Prasugrel Flashcards
What is often used prasugrel often used for
Reduction of stent thrombosis and other events when stent has be used because of acute coronary syndrome
What is another name for prasugrel
Effient
How is prasugrel administered
Orally
What’s the major difference between prasugrel and clopidogrel
Prasugrel is broken down in a single step by a more common enzyme CYP34A and CYP2B6… In a lesser amount 2C9 and 19.
What is another get thing about prasugrel
No drug interactions ESP with P450 inhibitors or inducers
Like clopidogrel, prasugrel also has a black box warning. Why.
It can cause major bleeding and at a higher rate than other drugs in this category
Because of the black box warning label prasugrel has, what type of patients should we carefully monitor
Those below 60kg give a lower dose because they are at a higher risk for bleeding; a daily dose of about 5 or 10mg is good
What’s one good thing about prasugrel pk action
Predictable inhibition of ADP induced platelet aggregation
What 3 types of patients should avoid taking prasugrel
Patients with ischemic attack
Stroke- increases incidence
Urgent need for surgery like coronary bypass graft surgery
I’m some rare cases what can prasugrel cause
Thrombotic thrombocytopenic purpura
What is pci
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