Patient was educated on precautions to be exercised while taking Clopidogrel as follows:
- Patients taking Clopidogrel can present with nose bleeds at the slightest injury. Avoid excessive sneezing and nose picking, which can result in heavy nose bleeds. Also, avoid exposure to extreme cold climate, as the weather in cold seasons dry the mucus membrane out, thus damaging the integrity of nasal mucosa and resulting in nasal bleeds, that can be difficult to stop.
- Patients taking Clopidogrel can present with easy gingival bleeding. Sometimes, the bleeding can be easily precipitated, even during brushing of the teeth. Use a toothbrush with soft bristles. Do not use a regular floss, as it injures the gums and results in swollen gums and intense bleed. Try using a waxed floss, instead of regular floss.
- Avoid drinking grapefruit juice, while you are taking Clopidogrel. Grapefruit juice inhibits the metabolism of Clopidogrel and this can lead to increased blood levels of Clopidogrel for longer duration, leading to toxicity and episodes of bleeding.
- Do not consume alcohol, while you are taking Clopidogrel, as alcohol can increase the effects of blood thinner and consequently, make the blood extra thin, thus resulting episodes of hemorrhage and bleeding.
- Clopidogrel should be avoided in individuals taking NSAIDs and other blood thinners. Taking Clopidogrel along with NSAIDs or other blood thinners concurrently can significantly increase the risk for bleeding episode.
