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Anti-platelet drugs
pharm 2 exam 3
26
Health Care
Graduate
03/28/2009

Additional Health Care Flashcards

 


 

Cards

Term

Anti-platelet drugs

Definition

aspirin

Ticlodipine

Clopidogrel

abciximab

eptifibatide

tirofiban

lamifiban

dipyramidole

Term

Aspirin MOA

Definition

inhibit platelet agg -> inhibiting prostaglandins from arachidonic acid

prolongs bleeding time

 

Term
low dose effects of aspirin
Definition
selectively inhibit TXA2 production
Term
AE aspirin
Definition

Bleeding

GI

Term
CI/interactions of aspirin
Definition
NOT W/ IBUPROFEN  -> bind w/ COX and prevent the ability of aspirin to inhibit platelets
Term
Ticlodipine MOA
Definition

irreversibly inhibit platelet aggregation by blocking ADP receptors on platelet membrane ->

inhibit expression of GPIIb/IIIa and fibrin binding

Term
tx uses of ticlodipine
Definition

stroke pts who cant tolerate aspirin

 

w/ aspirin to incr effectiveness (not approved)

Term
how long does it take ticlodipine to work
Definition
2 weeks
Term

which anti-platelet drugs are administered

as prodrug?

Definition

ticlodipine

clopidogrel

Term

PK ticlodipine

Definition

Protein bound

c450 met

slow abso w/ food

Term
AE ticlodipine
Definition

fatal neutropenia

thrombocytopenic purpura

rashes

diarrhea

Term

what tests need to be monitored in a pt

on ticlodipine

Definition
CBC -> fatal neutropenia!
Term
CI/interactions ticlodipine
Definition

hx of blood dyscrasias-> prolong PT

thrombocytopenia, agranulocytosis, leukopenia

lesions

impaired liver fxn

 

Term
clopidogrel MOA
Definition

irreversibly inhibit platelet agg. by blocking ADP

receptors on platelet membrane->

inhibiting the expression of GPIIb/IIIa and fibrinogen binding!

Term
tx uses of clopidogrel
Definition

same as ticlodipine

prevent stroke in pts who cant tolerate aspirin

 

w/ aspirin to incr effectiveness

Term
PK clopidogrel
Definition

c450 met

oral

50% loading dose

elim urine and feces

Term
AE clopidogrel
Definition

GI

skin rashes (< ticlodipine)

NO NEUTROPENIA!!!!

Term
CI/interactions clopidogrel
Definition

SAFER than ticlodipine

inhibits c450

Term
GPIIb/IIIa inhibitors
Definition

abciximab

eptifibatide

Tirofiban

lamifiban

dipyridamole

Term
tx uses of GPIIb/IIIa
Definition

prevent platelet agg in PTCA pts or

pts w/ acute coronary sx to reduce MI

and incr revascularization

 

****only high risk pts****

Term
PK GPIIb/IIIa drugs
Definition

IV w/ aspirin and heparin

 

w/i mins

 

effects subside w/i days of d/c

Term

abciximab MOA

Definition

monoclonal antibody->binds to GPIIb/IIIa

-> prevents binding of fibrinogen & vWF

aka no aggregation!

Term
eptifibatide and tirofiban MOA
Definition
Not monoclonal antibody -> works like abciximab
Term

which drugs have shorter DOA than abciximab

Definition

eptifibatide

tirofiban

Term
dipyridamole MOA
Definition
inhibits phosphodiesterase and incr. the prod of cAMP-> decr TXA-2 synth
Term
tx uses of dipyridamole
Definition

specific, < use

combined w/ warfarin in pts w/ prosthetic heart valves

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