Dear Dr. Good Morning. I have had angioplasty performed on me in March 2017. Have been taking prasugrel 10 mg daily. For last two months dark blue patches have emerged on my left arm and abdomen. They pain. Stopped taking Prosudec 10 for last three days. Pain has begin to emerge in my heart. What should I do. Presently I am much away from any cardiologist. Please guide. Thanks 59 years.

Dr. Gopi ACardiologist30yrs exp

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Hello, since it has been less than 1 year since your angioplasty it is very important that you take your proper dose of blood thinners and prasugrel is one of them the other being aspirin. So would advise you not to stop prasugrel as there is a risk of the stent getting blocked. However it appears that you may be having bleeding in to the skin (dark blue patches) hence may be advisable to change from prasugrel to a less powerful blood thinner. Please contact your regular cardiologist/ physician for the same and they will able to help you with an alternative medicine.  

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