How do you approach the use of NSAIDs in patients on antiplatelets and/or anticoagulants?

How do you approach the use of NSAIDs in patients on antiplatelets and/or anticoagulants?

• I avoid due to increased bleeding risk
• I recommend alternatives for pain management such as acetaminophen, topicals, etc
• I utilize NSAIDs and low dose aspirin concurrently with close monitoring
• Other