Table 2.
Practical tips for facilitating patient adherence to the intended duration of clopidogrel with ASA use in practice
ITEM | PRACTICAL TIPS |
---|---|
Initial prescription and consultation note | Write the indication and intended duration of DAPT Specify which antiplatelet agent should be stopped once DAPT is complete Note the intended duration if a PPI is used for gastroprotection |
Patient chart (paper or EMR) or patient profile in the pharmacy system | Document the intended duration of DAPT with the indication and instructions for step-down therapy |
Prescription label | Include instructions for the duration of DAPT (eg, “Continue until [date], then stop”) |
Patient education | Educate the patient on the importance of medication adherence for the intended duration Ensure the patient understands which antiplatelet agent is to be continued when DAPT is complete |
ASA—acetylsalicylic acid, DAPT—dual antiplatelet therapy, EMR—electronic medical record, PPI—proton pump inhibitor.