72 y/o male, post-MI, discharged on dual antiplatelet therapy. Continue clopidogrel 75 mg daily for 3 months, then reassess bleeding risk.
Patient is concurrently prescribed omeprazole for reflux. Reviewer note: omeprazole reduces clopidogrel activation via CYP2C19 — switch to pantoprazole. DAPT duration should be 12 months per current guidance.
- Output received via API
- Routed — interventional cardiology
- Evidence checked, correction issued
- Signed record returned