Antiplatelet Medications - Summary Table
Aspirin - Inhibits cyclooxygenase, preventing formation of thromboxane A2
• Acute coronary syndrome (in combination with P2Y12 inhibitor and anticoagulation)
• Acute stroke
• Primary and secondary prevention of cardiovascular disease
• Alternative to anticoagulation in a-fib
P2Y12 Inhibitors (clopidogrel, prasugrel, ticagrelor) - Inhibits the P2Y12 ADP receptor, preventing platelet activation
• Acute coronary syndrome (in combination with aspirin and anticoagulation)
• Secondary prevention of stroke
• As an alternative to aspirin in aspirin-allergic patients
GP IIb/IIIa Inhibitors (eptifibatide, tirofiban, abciximab) - Inhibits the GP IIb/IIIa receptor, preventing platelet aggregation
• Limited use peri-PCI in acute coronary syndrome
Dipyridamole - PDE5 inhibition (and PDE3 inhibition to lesser extent)
• Secondary stroke prevention (usually in combination with aspirin)
• Use in myocardial nuclear imaging
Cilostazol - PDE3 inhibition
• Peripheral artery disease
Dr. Eric Strong https://twitter.com/DrEricStrong
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