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Prasugrel

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about 70% following three to five days of dosing at 10 mg daily after a 60-mg loading dose. Platelet aggregation gradually returns to baseline values over five to 9 days after discontinuation of prasugrel, this time course being a reflection of new platelet production rather than pharmacokinetics of prasugrel. Discontinuing clopidogrel 75 mg and initiating prasugrel 10 mg with the next dose resulted in increased inhibition of platelet aggregation, but not greater than that typically produced by a 10-mg maintenance dose of prasugrel alone. Increasing platelet inhibition could increase bleeding risk. The relationship between inhibition of platelet aggregation and clinical activity has not been established.
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and patients with a history of stroke or TIA due to increased risk of bleeding, although several cases have been reported of decreased responsiveness to prasugrel. It has been suggested that the decreased responsiveness observed in prasugrel is likely due to its low but significant frequency of High Platelet Reactivity (HPR).
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to 20 μM or 5 μM ADP, as measured by light transmission aggregometry. Following a 60-mg loading dose of the drug, about 90% of patients had at least 50% inhibition of platelet aggregation by one hour. Maximum platelet inhibition was about 80%. Mean steady-state inhibition of platelet aggregation was
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receptors. Prasugrel inhibits platelet aggregation more rapidly, more consistently, and to a greater extent than clopidogrel. The TRITON-TIMI 38 study compared prasugrel with clopidogrel, and showed that prasugrel reduced rates of ischaemic events, but increased bleeding risk. Overall mortality rates
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liver enzyme needed to activate clopidogrel may not get the full effect. Tests are available to predict if a patient would be susceptible to this problem or not. Unlike clopidogrel, prasugrel is effective in most individual with the exception in patients over the age of 75, weight under 60 kg,
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Wiviott SD, Trenk D, Frelinger AL, O'Donoghue M, Neumann FJ, Michelson AD, et al. (December 2007). "Prasugrel compared with high loading- and maintenance-dose clopidogrel in patients with planned percutaneous coronary intervention: the Prasugrel in Comparison to Clopidogrel for Inhibition of
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Given the risk of bleeding, prasugrel should not be used in people who are older than 75 years, who have low body weight or a history of transient ischemic attacks or strokes. The initiation of prasugrel before coronary angiography outside the context of primary PCI is not recommended.
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The drug was introduced to clinical practice in Canada in 2010 but was subsequently withdrawn by the manufacturer in 2020 as a "business decision". This has left a gap in the management of high-risk patients in certain situations in Canada where Effient was the drug of choice.
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Chew DP, Scott IA, Cullen L, French JK, Briffa TG, Tideman PA, et al. (August 2016). "National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Australian clinical guidelines for the management of acute coronary syndromes 2016".
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O'Donoghue ML, Braunwald E, Antman EM, Murphy SA, Bates ER, Rozenman Y, et al. (September 2009). "Pharmacodynamic effect and clinical efficacy of clopidogrel and prasugrel with or without a proton-pump inhibitor: an analysis of two randomised trials".
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Brandt JT, Payne CD, Wiviott SD, Weerakkody G, Farid NA, Small DS, et al. (January 2007). "A comparison of prasugrel and clopidogrel loading doses on platelet function: magnitude of platelet inhibition is related to active metabolite formation".
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Prasugrel should not be given to people with active pathological bleeding, such as peptic ulcer or a history of transient ischemic attack or stroke, because of higher risk of stroke (thrombotic stroke and intracranial hemorrhage).
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Rehmel JL, Eckstein JA, Farid NA, Heim JB, Kasper SC, Kurihara A, et al. (April 2006). "Interactions of two major metabolites of prasugrel, a thienopyridine antiplatelet agent, with the cytochromes P450".
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Silvano M, Zambon CF, De Rosa G, Plebani M, Pengo V, Napodano M, et al. (February 2011). "A case of resistance to clopidogrel and prasugrel after percutaneous coronary angioplasty".
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Ruff CT, Giugliano RP, Antman EM, Murphy SA, Lotan C, Heuer H, et al. (March 2012). "Safety and efficacy of prasugrel compared with clopidogrel in different regions of the world".
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Prasugrel was approved for use in the European Union in February 2009, and in the US in July 2009, for the reduction of thrombotic cardiovascular events (including
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The reaction of prasugrel (top left) to its active metabolite (R-138727, top right). The two structures at the bottom represent the inactive
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Baker WL, White CM (2009). "Role of prasugrel, a novel P2Y(12) receptor antagonist, in the management of acute coronary syndromes".
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InChI=1S/C20H20FNO3S/c1-12(23)25-18-10-14-11-22(9-8-17(14)26-18)19(20(24)13-6-7-13)15-4-2-3-5-16(15)21/h2-5,10,13,19H,6-9,11H2,1H3
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Bellemain-Appaix A, Kerneis M, O'Connor SA, Silvain J, Cucherat M, Beygui F, et al. (October 2014).
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Wiviott SD, Braunwald E, McCabe CH, Montalescot G, Ruzyllo W, Gottlieb S, et al. (November 2007).
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from the FDA on 12 March 2010, as the estimated 2–14% of the US population who have low levels of the
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Montalescot G, Bolognese L, Dudek D, Goldstein P, Hamm C, Tanguay JF, et al. (September 2013).
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Central nervous system: Headache (6%), dizziness (4%), fatigue (4%), fever (3%), extremity pain (3%)
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Prasugrel does not change the risk of death when given to people who have had a STEMI or NSTEMI.
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Demcsák A, Lantos T, Bálint ER, Hartmann P, Vincze Á, Bajor J, et al. (19 November 2018).
1412:"Implications of the Antiplatelet Therapy Gap Left With Discontinuation of Prasugrel in Canada" 272: 498: 5055: 5025: 5005: 4985: 4955: 4254: 4224: 3834: 3794: 3314: 3217: 3017: 2111: 1932: 1823: 1765: 1715: 1682:
Vaduganathan M, Cannon CP, Cryer BL, Liu Y, Hsieh WH, Doros G, et al. (September 2016).
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to reduce the risk of gastrointestinal bleeding without loss of its antiplatelet effect.
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of about 7 hours (range 2 h to 15 h). Healthy subjects, patients with stable
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Platelet Activation and Aggregation-Thrombolysis in Myocardial Infarction 44 trial".
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Prasugrel has a low potential for interactions. It may, for example, be used with
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Cardiovascular: Hypertension (8%), hypotension (4%), atrial fibrillation (3%),
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Gastrointestinal: Nausea (5%), diarrhea (2%), gastrointestinal hemorrhage (2%)
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Lordkipanidzé M, Marquis-Gravel G, Tanguay JF, Mehta SR, So DY (June 2021).
5075: 5015: 4912: 4897: 4892: 4871: 4819: 4797: 4710: 4680: 4637: 4178: 3712: 3622: 3567: 3557: 3093: 3063: 3041: 3036: 3009: 2958: 2937: 2787: 2726: 2682: 2559: 2502: 2441: 2436: 2417: 2315: 2284: 2196: 2158: 2149: 2132: 2095: 2087: 2052:"Switching from clopidogrel to prasugrel further reduces platelet function" 2036: 1973: 1924: 1807: 1757: 1707: 1646: 1596: 1545: 1447: 1348: 1293: 1222: 1169: 1113: 912: 795: 172: 1339: 1322: 1257: 1160: 1143: 923:(trade name Plavix). These agents reduce the aggregation ("clumping") of 790:
to prevent thrombosis in patients with acute coronary syndrome, including
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Urine (~68% inactive metabolites); feces (27% inactive metabolites)
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claims hydrochloride salt of prasugrel; will expire on 3 July 2021
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Endocrine and metabolic: Hypercholesterolemia/hyperlipidemia (7%)
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Kurokawa T, Fukami T, Yoshida T, Nakajima M (March 2016).
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and marketed in the United States in cooperation with
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Respiratory: Epistaxis (6%), dyspnea (5%), cough (4%)
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claims prasugrel compound; expired on 14 April 2017
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Medication used to prevent formation of blood clots
3296:4'-O-β-D-Glucosyl-9-O-(6''-deoxysaccharosyl)olivil 1995:Warlo EM, Arnesen H, Seljeflot I (December 2019). 5129: 1524:Journal of the American Board of Family Medicine 1484: 377: 2001:receptor antagonism in coronary artery disease" 344: 3763: 3199: 1076:"European Public Assessment Report for Efient" 667:CC(=O)Oc1cc2c(s1)CCN(C2)C(c3ccccc3F)C(=O)C4CC4 4731:Tooltip Plasma membrane monoamine transporter 4653:Tooltip Equilibrative nucleoside transporters 4590:Tooltip Concentrative nucleoside transporters 3185: 2253: 2189:National Center for Biotechnology Information 938:Clopidogrel, unlike prasugrel, was issued a 112: 805:), and ST elevation myocardial infarction ( 3192: 3178: 2260: 2246: 1091: 872:Neuromuscular and skeletal: Back pain (5%) 571: 548: 437: 38: 29: 5138:Adenosine diphosphate receptor inhibitors 2148: 2049: 2026: 2016: 1586: 1576: 1535: 1517: 1437: 1427: 1338: 1283: 1159: 869:Hematologic: Leukopenia (3%), anemia (2%) 457: 5143:Drugs developed by Eli Lilly and Company 4770: 1094:American Journal of Cardiovascular Drugs 967: 544: 417: 290:~7 h (range 2 h to 15 h) 85: 5130: 1954:Journal of Thrombosis and Thrombolysis 902: 786:Prasugrel is used in combination with 562: 241: 216: 3173: 2241: 1468:(FDA). September 2011. Archived from 1137: 1135: 1133: 1131: 743:and an irreversible antagonist of P2Y 517: 497: 229: 103: 71: 2179:"Prasugrel Therapy and CYP Genotype" 2176: 1997:"A brief review on resistance to P2Y 1850:(FDA). 12 March 2010. Archived from 1195: 1193: 996:in the liver to a likewise inactive 828: 327:tetrahydrothienopyridin-2-yl acetate 176: 1905:International Journal of Cardiology 1327:The New England Journal of Medicine 1148:The New England Journal of Medicine 963: 950: 852:thrombotic thrombocytopenic purpura 477: 368: 13: 4152:Tetramethylpyrazine (ligustrazine) 2169: 2116:: CS1 maint: overridden setting ( 1937:: CS1 maint: overridden setting ( 1828:: CS1 maint: overridden setting ( 1770:: CS1 maint: overridden setting ( 1720:: CS1 maint: overridden setting ( 1667:: CS1 maint: overridden setting ( 1609:: CS1 maint: overridden setting ( 1369:: CS1 maint: overridden setting ( 1306:: CS1 maint: overridden setting ( 1243:: CS1 maint: overridden setting ( 1182:: CS1 maint: overridden setting ( 1128: 1068: 837: 819: 776:percutaneous coronary intervention 14: 5184: 2205: 1800:10.1161/CIRCULATIONAHA.107.740324 1500:. Eli Lilly. 2011. Archived from 1190: 955:Prasugrel produces inhibition of 774:(ACS) who are to be managed with 203: 135: 5115: 2875:Direct thrombin (IIa) inhibitors 2303:Glycoprotein IIb/IIIa inhibitors 1688:The American Journal of Medicine 1203:The Medical Journal of Australia 751:drug class. It was developed by 605: 602: 596: 2498:Thromboxane synthase inhibitors 2137:Drug Metabolism and Disposition 2124: 2076:Drug Metabolism and Disposition 2066: 2043: 1988: 1945: 1896: 1866: 1836: 1778: 1728: 1675: 1617: 1552: 1511: 1454: 1106:10.2165/1131209-000000000-00000 1054:European Medicines Agency (EMA) 1032:salt, which is a white powder. 897: 885: 781: 692:Key:DTGLZDAWLRGWQN-UHFFFAOYSA-N 3768:Tooltip Adenosine triphosphate 1403: 1385:"Product information -Effient" 1377: 1314: 1251: 1085: 1042: 988:and is rapidly metabolized by 614: 608: 590: 1: 5096:Receptor/signaling modulators 3458:8-Phenyl-1,3-dipropylxanthine 1639:10.1016/S0140-6736(09)61525-7 1035: 907:Prasugrel is a member of the 723:, sold under the brand names 2736:Low-molecular-weight heparin 2547:Phosphodiesterase inhibitors 2460:Acetylsalicylic acid/Aspirin 1917:10.1016/j.ijcard.2010.10.040 1880:Food and Drug Administration 1848:Food and Drug Administration 1700:10.1016/j.amjmed.2016.03.042 1537:10.3122/jabfm.2012.03.100270 1466:Food and Drug Administration 1015: 1004:(R-138727). R-138727 has an 935:were similar for each drug. 878:Hypersensitivity, including 747:ADP receptors and is of the 7: 927:by irreversibly binding to 770:thrombosis) in people with 10: 5189: 4598:6-Hydroxy-7-methoxyflavone 3305:-ethylcarboxamidoadenosine 2199:. Bookshelf ID: NBK425796. 2184:Medical Genetics Summaries 1429:10.1016/j.cjco.2020.11.021 580:Chemical and physical data 5089: 4930: 4880: 4768: 4751: 4724: 4646: 4583: 4566: 4177: 3756: 3741: 3258: 3227: 3210: 3130: 3102: 3003: 2946: 2873: 2825: 2714: 2708:(with some II inhibition) 2702: 2612: 2603: 2573: 2545: 2488: 2450: 2412: 2344: 2301: 2292: 2018:10.1186/s12959-019-0197-5 1966:10.1007/s11239-010-0533-x 1750:10.1016/j.ahj.2006.10.010 1518:John J, Koshy SK (2012). 842:Adverse effects include: 700: 675: 655: 633: 620: 584: 579: 560: 528: 508: 488: 468: 448: 428: 408: 388: 363: 335: 309: 304: 294: 281: 271: 261: 253: 193: 188: 163: 149: 123: 93: 79: 61: 51: 46: 37: 28: 5153:2-Fluorophenyl compounds 4775:Tooltip Xanthine oxidase 1578:10.3389/fphys.2018.01550 919:(trade name Ticlid) and 792:unstable angina pectoris 737:formation of blood clots 4365:UDP-N-acetylglucosamine 1565:Frontiers in Physiology 860:Dermatologic: Rash (3%) 772:acute coronary syndrome 277:Active metabolite: ~98% 4809:Cinnamomum osmophloeum 3518:Choline theophyllinate 3018:Plasminogen activators 2490:Thromboxane inhibitors 2414:Prostaglandin analogue 2150:10.1124/dmd.115.068221 2088:10.1124/dmd.105.007989 1846:(Press release). U.S. 1738:American Heart Journal 981: 892:proton pump inhibitors 4052:Opiranserin (VVZ-149) 3393:-Cyclopentyladenosine 3080:serine endopeptidases 2614:Vitamin K antagonists 1340:10.1056/NEJMoa1308075 1161:10.1056/NEJMoa0706482 1006:elimination half-life 992:in the intestine and 971: 799:myocardial infarction 761:Eli Lilly and Company 4851:Pistacia integerrima 4157:Ligusticum wallichii 4135:Ligusticum wallichii 3463:8-Phenyltheophylline 3453:8-Chlorotheophylline 3403:Neladenoson dalanate 2827:Direct Xa inhibitors 2659:Ethyl biscoumacetate 2525:Receptor antagonists 1024:atom. It is used in 957:platelet aggregation 2470:Carbasalate calcium 1507:on 31 January 2012. 1215:10.5694/mja16.00368 903:Mechanism of action 225:(Prescription only) 212:(Prescription only) 25: 3157:Never to phase III 3005:Thrombolytic drugs 2721:glycosaminoglycans 2294:Antiplatelet drugs 2281:antiplatelet drugs 2005:Thrombosis Journal 1744:(1): 66.e9–66.16. 1472:on 18 January 2017 1270:(aug06 2): g6269. 1056:. 25 February 2009 1020:Prasugrel has one 994:carboxylesterase 1 990:carboxylesterase 2 982: 753:Daiichi Sankyo Co. 741:platelet inhibitor 21: 5103: 5102: 4926: 4925: 4903:Mycophenolic acid 4762: 4747: 4746: 4577: 4562: 4561: 4558: 4557: 4129:Angelica sinensis 3221: 3167: 3166: 2999: 2998: 2869: 2868: 2599: 2598: 1794:(25): 2923–2932. 1633:(9694): 989–997. 1276:10.1136/bmj.g6269 1154:(20): 2001–2015. 1002:active metabolite 940:black box warning 915:inhibitors, like 829:Contraindications 718: 717: 646:Interactive image 530:CompTox Dashboard 245: 233: 220: 207: 139: 106: 5180: 5120: 5119: 5118: 5111: 4776: 4772: 4766: 4765: 4756: 4732: 4728: 4654: 4650: 4591: 4587: 4581: 4580: 4571: 3965:Rheum officinale 3769: 3765: 3754: 3753: 3498:Caffeine citrate 3448:7-Methylxanthine 3281:-methyladenosine 3225: 3224: 3215: 3194: 3187: 3180: 3171: 3170: 2979:Drotrecogin alfa 2959:Antithrombin III 2810:Dermatan sulfate 2783:Oligosaccharides 2712: 2711: 2610: 2609: 2346:ADP receptor/P2Y 2299: 2298: 2262: 2255: 2248: 2239: 2238: 2233: 2232: 2228: 2220: 2219: 2215: 2200: 2163: 2162: 2152: 2128: 2122: 2121: 2115: 2107: 2070: 2064: 2063: 2061: 2059: 2047: 2041: 2040: 2030: 2020: 1992: 1986: 1985: 1949: 1943: 1942: 1936: 1928: 1900: 1894: 1893: 1891: 1889: 1870: 1864: 1863: 1861: 1859: 1854:on 15 March 2010 1840: 1834: 1833: 1827: 1819: 1782: 1776: 1775: 1769: 1761: 1732: 1726: 1725: 1719: 1711: 1694:(9): 1002–1005. 1679: 1673: 1672: 1666: 1658: 1621: 1615: 1614: 1608: 1600: 1590: 1580: 1556: 1550: 1549: 1539: 1515: 1509: 1508: 1506: 1499: 1491: 1482: 1481: 1479: 1477: 1458: 1452: 1451: 1441: 1431: 1407: 1401: 1400: 1398: 1396: 1381: 1375: 1374: 1368: 1360: 1342: 1333:(11): 999–1010. 1318: 1312: 1311: 1305: 1297: 1287: 1255: 1249: 1248: 1242: 1234: 1197: 1188: 1187: 1181: 1173: 1163: 1139: 1126: 1125: 1089: 1083: 1082: 1080: 1072: 1066: 1065: 1063: 1061: 1046: 964:Pharmacokinetics 951:Pharmacodynamics 788:low-dose aspirin 755:and produced by 735:used to prevent 714: 713: 706: 648: 628: 616: 610: 607: 604: 598: 592: 575: 564: 553: 552: 538: 536: 521: 501: 481: 461: 441: 421: 401: 381: 371: 370: 348: 286: 243: 240: 231: 228: 218: 215: 205: 202: 180: 137: 134: 116: 105: 102: 89: 75: 42: 33: 26: 24: 20: 5188: 5187: 5183: 5182: 5181: 5179: 5178: 5177: 5163:Thienopyridines 5128: 5127: 5126: 5116: 5114: 5106: 5104: 5099: 5085: 4922: 4876: 4774: 4755: 4743: 4730: 4720: 4716:Propentofylline 4666:Benzodiazepines 4652: 4642: 4589: 4570: 4554: 4173: 4124:Sodium ferulate 4092:Radix puerariae 4067:Phenolphthalein 3767: 3760: 3745: 3737: 3638:Propentofylline 3578:Isovaleric acid 3262: 3254: 3214: 3206: 3201:Purine receptor 3198: 3168: 3163: 3162: 3147:Clinical trials 3126: 3098: 3008: 2995: 2942: 2865: 2821: 2724: 2719: 2707: 2698: 2674:1,3-Indandiones 2616: 2595: 2569: 2541: 2484: 2446: 2408: 2360:Thienopyridines 2349: 2340: 2288: 2269:Antithrombotics 2266: 2230: 2224: 2217: 2211: 2208: 2203: 2177:Dean L (2017). 2172: 2170:Further reading 2167: 2166: 2129: 2125: 2109: 2108: 2071: 2067: 2057: 2055: 2048: 2044: 2000: 1993: 1989: 1950: 1946: 1930: 1929: 1901: 1897: 1887: 1885: 1884:. 12 March 2010 1872: 1871: 1867: 1857: 1855: 1842: 1841: 1837: 1821: 1820: 1783: 1779: 1763: 1762: 1733: 1729: 1713: 1712: 1680: 1676: 1660: 1659: 1622: 1618: 1602: 1601: 1557: 1553: 1516: 1512: 1504: 1497: 1493: 1492: 1485: 1475: 1473: 1460: 1459: 1455: 1408: 1404: 1394: 1392: 1383: 1382: 1378: 1362: 1361: 1319: 1315: 1299: 1298: 1256: 1252: 1236: 1235: 1198: 1191: 1175: 1174: 1140: 1129: 1090: 1086: 1078: 1074: 1073: 1069: 1059: 1057: 1048: 1047: 1043: 1038: 1018: 1010:atherosclerosis 984:Prasugrel is a 966: 953: 932: 905: 900: 888: 840: 838:Adverse effects 831: 822: 820:Approval status 784: 746: 709: 707: 704:(what is this?) 701: 696: 693: 688: 683: 682: 671: 668: 663: 662: 651: 626: 613: 601: 595: 556: 532: 524: 504: 484: 464: 444: 424: 404: 384: 367: 359: 331: 328: 326: 317: 316: 284: 273:Protein binding 263:Bioavailability 255:Pharmacokinetic 249: 184: 152: 145: 126: 119: 57:Effient, Efient 17: 12: 11: 5: 5186: 5176: 5175: 5170: 5168:Acetate esters 5165: 5160: 5155: 5150: 5148:Daiichi Sankyo 5145: 5140: 5125: 5124: 5101: 5100: 5090: 5087: 5086: 5084: 5083: 5069: 5068: 5063: 5058: 5053: 5048: 5043: 5038: 5033: 5028: 5023: 5018: 5013: 5008: 5003: 4998: 4993: 4988: 4983: 4978: 4973: 4968: 4963: 4958: 4953: 4948: 4943: 4934: 4932: 4928: 4927: 4924: 4923: 4921: 4920: 4915: 4910: 4905: 4900: 4895: 4890: 4884: 4882: 4878: 4877: 4875: 4874: 4869: 4864: 4859: 4854: 4847: 4842: 4837: 4832: 4827: 4822: 4817: 4812: 4805: 4803:Cinnamaldehyde 4800: 4795: 4790: 4785: 4779: 4777: 4763: 4749: 4748: 4745: 4744: 4742: 4741: 4735: 4733: 4722: 4721: 4719: 4718: 4713: 4708: 4706:Pentoxifylline 4703: 4698: 4693: 4688: 4683: 4678: 4673: 4668: 4663: 4657: 4655: 4644: 4643: 4641: 4640: 4635: 4630: 4625: 4620: 4615: 4610: 4605: 4600: 4594: 4592: 4578: 4564: 4563: 4560: 4559: 4556: 4555: 4553: 4552: 4547: 4542: 4537: 4532: 4527: 4522: 4517: 4512: 4507: 4502: 4497: 4492: 4487: 4482: 4477: 4472: 4467: 4462: 4457: 4452: 4447: 4442: 4437: 4432: 4427: 4422: 4417: 4412: 4407: 4402: 4397: 4392: 4383: 4382: 4377: 4372: 4367: 4362: 4357: 4352: 4347: 4342: 4337: 4332: 4327: 4322: 4317: 4312: 4307: 4302: 4297: 4292: 4287: 4282: 4277: 4272: 4267: 4262: 4257: 4252: 4247: 4242: 4237: 4232: 4227: 4222: 4217: 4212: 4207: 4202: 4197: 4192: 4183: 4181: 4175: 4174: 4172: 4171: 4166: 4161: 4149: 4144: 4139: 4121: 4116: 4111: 4106: 4101: 4096: 4084: 4079: 4074: 4069: 4064: 4059: 4054: 4049: 4044: 4039: 4034: 4029: 4024: 4019: 4014: 4009: 4004: 3999: 3994: 3989: 3984: 3979: 3974: 3969: 3957: 3952: 3947: 3942: 3937: 3932: 3927: 3922: 3917: 3912: 3907: 3902: 3897: 3892: 3883: 3882: 3877: 3872: 3867: 3862: 3857: 3852: 3847: 3842: 3837: 3832: 3827: 3822: 3817: 3812: 3807: 3802: 3797: 3792: 3787: 3782: 3773: 3771: 3751: 3739: 3738: 3736: 3735: 3730: 3725: 3720: 3715: 3710: 3705: 3700: 3695: 3690: 3685: 3680: 3675: 3670: 3665: 3660: 3655: 3650: 3645: 3640: 3635: 3630: 3628:Pentoxifylline 3625: 3620: 3615: 3610: 3605: 3600: 3595: 3590: 3585: 3583:Istradefylline 3580: 3575: 3570: 3565: 3560: 3555: 3550: 3545: 3540: 3535: 3530: 3525: 3520: 3515: 3510: 3505: 3500: 3495: 3490: 3485: 3480: 3475: 3470: 3465: 3460: 3455: 3450: 3441: 3440: 3435: 3430: 3425: 3420: 3415: 3410: 3405: 3400: 3395: 3387: 3382: 3377: 3372: 3367: 3362: 3357: 3352: 3347: 3342: 3337: 3332: 3327: 3322: 3317: 3312: 3307: 3298: 3293: 3288: 3283: 3277:2-(1-Hexynyl)- 3270: 3268: 3256: 3255: 3253: 3252: 3247: 3245:8-Aminoadenine 3238: 3236: 3222: 3208: 3207: 3197: 3196: 3189: 3182: 3174: 3165: 3164: 3161: 3160: 3159: 3158: 3155: 3144: 3138: 3132: 3131: 3128: 3127: 3125: 3124: 3119: 3114: 3108: 3106: 3100: 3099: 3097: 3096: 3091: 3086: 3076: 3071: 3066: 3061: 3060: 3059: 3054: 3046: 3045: 3044: 3039: 3034: 3029: 3014: 3012: 3001: 3000: 2997: 2996: 2994: 2993: 2988: 2983: 2982: 2981: 2971: 2966: 2961: 2956: 2950: 2948: 2944: 2943: 2941: 2940: 2935: 2930: 2925: 2920: 2915: 2906: 2905: 2904: 2899: 2894: 2879: 2877: 2871: 2870: 2867: 2866: 2864: 2863: 2858: 2853: 2848: 2843: 2838: 2832: 2830: 2823: 2822: 2820: 2819: 2818: 2817: 2812: 2807: 2797: 2796: 2795: 2790: 2780: 2779: 2778: 2773: 2768: 2763: 2758: 2753: 2748: 2743: 2732: 2730: 2709: 2700: 2699: 2697: 2696: 2690: 2685: 2680: 2671: 2666: 2661: 2656: 2651: 2646: 2636: 2634: 2607: 2605:Anticoagulants 2601: 2600: 2597: 2596: 2594: 2593: 2588: 2583: 2577: 2575: 2571: 2570: 2568: 2567: 2562: 2557: 2551: 2549: 2543: 2542: 2540: 2539: 2538: 2537: 2532: 2522: 2521: 2520: 2515: 2510: 2494: 2492: 2486: 2485: 2483: 2482: 2477: 2472: 2467: 2462: 2456: 2454: 2452:COX inhibitors 2448: 2447: 2445: 2444: 2439: 2434: 2429: 2423: 2421: 2410: 2409: 2407: 2406: 2405: 2404: 2399: 2394: 2379: 2378: 2377: 2372: 2367: 2356: 2354: 2347: 2342: 2341: 2339: 2338: 2333: 2328: 2323: 2318: 2313: 2307: 2305: 2296: 2290: 2289: 2277:anticoagulants 2265: 2264: 2257: 2250: 2242: 2236: 2235: 2222: 2207: 2206:External links 2204: 2202: 2201: 2173: 2171: 2168: 2165: 2164: 2143:(3): 409–416. 2123: 2082:(4): 600–607. 2065: 2054:. TheHeart.org 2042: 1998: 1987: 1960:(2): 233–234. 1944: 1911:(3): 424–429. 1895: 1865: 1835: 1777: 1727: 1674: 1616: 1551: 1530:(3): 343–349. 1510: 1483: 1453: 1422:(6): 814–821. 1402: 1376: 1313: 1250: 1209:(3): 128–133. 1189: 1127: 1100:(4): 213–229. 1084: 1067: 1040: 1039: 1037: 1034: 1017: 1014: 980:of each other. 965: 962: 952: 949: 930: 909:thienopyridine 904: 901: 899: 896: 887: 884: 883: 882: 876: 873: 870: 867: 864: 861: 858: 855: 839: 836: 830: 827: 821: 818: 783: 780: 749:thienopyridine 744: 716: 715: 698: 697: 695: 694: 691: 689: 686: 678: 677: 676: 673: 672: 670: 669: 666: 658: 657: 656: 653: 652: 650: 649: 641: 639: 631: 630: 624: 618: 617: 611: 599: 593: 588: 582: 581: 577: 576: 566: 558: 557: 555: 554: 546:DTXSID70861544 541: 539: 526: 525: 523: 522: 514: 512: 506: 505: 503: 502: 494: 492: 486: 485: 483: 482: 474: 472: 466: 465: 463: 462: 454: 452: 446: 445: 443: 442: 434: 432: 426: 425: 423: 422: 414: 412: 406: 405: 403: 402: 394: 392: 386: 385: 383: 382: 374: 372: 361: 360: 358: 357: 341: 339: 333: 332: 330: 329: 320: 312: 311: 310: 307: 306: 302: 301: 298: 292: 291: 288: 279: 278: 275: 269: 268: 265: 259: 258: 251: 250: 248: 247: 238: 226: 213: 199: 197: 191: 190: 186: 185: 183: 182: 169: 167: 161: 160: 155: 153:administration 147: 146: 144: 143: 141: 131: 129: 121: 120: 118: 117: 99: 97: 91: 90: 83: 77: 76: 69: 59: 58: 55: 49: 48: 44: 43: 35: 34: 15: 9: 6: 4: 3: 2: 5185: 5174: 5173:Cyclopropanes 5171: 5169: 5166: 5164: 5161: 5159: 5156: 5154: 5151: 5149: 5146: 5144: 5141: 5139: 5136: 5135: 5133: 5123: 5113: 5112: 5109: 5098: 5097: 5094: 5088: 5081: 5077: 5074: 5071: 5070: 5067: 5064: 5062: 5059: 5057: 5054: 5052: 5049: 5047: 5044: 5042: 5039: 5037: 5034: 5032: 5029: 5027: 5024: 5022: 5019: 5017: 5014: 5012: 5009: 5007: 5004: 5002: 4999: 4997: 4994: 4992: 4989: 4987: 4984: 4982: 4979: 4977: 4974: 4972: 4969: 4967: 4964: 4962: 4959: 4957: 4954: 4952: 4949: 4947: 4944: 4942: 4939: 4936: 4935: 4933: 4929: 4919: 4916: 4914: 4911: 4909: 4906: 4904: 4901: 4899: 4896: 4894: 4891: 4889: 4886: 4885: 4883: 4879: 4873: 4870: 4868: 4865: 4863: 4860: 4858: 4855: 4853: 4852: 4848: 4846: 4843: 4841: 4838: 4836: 4833: 4831: 4828: 4826: 4823: 4821: 4818: 4816: 4813: 4811: 4810: 4806: 4804: 4801: 4799: 4796: 4794: 4793:Benzbromarone 4791: 4789: 4786: 4784: 4781: 4780: 4778: 4773: 4767: 4764: 4760: 4754: 4750: 4740: 4737: 4736: 4734: 4729: 4723: 4717: 4714: 4712: 4709: 4707: 4704: 4702: 4699: 4697: 4694: 4692: 4689: 4687: 4684: 4682: 4679: 4677: 4674: 4672: 4669: 4667: 4664: 4662: 4659: 4658: 4656: 4651: 4645: 4639: 4636: 4634: 4631: 4629: 4626: 4624: 4621: 4619: 4616: 4614: 4611: 4609: 4606: 4604: 4601: 4599: 4596: 4595: 4593: 4588: 4582: 4579: 4575: 4569: 4565: 4551: 4548: 4546: 4543: 4541: 4538: 4536: 4533: 4531: 4528: 4526: 4523: 4521: 4518: 4516: 4513: 4511: 4508: 4506: 4503: 4501: 4498: 4496: 4493: 4491: 4488: 4486: 4483: 4481: 4478: 4476: 4473: 4471: 4468: 4466: 4463: 4461: 4458: 4456: 4453: 4451: 4448: 4446: 4443: 4441: 4438: 4436: 4433: 4431: 4428: 4426: 4425:AR-C 118925XX 4423: 4421: 4418: 4416: 4413: 4411: 4408: 4406: 4403: 4401: 4398: 4396: 4393: 4391: 4388: 4385: 4384: 4381: 4378: 4376: 4373: 4371: 4368: 4366: 4363: 4361: 4358: 4356: 4355:UDP-galactose 4353: 4351: 4348: 4346: 4343: 4341: 4338: 4336: 4333: 4331: 4328: 4326: 4323: 4321: 4318: 4316: 4313: 4311: 4308: 4306: 4303: 4301: 4298: 4296: 4293: 4291: 4288: 4286: 4283: 4281: 4278: 4276: 4273: 4271: 4268: 4266: 4263: 4261: 4258: 4256: 4253: 4251: 4248: 4246: 4243: 4241: 4238: 4236: 4233: 4231: 4228: 4226: 4223: 4221: 4218: 4216: 4213: 4211: 4208: 4206: 4203: 4201: 4198: 4196: 4193: 4191: 4188: 4185: 4184: 4182: 4180: 4176: 4170: 4167: 4165: 4162: 4159: 4158: 4153: 4150: 4148: 4145: 4143: 4140: 4137: 4136: 4131: 4130: 4125: 4122: 4120: 4117: 4115: 4112: 4110: 4107: 4105: 4102: 4100: 4097: 4094: 4093: 4088: 4085: 4083: 4080: 4078: 4075: 4073: 4070: 4068: 4065: 4063: 4060: 4058: 4055: 4053: 4050: 4048: 4045: 4043: 4040: 4038: 4035: 4033: 4030: 4028: 4025: 4023: 4020: 4018: 4015: 4013: 4010: 4008: 4005: 4003: 4000: 3998: 3995: 3993: 3990: 3988: 3985: 3983: 3980: 3978: 3975: 3973: 3970: 3967: 3966: 3961: 3958: 3956: 3953: 3951: 3950:Chelerythrine 3948: 3946: 3945:Calmidazolium 3943: 3941: 3938: 3936: 3933: 3931: 3928: 3926: 3923: 3921: 3918: 3916: 3913: 3911: 3908: 3906: 3903: 3901: 3898: 3896: 3893: 3891: 3888: 3885: 3884: 3881: 3878: 3876: 3873: 3871: 3868: 3866: 3863: 3861: 3858: 3856: 3853: 3851: 3848: 3846: 3843: 3841: 3838: 3836: 3833: 3831: 3830:Cibacron blue 3828: 3826: 3823: 3821: 3818: 3816: 3813: 3811: 3808: 3806: 3803: 3801: 3798: 3796: 3793: 3791: 3788: 3786: 3783: 3781: 3778: 3775: 3774: 3772: 3766: 3759: 3755: 3752: 3749: 3744: 3740: 3734: 3731: 3729: 3726: 3724: 3721: 3719: 3716: 3714: 3711: 3709: 3708:Theodrenaline 3706: 3704: 3701: 3699: 3696: 3694: 3691: 3689: 3686: 3684: 3681: 3679: 3676: 3674: 3671: 3669: 3666: 3664: 3661: 3659: 3656: 3654: 3651: 3649: 3646: 3644: 3643:Proxyphylline 3641: 3639: 3636: 3634: 3631: 3629: 3626: 3624: 3621: 3619: 3616: 3614: 3611: 3609: 3606: 3604: 3601: 3599: 3596: 3594: 3591: 3589: 3586: 3584: 3581: 3579: 3576: 3574: 3571: 3569: 3566: 3564: 3561: 3559: 3556: 3554: 3551: 3549: 3546: 3544: 3541: 3539: 3536: 3534: 3531: 3529: 3526: 3524: 3521: 3519: 3516: 3514: 3511: 3509: 3506: 3504: 3501: 3499: 3496: 3494: 3491: 3489: 3486: 3484: 3481: 3479: 3476: 3474: 3473:Aminophylline 3471: 3469: 3466: 3464: 3461: 3459: 3456: 3454: 3451: 3449: 3446: 3443: 3442: 3439: 3436: 3434: 3431: 3429: 3426: 3424: 3421: 3419: 3416: 3414: 3411: 3409: 3406: 3404: 3401: 3399: 3396: 3394: 3392: 3388: 3386: 3383: 3381: 3378: 3376: 3373: 3371: 3368: 3366: 3363: 3361: 3358: 3356: 3353: 3351: 3348: 3346: 3343: 3341: 3338: 3336: 3333: 3331: 3328: 3326: 3323: 3321: 3318: 3316: 3313: 3311: 3308: 3306: 3304: 3299: 3297: 3294: 3292: 3289: 3287: 3284: 3282: 3280: 3275: 3272: 3271: 3269: 3266: 3261: 3257: 3251: 3248: 3246: 3243: 3240: 3239: 3237: 3234: 3230: 3226: 3223: 3219: 3213: 3209: 3205: 3202: 3195: 3190: 3188: 3183: 3181: 3176: 3175: 3172: 3156: 3154: 3151: 3150: 3148: 3145: 3142: 3139: 3137: 3134: 3133: 3129: 3123: 3120: 3118: 3115: 3113: 3110: 3109: 3107: 3105: 3104:Non-medicinal 3101: 3095: 3092: 3090: 3087: 3085: 3081: 3077: 3075: 3074:Streptokinase 3072: 3070: 3067: 3065: 3062: 3058: 3055: 3053: 3050: 3049: 3047: 3043: 3040: 3038: 3035: 3033: 3030: 3028: 3025: 3024: 3023: 3019: 3016: 3015: 3013: 3011: 3010:fibrinolytics 3006: 3002: 2992: 2989: 2987: 2984: 2980: 2977: 2976: 2975: 2972: 2970: 2967: 2965: 2962: 2960: 2957: 2955: 2952: 2951: 2949: 2945: 2939: 2936: 2934: 2931: 2929: 2926: 2924: 2921: 2919: 2916: 2914: 2910: 2907: 2903: 2900: 2898: 2895: 2893: 2890: 2889: 2888: 2884: 2881: 2880: 2878: 2876: 2872: 2862: 2859: 2857: 2854: 2852: 2849: 2847: 2844: 2842: 2839: 2837: 2834: 2833: 2831: 2828: 2824: 2816: 2813: 2811: 2808: 2806: 2803: 2802: 2801: 2798: 2794: 2791: 2789: 2786: 2785: 2784: 2781: 2777: 2774: 2772: 2769: 2767: 2764: 2762: 2759: 2757: 2754: 2752: 2749: 2747: 2744: 2742: 2739: 2738: 2737: 2734: 2733: 2731: 2728: 2722: 2717: 2713: 2710: 2705: 2701: 2695: 2691: 2689: 2686: 2684: 2681: 2679: 2675: 2672: 2670: 2667: 2665: 2664:Phenprocoumon 2662: 2660: 2657: 2655: 2652: 2650: 2649:Coumatetralyl 2647: 2645: 2644:Acenocoumarol 2641: 2638: 2637: 2635: 2632: 2628: 2624: 2620: 2615: 2611: 2608: 2606: 2602: 2592: 2589: 2587: 2584: 2582: 2579: 2578: 2576: 2572: 2566: 2563: 2561: 2558: 2556: 2553: 2552: 2550: 2548: 2544: 2536: 2533: 2531: 2528: 2527: 2526: 2523: 2519: 2516: 2514: 2511: 2508: 2504: 2501: 2500: 2499: 2496: 2495: 2493: 2491: 2487: 2481: 2478: 2476: 2473: 2471: 2468: 2466: 2463: 2461: 2458: 2457: 2455: 2453: 2449: 2443: 2440: 2438: 2435: 2433: 2430: 2428: 2425: 2424: 2422: 2419: 2415: 2411: 2403: 2400: 2398: 2395: 2393: 2390: 2389: 2387: 2383: 2380: 2376: 2373: 2371: 2368: 2366: 2363: 2362: 2361: 2358: 2357: 2355: 2353: 2350: 2343: 2337: 2334: 2332: 2329: 2327: 2324: 2322: 2319: 2317: 2314: 2312: 2309: 2308: 2306: 2304: 2300: 2297: 2295: 2291: 2286: 2282: 2278: 2274: 2273:thrombolytics 2270: 2263: 2258: 2256: 2251: 2249: 2244: 2243: 2240: 2227: 2223: 2214: 2210: 2209: 2198: 2194: 2190: 2186: 2185: 2180: 2175: 2174: 2160: 2156: 2151: 2146: 2142: 2138: 2134: 2127: 2119: 2113: 2105: 2101: 2097: 2093: 2089: 2085: 2081: 2077: 2069: 2053: 2050:O'Riordan M. 2046: 2038: 2034: 2029: 2024: 2019: 2014: 2010: 2006: 2002: 1991: 1983: 1979: 1975: 1971: 1967: 1963: 1959: 1955: 1948: 1940: 1934: 1926: 1922: 1918: 1914: 1910: 1906: 1899: 1883: 1881: 1875: 1869: 1853: 1849: 1845: 1839: 1831: 1825: 1817: 1813: 1809: 1805: 1801: 1797: 1793: 1789: 1781: 1773: 1767: 1759: 1755: 1751: 1747: 1743: 1739: 1731: 1723: 1717: 1709: 1705: 1701: 1697: 1693: 1689: 1685: 1678: 1670: 1664: 1656: 1652: 1648: 1644: 1640: 1636: 1632: 1628: 1620: 1612: 1606: 1598: 1594: 1589: 1584: 1579: 1574: 1570: 1566: 1562: 1555: 1547: 1543: 1538: 1533: 1529: 1525: 1521: 1514: 1503: 1496: 1490: 1488: 1471: 1467: 1463: 1457: 1449: 1445: 1440: 1435: 1430: 1425: 1421: 1417: 1413: 1406: 1390: 1389:Health Canada 1386: 1380: 1372: 1366: 1358: 1354: 1350: 1346: 1341: 1336: 1332: 1328: 1324: 1317: 1309: 1303: 1295: 1291: 1286: 1281: 1277: 1273: 1269: 1265: 1261: 1254: 1246: 1240: 1232: 1228: 1224: 1220: 1216: 1212: 1208: 1204: 1196: 1194: 1185: 1179: 1171: 1167: 1162: 1157: 1153: 1149: 1145: 1138: 1136: 1134: 1132: 1123: 1119: 1115: 1111: 1107: 1103: 1099: 1095: 1088: 1077: 1071: 1055: 1051: 1050:"Efient EPAR" 1045: 1041: 1033: 1031: 1030:hydrochloride 1027: 1023: 1013: 1011: 1007: 1003: 999: 995: 991: 987: 979: 975: 970: 961: 958: 948: 945: 941: 936: 933: 926: 922: 918: 914: 910: 895: 893: 881: 877: 874: 871: 868: 865: 862: 859: 856: 853: 849: 845: 844: 843: 835: 826: 817: 813: 810: 808: 804: 800: 797: 793: 789: 779: 777: 773: 769: 764: 762: 758: 754: 750: 742: 738: 734: 730: 726: 722: 712: 705: 699: 690: 685: 684: 681: 674: 665: 664: 661: 654: 647: 643: 642: 640: 637: 632: 625: 623: 619: 589: 587: 583: 578: 574: 570: 567: 565: 563:ECHA InfoCard 559: 551: 547: 543: 542: 540: 531: 527: 520: 519:ChEMBL1201772 516: 515: 513: 511: 507: 500: 496: 495: 493: 491: 487: 480: 476: 475: 473: 471: 467: 460: 456: 455: 453: 451: 447: 440: 436: 435: 433: 431: 427: 420: 416: 415: 413: 411: 407: 400: 396: 395: 393: 391: 387: 380: 376: 375: 373: 366: 362: 355: 354:hydrochloride 351: 347: 343: 342: 340: 338: 334: 325:)-5--4,5,6,7- 324: 319: 318: 315: 308: 303: 299: 297: 293: 289: 287: 280: 276: 274: 270: 266: 264: 260: 256: 252: 246: Rx-only 239: 237: 227: 224: 214: 211: 201: 200: 198: 196: 192: 187: 179: 174: 171: 170: 168: 166: 162: 159: 156: 154: 148: 142: 133: 132: 130: 128: 122: 115: 110: 101: 100: 98: 96: 92: 88: 84: 82: 78: 74: 70: 68: 64: 60: 56: 54: 50: 47:Clinical data 45: 41: 36: 32: 27: 19: 5092: 5091: 5076:Chrysophanol 5072: 5016:Hypoxanthine 4937: 4917: 4913:Pralatrexate 4898:Methotrexate 4893:Azathioprine 4872:Topiroxostat 4849: 4820:Myo-inositol 4807: 4798:Caffeic acid 4711:Progesterone 4681:Dipyridamole 4661:Barbiturates 4638:Progesterone 4514: 4420:AR-C 69931MX 4415:AR-C 67085MX 4387:Antagonists: 4386: 4240:AR-C 67085MX 4186: 4155: 4133: 4127: 4090: 4057:Oxidized-ATP 4002:JNJ-47965567 3963: 3887:Antagonists: 3886: 3860:L-β,γ-Me-ATP 3840:D-β,γ-Me-ATP 3776: 3713:Theophylline 3623:Paraxanthine 3568:Fenethylline 3558:Enprofylline 3523:Ciforadenant 3445:Antagonists: 3444: 3408:Piclidenoson 3390: 3302: 3286:2-Cl-IB-MECA 3278: 3273: 3241: 3094:Fibrinolysin 3064:Anistreplase 3042:Desmoteplase 3037:Tenecteplase 2938:Ximelagatran 2788:Fondaparinux 2727:antithrombin 2683:Diphenadione 2560:Dipyridamole 2503:Dipyridamole 2442:Treprostinil 2437:Prostacyclin 2369: 2316:Eptifibatide 2183: 2140: 2136: 2126: 2112:cite journal 2079: 2075: 2068: 2056:. Retrieved 2045: 2008: 2004: 1990: 1957: 1953: 1947: 1933:cite journal 1908: 1904: 1898: 1886:. Retrieved 1877: 1868: 1856:. Retrieved 1852:the original 1838: 1824:cite journal 1791: 1787: 1780: 1766:cite journal 1741: 1737: 1730: 1716:cite journal 1691: 1687: 1677: 1663:cite journal 1630: 1626: 1619: 1605:cite journal 1568: 1564: 1554: 1527: 1523: 1513: 1502:the original 1474:. Retrieved 1470:the original 1456: 1419: 1415: 1405: 1393:. Retrieved 1388: 1379: 1365:cite journal 1330: 1326: 1316: 1302:cite journal 1267: 1263: 1253: 1239:cite journal 1206: 1202: 1178:cite journal 1151: 1147: 1097: 1093: 1087: 1081:. EMA. 2009. 1070: 1058:. Retrieved 1053: 1044: 1028:form as the 1019: 983: 954: 937: 913:ADP receptor 906: 898:Pharmacology 889: 886:Interactions 841: 832: 823: 814: 811: 796:ST elevation 785: 782:Medical uses 765: 728: 724: 720: 719: 708:   702:   322: 283:Elimination 195:Legal status 189:Legal status 95:License data 18: 4938:Precursors: 4918:Many others 4888:Aminopterin 4845:Phytic acid 4788:Amflutizole 4783:Allopurinol 4739:Decynium-22 4696:Hexobendine 4568:Transporter 4545:Ticlopidine 4450:Clopidogrel 4360:UDP-glucose 4099:Purotoxin 1 3930:AZ-11645373 3925:AZ-10606120 3723:Tracazolate 3703:Theobromine 3688:SCH-442,416 3683:Rolofylline 3633:Preladenant 3503:Cartazolate 3483:Bamifylline 3433:Tecadenoson 3428:Sonedenoson 3423:Selodenoson 3418:SDZ WAG 994 3413:Regadenoson 3398:Namodenoson 3350:Capadenoson 3345:Binodenoson 3340:BAY 60–6583 3143:from market 2964:Defibrotide 2892:Bivalirudin 2861:Rivaroxaban 2800:Heparinoids 2793:Idraparinux 2694:Tioclomarol 2688:Phenindione 2678:Clorindione 2581:Cloricromen 2375:Ticlopidine 2365:Clopidogrel 1788:Circulation 1476:16 December 1395:18 February 1060:5 September 998:thiolactone 976:; they are 974:thiolactone 921:clopidogrel 917:ticlopidine 848:bradycardia 629: g·mol 569:100.228.719 499:CHEBI:87715 350:389574-19-0 346:150322-43-3 305:Identifiers 81:MedlinePlus 53:Trade names 5132:Categories 4908:Pemetrexed 4867:Tisopurine 4840:Oxipurinol 4835:Niraxostat 4825:Kaempferol 4815:Febuxostat 4759:inhibitors 4671:Cilostazol 4633:Phloridzin 4540:Ticagrelor 4410:AR-C 66096 4270:Diquafosol 4215:α,β-Me-ATP 4200:2-Thio-UTP 4109:Ro 0437626 4062:Phenol Red 3977:Gefapixant 3972:Evans blue 3855:Ivermectin 3785:α,β-Me-ATP 3748:nucleotide 3733:ZM-241,385 3718:Tozadenant 3593:MRE3008F20 3553:Dyphylline 3538:Dimethazan 3468:Acefylline 3438:UK-432,097 3370:Evodenoson 3365:CP-532,903 3325:Apadenoson 3204:modulators 3069:Monteplase 2986:Ramatroban 2969:Nafamostat 2954:Abelacimab 2933:Melagatran 2918:Dabigatran 2913:Argatroban 2856:Otamixaban 2841:Betrixaban 2829:("xabans") 2815:Sulodexide 2805:Danaparoid 2776:Tinzaparin 2766:Parnaparin 2761:Nadroparin 2756:Enoxaparin 2751:Dalteparin 2746:Certoparin 2706:inhibitors 2654:Dicoumarol 2555:Cilostazol 2535:Terutroban 2513:Picotamide 2402:Ticagrelor 2386:nucleoside 2382:Nucleotide 2352:inhibitors 2331:Sibrafiban 2226:US 6693115 2213:US 5288726 1036:References 880:angioedema 739:. It is a 733:medication 634:3D model ( 622:Molar mass 459:34K66TBT99 430:ChemSpider 390:IUPHAR/BPS 337:CAS Number 314:IUPAC name 5093:See also: 4996:Guanosine 4946:Adenosine 4862:Quercetin 4830:Myricetin 4686:Estradiol 4613:Estradiol 4603:Adenosine 4515:Prasugrel 4455:Elinogrel 4445:Cangrelor 4390:2-Me-SAMP 4330:PAPET-ATP 4290:INS-37217 4265:Denufosol 4220:Adenosine 4210:5-OMe-UDP 4195:2-Me-SATP 4190:2-Me-SADP 4187:Agonists: 4082:PSB-12062 4017:Magnesium 3982:GW-791343 3870:PAPET-ATP 3790:Adenosine 3780:2-Me-SATP 3777:Agonists: 3698:Theacrine 3693:SCH-58261 3678:Reversine 3563:Etazolate 3513:CGS-15943 3488:Cafedrine 3360:CGS-21680 3310:Adenosine 3291:2'-MeCCPA 3274:Agonists: 3265:adenosine 3242:Agonists: 3153:Phase III 3141:Withdrawn 3057:Urokinase 3052:Saruplase 3032:Reteplase 3027:Alteplase 2974:Protein C 2928:Inogatran 2923:Efegatran 2909:Univalent 2902:Lepirudin 2897:Desirudin 2846:Darexaban 2771:Reviparin 2741:Bemiparin 2704:Factor Xa 2640:Coumarins 2617:(inhibit 2591:Vorapaxar 2565:Triflusal 2530:Terbogrel 2518:Terbogrel 2507:+ aspirin 2480:Triflusal 2475:Indobufen 2465:Aloxiprin 2427:Beraprost 2397:Elinogrel 2392:Cangrelor 2370:Prasugrel 2336:Tirofiban 2326:Roxifiban 2321:Orbofiban 2311:Abciximab 2011:(1): 11. 1655:205956050 1357:205095981 1016:Chemistry 978:tautomers 925:platelets 911:class of 721:Prasugrel 296:Excretion 285:half-life 151:Routes of 125:Pregnancy 114:Prasugrel 73:Monograph 67:Drugs.com 23:Prasugrel 5122:Medicine 4971:Cytidine 4966:Cytosine 4857:Propolis 4623:KGO-2173 4618:KGO-2142 4608:dMeThPmR 4574:blockers 4530:Regrelor 4520:PSB-0739 4490:MRS-2578 4485:MRS-2500 4480:MRS-2395 4475:MRS-2279 4470:MRS-2211 4465:MRS-2179 4340:PSB-1114 4335:PSB-0474 4320:MRS-4062 4315:MRS-2957 4310:MRS-2768 4305:MRS-2693 4300:MRS-2690 4295:MRS-2365 4205:5-Br-UDP 4147:TC-P 262 4087:Puerarin 4022:MRS-2159 3997:isoPPADS 3915:A-839977 3910:A-804598 3905:A-740003 3900:A-438079 3895:A-317491 3865:MRS-2219 3728:VUF-5574 3673:PSB-1115 3618:MRS-3777 3613:MRS-1754 3608:MRS-1706 3603:MRS-1334 3598:MRS-1220 3588:KF-26777 3533:CVT-6883 3508:CGH-2466 3493:Caffeine 3385:LUF-5845 3380:LUF-5835 3375:GR 79236 3330:ATL-146e 3212:Receptor 2883:Bivalent 2851:Edoxaban 2836:Apixaban 2669:Warfarin 2586:Ditazole 2432:Iloprost 2388:analogs 2197:28520385 2191:(NCBI). 2159:26718653 2096:16415119 2037:31198410 1982:20617890 1974:21088983 1925:21093072 1888:13 March 1858:13 March 1808:18056526 1758:17174640 1708:27143321 1647:19726078 1597:30510515 1571:: 1550. 1546:22570398 1448:34169260 1416:CJC Open 1349:23991622 1294:25954988 1231:13014429 1223:27465769 1170:17982182 1122:37160513 1114:19655817 711:(verify) 410:DrugBank 165:ATC code 158:By mouth 140: B1 127:category 109:DailyMed 5158:Ketones 5080:rhubarb 5073:Others: 5051:Uridine 5021:Inosine 4991:Guanine 4941:Adenine 4691:Ethanol 4676:Dilazep 4628:MeThPmR 4535:Suramin 4440:C1330-7 4285:INS-365 4164:TNP-ATP 4142:Suramin 3940:Calcium 3668:PSB-788 3663:PSB-603 3478:ATL-444 3250:Adenine 3233:adenine 3218:ligands 3122:Oxalate 3112:Citrate 3089:Brinase 2887:Hirudin 2716:Heparin 2692:Other: 2104:1698598 2058:1 April 2028:6558673 1816:8226182 1588:6252380 1464:. U.S. 1439:8209390 1285:4208629 1026:racemic 986:prodrug 944:CYP2C19 778:(PCI). 731:, is a 725:Effient 586:Formula 439:5293653 419:DB06209 379:6918456 365:PubChem 181:) 175: ( 173:B01AC22 111::  87:a609027 5108:Portal 5046:Uracil 5041:Ribose 4931:Others 4881:Others 4753:Enzyme 4500:NF-340 4495:NF-157 4395:A3P5PS 4325:NF-546 4047:NF-449 4042:NF-279 4037:NF-157 4032:NF-110 4027:NF-023 3960:Emodin 3955:Copper 3920:AF-353 3890:5-BDBD 3850:HT-AMP 3658:PSB-36 3653:PSB-11 3648:PSB-10 3136:WHO-EM 3084:Ancrod 3078:Other 2725:(bind 2718:group/ 2231:  2218:  2195:  2157:  2102:  2094:  2035:  2025:  1980:  1972:  1923:  1814:  1806:  1756:  1706:  1653:  1645:  1627:Lancet 1595:  1585:  1544:  1446:  1436:  1391:. 2021 1355:  1347:  1292:  1282:  1229:  1221:  1168:  1120:  1112:  1022:chiral 803:NSTEMI 794:, non- 729:Efient 660:SMILES 627:373.44 510:ChEMBL 479:D05597 236:℞-only 234: 221: 208: 107:  4701:NBMPR 4510:PPADS 4435:BzATP 4400:AMPαS 4380:UTPγS 4350:UDPβS 4250:ATPγS 4230:ADPβS 4114:Ro 51 4077:PPNDS 4072:PPADS 4012:KN-62 4007:KN-04 3825:BzATP 3820:ATPγS 3548:DPCPX 3022:r-tPA 2947:Other 2574:Other 2100:S2CID 1978:S2CID 1882:(FDA) 1878:U.S. 1812:S2CID 1651:S2CID 1505:(PDF) 1498:(PDF) 1353:S2CID 1227:S2CID 1118:S2CID 1079:(PDF) 854:(TTP) 807:STEMI 768:stent 680:InChI 636:JSmol 490:ChEBI 4727:PMAT 4649:ENTs 4586:CNTs 4525:RB-2 4460:Ip5I 4405:Ap4A 4370:Up3U 4260:dATP 4235:Ap3A 4169:Zinc 4119:RO-3 4104:RB-2 3992:Ip5I 3880:Zinc 3810:Ap5A 3805:Ap4A 3573:IBMX 3543:DMPX 3355:CCPA 3117:EDTA 3048:UPA 2991:REG1 2418:PGI2 2279:and 2193:PMID 2155:PMID 2118:link 2092:PMID 2060:2011 2033:PMID 1970:PMID 1939:link 1921:PMID 1890:2010 1860:2010 1830:link 1804:PMID 1772:link 1754:PMID 1722:link 1704:PMID 1669:link 1643:PMID 1611:link 1593:PMID 1542:PMID 1478:2019 1444:PMID 1397:2021 1371:link 1345:PMID 1308:link 1290:PMID 1245:link 1219:PMID 1184:link 1166:PMID 1110:PMID 1062:2024 727:and 470:KEGG 450:UNII 399:7562 267:≥79% 257:data 63:AHFS 5066:UTP 5061:UDP 5056:UMP 5036:ITP 5031:IDP 5026:IMP 5011:GTP 5006:GDP 5001:GMP 4986:CTP 4981:CDP 4976:CMP 4961:ATP 4956:ADP 4951:AMP 4550:UDP 4505:PIT 4430:ATP 4375:UTP 4345:UDP 4280:ITP 4275:IDP 4255:CTP 4245:ATP 4225:ADP 4179:P2Y 3987:HMA 3935:BBG 3875:UTP 3845:GTP 3835:CTP 3815:ATP 3800:AMP 3795:ADP 3764:ATP 3758:P2X 3528:CPX 3335:ATP 3320:AMP 3315:ADP 3301:5'- 2623:VII 2285:B01 2283:) ( 2145:doi 2084:doi 2023:PMC 2013:doi 1962:doi 1913:doi 1909:155 1796:doi 1792:116 1746:doi 1742:153 1696:doi 1692:129 1635:doi 1631:374 1583:PMC 1573:doi 1532:doi 1434:PMC 1424:doi 1335:doi 1331:369 1280:PMC 1272:doi 1268:349 1264:BMJ 1211:doi 1207:205 1156:doi 1152:357 1102:doi 929:P2Y 757:Ube 535:EPA 369:CID 223:POM 178:WHO 5134:: 4771:XO 4132:, 3743:P2 3260:P1 3229:P0 3149:: 3082:: 3020:: 2911:: 2885:: 2676:: 2642:: 2629:, 2627:IX 2625:, 2621:, 2619:II 2348:12 2275:, 2187:. 2153:. 2141:44 2139:. 2135:. 2114:}} 2110:{{ 2098:. 2090:. 2080:34 2078:. 2031:. 2021:. 2009:17 2007:. 2003:. 1999:12 1976:. 1968:. 1958:31 1956:. 1935:}} 1931:{{ 1919:. 1907:. 1876:. 1826:}} 1822:{{ 1810:. 1802:. 1790:. 1768:}} 1764:{{ 1752:. 1740:. 1718:}} 1714:{{ 1702:. 1690:. 1686:. 1665:}} 1661:{{ 1649:. 1641:. 1629:. 1607:}} 1603:{{ 1591:. 1581:. 1567:. 1563:. 1540:. 1528:25 1526:. 1522:. 1486:^ 1442:. 1432:. 1418:. 1414:. 1387:. 1367:}} 1363:{{ 1351:. 1343:. 1329:. 1325:. 1304:}} 1300:{{ 1288:. 1278:. 1266:. 1262:. 1241:}} 1237:{{ 1225:. 1217:. 1205:. 1192:^ 1180:}} 1176:{{ 1164:. 1150:. 1146:. 1130:^ 1116:. 1108:. 1096:. 1052:. 931:12 763:. 745:12 600:20 594:20 323:RS 242:EU 230:US 217:UK 210:S4 204:AU 136:AU 104:US 5110:: 5082:) 5078:( 4761:) 4757:( 4576:) 4572:( 4160:) 4154:( 4138:) 4126:( 4095:) 4089:( 3968:) 3962:( 3770:) 3761:( 3750:) 3746:( 3391:N 3303:N 3279:N 3267:) 3263:( 3235:) 3231:( 3220:) 3216:( 3193:e 3186:t 3179:v 3007:/ 2729:) 2723:/ 2633:) 2631:X 2509:) 2505:( 2420:) 2416:( 2384:/ 2287:) 2271:( 2261:e 2254:t 2247:v 2161:. 2147:: 2120:) 2106:. 2086:: 2062:. 2039:. 2015:: 1984:. 1964:: 1941:) 1927:. 1915:: 1892:. 1862:. 1832:) 1818:. 1798:: 1774:) 1760:. 1748:: 1724:) 1710:. 1698:: 1671:) 1657:. 1637:: 1613:) 1599:. 1575:: 1569:9 1548:. 1534:: 1480:. 1450:. 1426:: 1420:3 1399:. 1373:) 1359:. 1337:: 1310:) 1296:. 1274:: 1247:) 1233:. 1213:: 1186:) 1172:. 1158:: 1124:. 1104:: 1098:9 1064:. 801:( 638:) 615:S 612:3 609:O 606:N 603:F 597:H 591:C 537:) 533:( 356:) 352:( 321:( 244:: 232:: 219:: 206:: 138:: 65:/

Index



Trade names
AHFS
Drugs.com
Monograph
MedlinePlus
a609027
License data
DailyMed
Prasugrel
Pregnancy
category

Routes of
administration

By mouth
ATC code
B01AC22
WHO
Legal status
S4
POM
℞-only
Pharmacokinetic
Bioavailability
Protein binding
Elimination half-life
Excretion
IUPAC name
CAS Number
150322-43-3
389574-19-0

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