رجل عمره ٥٦ سنة بعد احتشاء وتركيب دعامة، يُخرَّج على أسبرين وتيكاجريلور وأتورفاستاتين وبيسوبرولول ورامبريل. الضغط ١١٨/٧٢ والنبض ٦٤. الممرض يراجع معه الأدوية. أي عبارة منه تحتاج تصحيحاً؟

A 56-year-old man after an MI with stenting is discharged on aspirin, ticagrelor, atorvastatin, bisoprolol and ramipril. BP 118/72, HR 64. The nurse reviews his medicines. Which statement needs correcting?

1. I will call if I notice black stools or bleeding that will not stop
2. I will rise slowly from sitting because ramipril can cause dizziness
3. I will tell any doctor or dentist that I take antiplatelets
4. I will stop ticagrelor if I get mild breathlessness, since it means allergy

Answer: D) I will stop ticagrelor if I get mild breathlessness, since it means allergy. Mild dyspnoea is a known ticagrelor side effect that often settles, and the drug is not stopped without the prescriber because early cessation raises stent thrombosis risk. Troublesome or severe dyspnoea is reported.