Platelet aggregation inhibitors: Difference between revisions

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imported>Robert Badgett
imported>Robert Badgett
(Started Drug toxicity)
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[[Thienopyridines]] include [[clopidogrel]], [[ticlopidine]], and the prodrug [[prasugrel]].<ref name="pmid19821273">{{cite journal| author=Sudlow CL, Mason G, Maurice JB, Wedderburn CJ, Hankey GJ| title=Thienopyridine derivatives versus aspirin for preventing stroke and other serious vascular events in high vascular risk patients. | journal=Cochrane Database Syst Rev | year= 2009 | volume=  | issue= 4 | pages= CD001246 | pmid=19821273  
[[Thienopyridines]] include [[clopidogrel]], [[ticlopidine]], and the prodrug [[prasugrel]].<ref name="pmid19821273">{{cite journal| author=Sudlow CL, Mason G, Maurice JB, Wedderburn CJ, Hankey GJ| title=Thienopyridine derivatives versus aspirin for preventing stroke and other serious vascular events in high vascular risk patients. | journal=Cochrane Database Syst Rev | year= 2009 | volume=  | issue= 4 | pages= CD001246 | pmid=19821273  
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=19821273 | doi=10.1002/14651858.CD001246.pub2 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref> They inhibit the ADP receptor.
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=19821273 | doi=10.1002/14651858.CD001246.pub2 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref> They inhibit the ADP receptor.
==Drug toxicity==
Drug toxicity, specifically [[hemorrhage]], is increased if clopidogrel is combined with aspirin.<ref>{{Cite journal
| doi = 10.1001/archinternmed.2010.407
| volume = 170
| issue = 21
| pages = 1926-1933
| last = Shehab
| first = Nadine
| coauthors = Laurence S. Sperling, Scott R. Kegler, Daniel S. Budnitz
| title = National Estimates of Emergency Department Visits for Hemorrhage-Related Adverse Events From Clopidogrel Plus Aspirin and From Warfarin
| journal = Arch Intern Med
| accessdate = 2010-11-23
| date = 2010-11-22
| url = http://archinte.ama-assn.org/cgi/content/abstract/170/21/1926
}}</ref>


==References==
==References==
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Revision as of 08:59, 23 November 2010

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Platelet aggregation inhibitors, also called antiplatelet drugs, are "drugs or agents which antagonize or impair any mechanism leading to blood platelet aggregation, whether during the phases of activation and shape change or following the dense-granule release reaction and stimulation of the prostaglandin-thromboxane system."[1]

Classification

Adenosine diphosphate (ADP) blocker

This includes dipyrimadole.

Cyclooxygenase-1 blockers

Cyclooxygenase-1 blockers include aspirin.

Glycoprotein IIb/IIIa inhibitors

Inhibitors of the platelet glycoprotein GPIIb-IIIa complex (GPIs) include the monoclonal antibody abciximab and the small-molecule agents tirofiban and eptifibatid.

Thienopyridines

Thienopyridines include clopidogrel, ticlopidine, and the prodrug prasugrel.[2] They inhibit the ADP receptor.

Drug toxicity

Drug toxicity, specifically hemorrhage, is increased if clopidogrel is combined with aspirin.[3]

References