Clopidogrel - Plavix Flashcards
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Questions and Answers

What is the class for clopidogrel/Plavix?

Thienopyridine antiplatelet

What is the MOA for clopidogrel/Plavix?

Inhibits platelet aggregation by blocking activation of the glycoprotein IIb/IIIa complex

What are the indications for clopidogrel/Plavix?

STEMI, moderate to high-risk non-STEMI, substitute for Aspirin for patients unable to take Aspirin

List the contraindications for clopidogrel/Plavix.

<p>Active GI bleeding, intracranial hemorrhage, known hypersensitivity</p> Signup and view all the answers

List adverse reactions/side effects for clopidogrel/Plavix.

<p>Severe neutropenia, thrombotic thrombocyopenic purpura (TTP), GI hemorrhage, cerebral hemorrhage, angioedema, flu-like symptoms</p> Signup and view all the answers

List the drug interactions for clopidogrel/Plavix.

<p>Should not be taken with proton pump inhibitors, use with caution with other anticoagulants (warfarin, aspirin)</p> Signup and view all the answers

How is clopidogrel/Plavix supplied?

<p>75mg and 300mg tablets</p> Signup and view all the answers

List the adult dosage for clopidogrel/Plavix.

<p>Loading dose of 300-600mg PO</p> Signup and view all the answers

List the pediatric dosage for clopidogrel/Plavix.

<p>Not recommended for pediatric population</p> Signup and view all the answers

List the duration of action for clopidogrel/Plavix.

<p>Onset: Rapid, Peak effect: 1hr, Duration: 7-10 days</p> Signup and view all the answers

Study Notes

Clopidogrel (Plavix) Overview

  • Classifies as a thienopyridine antiplatelet medication.
  • Primarily used to prevent blood clots in various cardiovascular conditions.

Mechanism of Action

  • Functions by inhibiting platelet aggregation.
  • Blocks the activation of the glycoprotein IIb/IIIa complex, crucial for platelet clumping.

Indications

  • Effective for ST-elevation myocardial infarction (STEMI) cases.
  • Recommended for moderate to high-risk non-ST-elevation myocardial infarction (non-STEMI).
  • Serves as a substitute for aspirin in patients who cannot tolerate it.

Contraindications

  • Not safe in patients with active gastrointestinal bleeding or recent intracranial hemorrhage.
  • Individuals with known hypersensitivity to clopidogrel should avoid this medication.

Adverse Reactions and Side Effects

  • Potentially severe adverse effects include:
    • Severe neutropenia (low neutrophil count).
    • Thrombotic thrombocytopenic purpura (TTP), a rare but serious condition.
    • Risks of gastrointestinal and cerebral hemorrhage.
    • Angioedema, marked by swelling beneath the skin.
    • Flu-like symptoms may also occur.

Drug Interactions

  • Use caution in combination with proton pump inhibitors, which may reduce clopidogrel's effectiveness.
  • Co-administration with other anticoagulants like warfarin and aspirin necessitates careful monitoring.

Formulation and Dosage

  • Supplied in oral tablet form at strengths of 75mg and 300mg.
  • Loading dose recommended at 300-600mg by mouth for adults.
  • Not advised for pediatric use due to limited safety and efficacy data.

Duration of Action

  • Exhibits rapid onset, with peak effect occurring within 1 hour.
  • Effects can last for 7-10 days, reflecting its role in inhibiting platelet function over an extended period.

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Test your knowledge about Clopidogrel (Plavix) with these flashcards. Each card covers essential information, including its classification, mechanism of action, and clinical indications. Perfect for students in pharmacology or healthcare fields looking to reinforce their understanding.

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