Pharmacopeia

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Field TICAGRELOR
Haematology · Haematology · Level 2
ABCIXIMAB
Haematology · Haematology · Level 3
TIROFIBAN
Haematology · Haematology · Level 3
Mechanism of action

Allosteric, reversible antagonist at P2Y12-R (an ADP receptor), preventing activation of glycoprotein IIb/IIIa→ prevents platelet crosslinking

Similar mechanism as tirofiban but monoclonal
antibody

Antagonises the GpIIb/IIIa
receptor, preventing the
binding of fibrinogen and
platelet crosslinking and
aggregation.

Absorption

BA=40%

— —
Metabolism

Metabolized by CYP3A4

Platelet function
typically returns to
normal 24-48 hours after
infusion ceases

Limited metabolism in humans.

Excretion —

Platelet function
typically returns to
normal 24-48 hours after
infusion ceases

Excreted in urine and faeces, mostly
unchanged

Half-life — —

HL 1.9-2.2 hrs

Adverse Effects Toxicity —

Haemorrhage, thrombocytopenia, human antichimeric antibody development, allergic reaction

Haemorrhage
Difficulty reversing agent
Dose adjustment in renal impairment

Class Group

Antiplatelet

Antiplatelet

Antiplatelet

Introduction

ADP Receptor Antagonist - Thienopyridine

GP IIb/IIIA Inhibitor

GP IIb/IIIA Inhibitor

Legacy Cicm Level

Level 3

Level 3

Level 3

Main Action

Platelet inhibition

Platelet inhibition

Platelet inhibition