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A 25-year-old man developed epistaxis due to a drug interaction between aspirin and a herbal medicine containing garlic and milk thistle extract.
The man, who had been self-medicating with aspirin 75 mg/day for perceived high blood pressure for the past 2 weeks, presented with a 1-day history of recurrent, worsening epistaxis.
Fluid resuscitation was performed, and the man's nose was...
