MediumGastroenterologyPeptic ulcer bleeding on antiplateletsau-amcau-racp
A 72-year-old man presents with melaena and light-headedness. He is on low-dose aspirin for secondary prevention of myocardial infarction and has a history of osteoarthritis treated with regular ibuprofen. His BP is 90/60 mmHg and pulse 110 bpm. After resuscitation and endoscopic therapy for a bleeding duodenal ulcer, which change to his medications is most appropriate to reduce rebleeding risk while maintaining cardiovascular protection?