Brand Name of Clopidogrel
Plavix
Drug Class
Anti-platelet
Mechanism of Action
Non-competitive platelet antagonist. Prevents release of ADP granules form activated platelets, reducing ability to activate further platelets.
Indications
Alternative (or additional adjunct) to aspirin in pt.’s w/ CP suggestive of MI, post MI and post stent placement
Contraindications
Active GI bleeding, intracranial hemorrhage
Adverse Effects
GI bleeding, thrombotic thrombocytopenic purpura, cerebral hemorrhage
Precautions
Nexium and Prilosec may exhibit effects of Plavix
Dose and Administration
300-600mg loading dose PO (then 75mg daily PO)