Is There a Clinically Significant Interaction Between Calcium Channel Antagonists and Clopidogrel?
Author(s) -
Christopher W. Good,
Steven R. Steinhubl,
Danielle M. Brennan,
A. Michael Lincoff,
Eric J. Topol,
Peter B. Berger
Publication year - 2012
Publication title -
circulation cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.621
H-Index - 95
eISSN - 1941-7632
pISSN - 1941-7640
DOI - 10.1161/circinterventions.111.963405
Subject(s) - clopidogrel , medicine , percutaneous coronary intervention , myocardial infarction , ticlopidine , anesthesia , post hoc analysis , pharmacology , cardiology
Clopidogrel is an inactive prodrug; it is converted to its active metabolite through the cytochrome P450 (CYP3A4) pathway, which also metabolizes calcium channel blockers (CCBs). Several studies have reported that CCBs reduce the ability of clopidogrel to inhibit platelet aggregability; one suggested that CCBs reduce the efficacy of clopidogrel.
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