Efficacy of Clopidogrel Drug and Response Prediction with Special Reference to Recent Paradigm Shift
نویسندگان
چکیده
The role of clopidogrel in disruption of platelet aggregation is well known. The variability in clopidogrel response is a well-documented phenomenon and has been widely addressed through pharmacogenomics. CYP2C19 has been considered as genetic predictor of clopidogrel response. Owing to the inter-individual variations, CPIC (Clinical Pharmacogenetics Implementation Consortium) had issued guidelines in compliance with FDA. However, based on the genetic proofs clinical utility is more or less unsuccessful. The use of miRNAs to predict drug response and the introduction of miRNA-pharmacogenomics holds promise to bridge this gap and may improves the clinical utility by synergistically addressing the issue through genetic variations and miRNAs. Sharma AR, Rai PS (2016) Efficacy of Clopidogrel Drug and Response Prediction with Special Reference to Recent Paradigm Shift. Int J Drug Dev & Res 8: 016-019 Volume 8(3): 016-019 (2016)-017 Int J Drug Dev & Res ISSN: 0975-9344 Clopidogrel Clopidogrel Apical Membrane Intestinal Cell Irreversible
منابع مشابه
Resistance to Clopidogrel among Iranian Patients Undergoing Angioplasty Intervention
To study the resistance to standard dosage of clopidogrel among Iranian patients following percutaneous coronary intervention measured by platelet aggregation test.Patients undergoing percutaneous coronary intervention in Imam Hussein Medical center, Tehran, Iran, who were under treatment with aspirin, but had no history of clopidogrel usage, entered the study. Patients received standard dosage...
متن کاملResistance to Clopidogrel among Iranian Patients Undergoing Angioplasty Intervention
To study the resistance to standard dosage of clopidogrel among Iranian patients following percutaneous coronary intervention measured by platelet aggregation test.Patients undergoing percutaneous coronary intervention in Imam Hussein Medical center, Tehran, Iran, who were under treatment with aspirin, but had no history of clopidogrel usage, entered the study. Patients received standard dosage...
متن کاملInfluence of methadone on clopidogrel in addicts on methadone maintenance therapy
Background: Clopidogrel is a prodrug that converts in the liver to an active thiol metabolite, which irreversibly inhibits the platelet P2Y12 adenosine diphosphate receptor. It seems that methadone as CYP2C19 inhibitor affects ticlopidine activity in vivo. This study aimed to test the ability of methadone in changing ticlopidine pharmacokinetics. Methods: We conducted a case–control st...
متن کاملThe prediction of compressive strength of travertines with special reference to laminae-orientation using index tests
In this research, different experimental techniques have been used to determine the strength of four types of travertines, selected from Hamedan and Markazi Provinces, west and central parts of Iran respectively. For this purpose, after sample preparation and assessment of mineral properties, the selected samples were subjected to physical and mechanical tests with special reference to two majo...
متن کاملDrug-induced cholestasis: case report
Background: Clopidogrel is an effective anti-platelet drug that is commonly prescribed for patients with atherosclerotic coronary and peripheral vascular diseases, especially after angioplasty and coronary artery bypass graft surgery. Even though this drug seems safe, there are case reports of important side effects with its use. Case Presentation: The patient was 67 years old male admitted wi...
متن کامل