Clinical pharmacology of the adenosine diphosphate (ADP) receptor antagonist, clopidogrel

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The thienopyridine derivatives (platelet adenosine diphosphate receptor antagonists), pharmacology and clinical developments.

The thienopyridines, ticlopidine and clopidogrel, are antiplatelet drugs. They are prodrugs and are metabolised in the liver to active metabolites that are non-competitive antagonists of the platelet adenosine diphosphate receptor, P2Y12. Inhibition of platelet aggregation by these drugs is delayed until 24-48 h after administration, with maximal inhibition achieved after 3-5 days. Recovery of ...

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Adenosine-diphosphate (ADP) receptor antagonists for the prevention of cardiovascular disease in type 2 diabetes mellitus.

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Cardiovascular pharmacology of the A2A adenosine receptor antagonist, SCH 58261, in the rat.

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Safety, Tolerability, and Initial Efficacy of AZD6140, the First Reversible Oral Adenosine Diphosphate Receptor Antagonist, Compared With Clopidogrel, in Patients With Non–ST-Segment Elevation Acute Coronary Syndrome

Results The primary end point, the Kaplan-Meier rate of major or minor bleeding through 4 weeks, was 8.1% in the clopidogrel group, 9.8% in the AZD6140 90-mg group, and 8.0% in the AZD6140 180-mg group (p 0.43 and p 0.96, respectively, vs. clopidogrel); the major bleeding rates were 6.9%, 7.1%, and 5.1%, respectively (p 0.91 and p 0.35, respectively, vs. clopidogrel). Although not statistically...

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Development of Microemulsion for Solubility Enhancement of Clopidogrel

Clopidogrel, an inhibitor of platelet aggregation, selectively inhibits the binding of adenosine diphosphate (ADP) to its platelet receptor and the subsequent ADP-mediated activation of the glycoprotein GPIIb/IIIa complex, thereby inhibiting platelet aggregation. Oral bioavailability of clopidogrel is very low (less than 50%), due to its poor water solubility. The aim of this investigation was ...

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ژورنال

عنوان ژورنال: Vascular Medicine

سال: 1998

ISSN: 1358-863X,1477-0377

DOI: 10.1177/1358836x9800300312