Hi, welcome to our site. I am Dr Saumya Mittal. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query effient contains prasugrel, besides you are on ecosprin. i think i should tell you that both the medicines are antiplatelet in action platelets are the small cells in the body that help in filling of the wound early so that the bleeding is less and the healing is faster this effect is lost in your case and therefore the bruise now i am not sure from the query that what type of heart attach you had and what was the procedure done and how many blood vessels were blocked. but it is unusual to continue prasugrel beyond 1 year. i would however suggest you continue taking the medicine till you can meet your cardiologist, as i have already said, i dont have complete details of your heart condition I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)