Aspirin: Long-term use of aspirin can increase LDH levels, as noted in my patient with Essential Thrombocythemia . This was pointed out by a hematologist in Madurai. While this finding was new to me, no major clinical significance has been attributed to it. Ticagrelor: I recently encountered a patient who developed tongue bleeding from a small wound while on ticagrelor. On searching, I found that grapefruit and grape juice should be avoided with ticagrelor .
Other cautions include avoiding alcohol, sodium, ginger, and fatty foods. The question is: do these carry practical value in routine clinical care, or are they overstated warnings? Clopidogrel: This drug also carries advisories regarding avoidance of foods like lime and others, but again, whether this has practical implications remains unclear. I have not come across many cardiologists in practice actively advising patients on these…