Article
Genotype-guided ticagrelor/prasugrel versus clopidogrel therapy in stroke patients with CYP2C19 loss of function alleles: a systematic review and meta-analysis.
Pharmacogenomics - 1 Jan 2025
Biswas Mohitosh, Murad Murshadul Alam, Ershadian Maliheh, Sweety Shahnaz Parvin, Hasan Sakib Al, Sukasem Chonlaphat
Abstract excerpt
INTRODUCTION: Transient ischemic attack (TIA) or ischemic stroke (IS) patients may have recurrent stroke incidents, especially when carrying CYP2C19 Loss-of-Function (LoF) alleles and taking clopidogrel. Recent studies suggest using alternative antiplatelets, e.g., prasugrel, ticagrelor, in these patients. However, the aggregated risk of recurrent stroke or composite vascular events in CYP2C19 genotype-guided...
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