Clopidogrel and proton pump inhibitors

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Interaction between clopidogrel and proton pump inhibitors.

The drug interaction between proton pump inhibitors and clopidogrel has been the subject of much study in recent years. Contradictory results regarding the effect of proton pump inhibitors on platelet reactivity and on clinical outcome in clopidogrel-treated patients have been reported in literature. Concomitant use of omeprazole and clopidogrel was found to decrease the exposure (AUC) to clopi...

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[Clinical significance of interactions between clopidogrel and proton pump inhibitors].

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Drug interaction between clopidogrel and proton pump inhibitors.

Proton pump inhibitors (PPIs) have been recommended for reducing the risk of gastrointestinal bleeding associated with dual antiplatelet therapy (aspirin plus clopidogrel). However, studies have found decreased efficacy of clopidogrel when concurrently administered with a PPI. To determine the mechanism of and evidence for the potential interaction between clopidogrel and PPIs, along with the c...

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Clopidogrel and proton pump inhibitors: a new drug interaction?

Clopidogrel is a thienopyridine platelet antagonist that irreversibly inhibits the binding of adenosine diphosphate to platelet receptors, ultimately leading to inhibition of platelet aggregation. Clopidogel is a prodrug requiring hepatic bioactivation via cytochrome P450 isozymes (CYP2C19, CYP3A4, CYP3A5) to its pharmacologically active form. Inhibition of cytochrome P450 may interfere with me...

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ژورنال

عنوان ژورنال: Canadian Medical Association Journal

سال: 2014

ISSN: 0820-3946,1488-2329

DOI: 10.1503/cmaj.114-0014