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DRUG ICARDS
clopidogrel
| Question | Answer |
|---|---|
| Clopidogrel mechanism of action | -antiplatelet activity -antagonises the binding of ADP adenosine diphosphate to platelets and impairs platelet function. significantly more antiplatelet than aspirin |
| Indication | STEMI in conjunction with fibrinolytic therapy |
| contraindication | known severe allergy |
| caution | -clinically significant bleeding -at risk of bleeding -pregnancy |
| Dose | 300mg if age less than 75 75mg if age greater or equal to the age of 75 |
| onset duration | 30-60 mins 3-5 days |
| preparation | 75 mg tablets |
| pharmacokinetics | is a prodrug, must be metabolised to the active form in the liver -there are no significant effects from liver impairment on acute administration |