it is not wrong to be on a single antiplatelet after one year especially if there is any risk of life-threatening bleeding or history of major bleeding like GI bleeding. But such decisions should not be made on an online basis, but in direct consultation after a thorough examination. So rather than jumping to a single antiplatelet, better to reduce the dose of Aspirin only.