Riferimento farmaci
Prasugrel
Prasugrel is a medicine in the class cardiovascular. It is used for acute coronary syndrome.
- Classe del farmaco: Cardiovascular
- Indicato per: acute coronary syndrome
Ultimo aggiornamento Fonti: US FDA label
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In breve
- Classe del farmaco
- Cardiovascular
- Codice ATC
- B01AC22
- Forme farmaceutiche comuni
- compressa
- Interazioni note
- 51 (Maggiore: 34 · Moderata: 15 · Minore: 2)
- Nomi commerciali
- 3
- Paesi e mercati
- 2
Per cosa si usa
Come agisce
Prasugrel's active metabolite binds irreversibly to the P2Y12 class of ADP receptors on platelets, inhibiting platelet activation and aggregation.
Dose abituale nell'adulto (sintesi del foglio illustrativo)
Acute coronary syndrome managed with PCI: 60 mg oral loading dose, then 10 mg orally once daily, with or without food; take with aspirin 75 mg to 325 mg daily
Gravidanza e allattamento
- Gravidanza
- Unknown No human data. No structural malformations in animals. Consider benefits and risks to the fetus given the bleeding risk.
- Allattamento
- Unknown No information on presence in human milk; metabolites found in rat milk. Weigh benefits of breastfeeding against maternal need.
Effetti indesiderati segnalati
- Bleeding (including life-threatening and fatal)
- Epistaxis
- Gastrointestinal hemorrhage
- Hemoptysis
- Subcutaneous hematoma
- Post-procedural hemorrhage
Avvertenze in evidenza
- Effient can cause significant, sometimes fatal, bleeding. Do not use in patients with active pathological bleeding or a history of TIA or stroke. In patients ≥75 years it is generally not recommended, except in high-risk patients (diabetes or prior MI). Do not start in patients likely to undergo urgent CABG; when possible discontinue at least 7 days before any surgery. Other bleeding risk factors: body weight <60 kg, propensity to bleed, and concomitant medications that increase bleeding risk. Suspect bleeding in hypotensive patients after invasive or surgical procedures. If possible, manage…
Controindicazioni
- Active pathological bleeding such as peptic ulcer or intracranial hemorrhage
- History of prior transient ischemic attack or stroke
- Hypersensitivity (e.g., anaphylaxis) to prasugrel or any component of the product
Chi deve prestare attenzione
- Thienopyridines increase bleeding risk, which is highest initially; suspect bleeding in hypotensive patients after procedures
- CABG-related bleeding risk is increased; discontinue at least 7 days before CABG if possible
- Premature discontinuation increases risk of stent thrombosis, MI and death; avoid lapses in therapy
Informare il farmacista o il medico di gravidanza o allattamento, malattie renali o epatiche, allergie e di ogni altro farmaco o integratore assunto.
Interazioni principali (51)
- Acetylsalicylic acid + Prasugrel Major
- Apixaban + Prasugrel Major
- Argatroban + Prasugrel Major
- Cangrelor + Prasugrel Major
- Celecoxib + Prasugrel Major
- Dabigatran etexilate + Prasugrel Major
- Dalteparin + Prasugrel Major
- Deferasirox + Prasugrel Major
- Diclofenac + Prasugrel Major
- Diflunisal + Prasugrel Major
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- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Dosing in older adults
- How to give it
- Pharmacokinetics
- Patient counselling points
- Food interactions
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Altri farmaci della stessa classe
Domande frequenti
What is Prasugrel used for?
Prasugrel is a medicine in the class cardiovascular. It is used for Acute coronary syndrome.
What side effects have been reported with Prasugrel?
Bleeding (including life-threatening and fatal), Epistaxis, Gastrointestinal hemorrhage, Hemoptysis, Subcutaneous hematoma, Post-procedural hemorrhage. Serious warning: Effient can cause significant, sometimes fatal, bleeding.
Can Prasugrel be taken in pregnancy or while breastfeeding?
Pregnancy: Unknown. No human data. No structural malformations in animals. Consider benefits and risks to the fetus given the bleeding risk. Breastfeeding: Unknown. No information on presence in human milk; metabolites found in rat milk. Weigh benefits of breastfeeding against maternal need.
What does Prasugrel interact with?
MediHelp lists 51 known interactions for Prasugrel. Major: 34 · Moderate: 15 · Minor: 2. The most serious include Acetylsalicylic acid, Apixaban, Argatroban.
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