Prasugrel Flashcards

0
Q

What is often used prasugrel often used for

A

Reduction of stent thrombosis and other events when stent has be used because of acute coronary syndrome

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1
Q

What is another name for prasugrel

A

Effient

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2
Q

How is prasugrel administered

A

Orally

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3
Q

What’s the major difference between prasugrel and clopidogrel

A

Prasugrel is broken down in a single step by a more common enzyme CYP34A and CYP2B6… In a lesser amount 2C9 and 19.

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4
Q

What is another get thing about prasugrel

A

No drug interactions ESP with P450 inhibitors or inducers

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5
Q

Like clopidogrel, prasugrel also has a black box warning. Why.

A

It can cause major bleeding and at a higher rate than other drugs in this category

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6
Q

Because of the black box warning label prasugrel has, what type of patients should we carefully monitor

A

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

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7
Q

What’s one good thing about prasugrel pk action

A

Predictable inhibition of ADP induced platelet aggregation

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8
Q

What 3 types of patients should avoid taking prasugrel

A

Patients with ischemic attack
Stroke- increases incidence
Urgent need for surgery like coronary bypass graft surgery

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9
Q

I’m some rare cases what can prasugrel cause

A

Thrombotic thrombocytopenic purpura

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10
Q

What is pci

A

Find answer

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