Clopidogrel

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 08.10.2021

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Synonym(s)

Clopidogrel

Definition
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Antiplatelets. ADP antagonist.

Pharmacodynamics (Effect)
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Selective inhibition of adenosine diphosphate (ADP)-induced platelet aggregation by binding of the active metabolite of clopidogrel to ADP receptors on the surface membranes of platelets (binding is irreversible and persists throughout the platelet life span of 7-10 days).

Secondarily, ADP-induced binding of fibrinogen to its receptors is blocked, but there is no direct effect on the expression of fibrinogen

In contrast to acetylsalicylic acid, clopidogrel has no inhibitory effect on cyclooxygenase and thus not on the synthesis of thromboxane A2 or prostacyclin.

Indication
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Prevention of arteriothromboses in patients with heart attack, coronary syndromes, cerebral ischemia (apoplexy up to 6 months ago), peripheral arterial occlusive disease, among others.

Pregnancy/nursing period
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No use during pregnancy or lactation (insufficient data available).

Dosage and method of use
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Adults/young people > 18 years: once/day 75 mg p.o.

Contraindication
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Hypersensitivity to the active substance, severe liver dysfunction.

Preparations
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Plavix, Iscover

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Last updated on: 08.10.2021