A 58-year-old male was admitted to the hospital because of recurrent syncope. He had a history of renal transplantation and was taking cyclosporine 200mg daily for the past five years. He was diagnosed with acute coronary syndrome based on his clinical symptoms, hemogram and ECG. Coronary angiography was performed on him after giving him the loading dose of aspirin 300mg and ticagrelor 180mg. Percutaneous coronary intervention was performed which improved his ECG and symptoms.

He was further prescribed with aspirin (100mg daily), ticagrelor (90mg twice daily), atorvastatin (20mg daily), and olmesartan (20mg daily) orally for secondary prevention therapy. After 8 days, he suffered from bleeding from his gums and through stools. What could be the possible reason for this bleeding? How can it be stopped? *This patient case is from Docplexus Editorial Team for educative purpose only.…