A client is discharged after acute coronary syndrome treated with a drug-eluting stent and starts ticagrelor. Which statement shows correct understanding?
1I will replace the prescribed aspirin with ibuprofen if I develop stomach discomfort while taking ticagrelor.
2I will take ticagrelor twice daily with low-dose aspirin and will not stop either drug on my own.✓ Correct answer
3I can take both ticagrelor tablets together each morning because the total daily dose remains the same.
4I will stop ticagrelor before dental care without contacting the prescriber so bleeding is less likely.
Explanation
During the first year after acute coronary syndrome, ticagrelor is generally taken twice daily with a daily aspirin maintenance dose of 75 to 100 mg. Premature discontinuation increases cardiovascular risk, including stent thrombosis, so the client must not stop therapy without prescriber guidance. Ibuprofen is not a substitute for aspirin, and the two daily doses are not combined.
Clinical reasoning Ticagrelor provides reversible P2Y12 inhibition and is dosed twice daily. After acute coronary syndrome and stenting, interruption can remove protection against a catastrophic thrombotic event.
Decision rule Use the prescribed twice-daily schedule with low-dose aspirin, report bleeding, and coordinate any interruption with the cardiology or prescribing team. Never self-stop or substitute an NSAID.