antiplatelets Flashcards
ADP Inhibitor(irreversible)
Clopidogrel(PRODRUG), ticlopidine, prasugrel
AA: bleeding, neutropenia, TTP, itch. INT: PPIs reduce effectiveness.
ADP Inhibitor (reversible)
Ticagrelor: reversible inhibitor, better for acute situations.
Glycoprotein IIB/IIA Inhibitor
Abciximab:
Eptifibatide
Tirofiban
Abciximab:
irreversible. Fab fragment against IIB/IIIA.
Eptifibatide:
reversible, binds to fibrinogen site specifically, shorter duration.
Tirofiban:
shorter duration, reversible.
Phosphodiesterase-3 Inhibitors:
increase levels of cAMP, inhibiting aggregation of platelets. Reversible inhibitors of PDE-3. Not as strong of ADP inhibitors. Can maybe also increase adenosine levels which helps with the aggregation shit. VASORELAXATION AT HIGH DOSES.
Cilostazol, dipyridamole: cilo can have dd interactions, dipyri is pH dependent.