Article
Relevance of metabolic activation pathways: the example of clopidogrel and prasugrel.
Arzneimittel-Forschung - 1 Jan 2009
Petersen Karl-Uwe
Abstract excerpt
Poor or lacking responses to the antiplatelet effect of clopidogrel (CAS 113665-84-2) and the attendant clinical consequences have been a growing concern for several years. This debate has been invigorated by reports suggesting the ability of inhibitors of the cytochrome P450 isoenzyme, CYP 2C19, to interfere with clopidogrel efficacy. In the present review, the mechanisms underlying clopidogrel failure are...
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