PRASUGREL
PRASUGREL: Prasugrel is a medication used for the prevention of blood clots in people with acute coronary syndrome (ACS). It is specifically indicated for patients who are undergoing percutaneous coronary intervention (PCI), such as balloon angioplasty or stenting, to open up blocked arteries in the heart.
The mechanism of action of prasugrel involves inhibiting the activation of platelets, which are blood cells involved in clot formation. It does this by irreversibly blocking the P2Y12 receptor on the surface of platelets, thereby preventing them from aggregating and forming blood clots. This antiplatelet effect helps to lower the risk of thrombotic events, including heart attack and stroke.
The recommended dose of prasugrel for most patients is 60 mg as an initial loading dose, followed by a maintenance dose of 10 mg once daily. However, the dosage may vary depending on individual factors such as age, weight, and risk of bleeding, and should be determined by a healthcare professional.
As with any medication, prasugrel can cause side effects. The most common side effects include bleeding, such as nosebleeds, bruising, or bleeding gums. Other potential side effects may include severe bleeding, such as gastrointestinal or intracranial bleeding, anemia, thrombotic thrombocytopenic purpura (TTP), and allergic reactions.
It is important to note that prasugrel may increase the risk of bleeding, and it should not be used in individuals with a history of stroke, transient ischemic attack (TIA), or active bleeding. It should also be used with caution in patients who are at an increased risk of bleeding due to other factors, such as age over 75, low body weight, or concomitant use of other medications that increase the risk of bleeding.
Prasugrel is a prescription-only medication, and its use should be carefully monitored by a healthcare professional to ensure its safety and efficacy in each individual patient.