Pharmacopeia

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Field TICAGRELOR
Haematology · Haematology · Level 2
PRASUGREL
Haematology · Haematology · Level 2
ABCIXIMAB
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

Irreversibly binds the P2Y12-R (an ADP receptor), preventing activation of glycoprotein IIb/IIIa→ prevents platelet crosslinking

Similar mechanism as tirofiban but monoclonal
antibody

Absorption

BA=40%

— —
Metabolism

Metabolized by CYP3A4

Prodrug- 1 step metabolism
Less susceptible to CYP polymorphism and CYP inhibition or induction than Clopidogrel

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

Excretion — —

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

Adverse Effects Toxicity — —

Haemorrhage, thrombocytopenia, human antichimeric antibody development, allergic reaction

Class Group

Antiplatelet

Antiplatelet

Antiplatelet

Introduction

ADP Receptor Antagonist - Thienopyridine

ADP Receptor Antagonist - Thienopyridine

Prodrug

GP IIb/IIIA Inhibitor

Legacy Cicm Level

Level 3

Level 3

Level 3

Main Action

Platelet inhibition

Platelet inhibition

Platelet inhibition