Prasugrel

Oral health effects

• Prolonged / increased bleeding

  Increased bleeding tendency during and after invasive dental procedures (extractions, scaling and root planing, surgery). Potent antiplatelet, frequently in dual therapy; do not interrupt without cardiology input.

  Clinical management: Use local hemostatic measures (pressure, sutures, oxidized cellulose, tranexamic acid mouthwash). For most procedures, do not interrupt therapy without physician consultation; plan early-day, atraumatic treatment.