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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Dr. Gerald Diaz @GeraldMD · 4 years ago
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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