Switching directly to prasugrel from clopidogrel results in plavix
drug eluting stents inhibition of platelet aggregation in
aspirintreated subjects. What is the cutoff value for identifying
patients who are low responders to clopidogrel
plavix
type of drug?
Subject with known active pathological
bleeding or heightened risk of bleeding including but not limited
to: gastrointestinal bleeding within 6 months, recent surgery or
trauma. Inability of subject to provide informed consent. How to
optimise clopidogrel therapy?
Plavix drug eluting stents
the lowresponse incidence by aggregometryguided therapy
modification. Clopidogrel for coronary stenting: response
variability, drug resistance, and the effect of pretreatment
platelet reactivity.
In subjects with high residual
levels of plavix drug eluting stents reactivity after receiving
either a maintenance or loading dose of either clopidogrel or
prasugrel, a cross over of thienopyridine treatment to the
alternate medication will occur. Subject must be taking aspirin or
enteric coated aspirin 81 mg325 mg daily. Willing to participate
and sign an informed consent. Subject weight is 60 kg or plavix
drug eluting stents. Subject with a known platelet disorder.
Aspirin and clopidogrel response variability: review of the
published literature. Genetic determinants of response to
clopidogrel and cardiovascular events. Metabolism and disposition
of the thienopyridine antiplatelet drugs ticlopidine, clopidogrel,
and prasugrel in humans. Prasugrel versus clopidogrel in patients
with acute coronary syndromes. Inhibition of platelet aggregation
with prasugrel and clopidogrel: an integrated analysis in 846
subjects.