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APOLLO COLLEGE OF PHARMCY
Anjora,Durg
GUIDED BY :- PRESENTED BY:
MR. HARI PRASAD SONWANI JUNAID
FALESHWARI
GEETANJALI
BHUPESH
Content
 Introduction
 Role
 Classification
 Mechanism of action
 Uses
 Adverse effect
ANTIPLATELET DRUGS
 These are drugs which interfere with platelet function and are useful in the
prophylaxis of thromboembolic disorders.
 In the above scheme, various drugs act on different targets to interfere with
platelet function. Therefore, given together, their actions are synergistic.
 The clinically important antiplatelet drugs are classified in the chart:
Role of platelet
Role of platelet
Mechanism of action
Classification
Aspirin
 Aspirin is the most widely studied antiplatelet drug.
 On the basis of > 100 randomized trials in high-risk patients
 aspirin reduces vascular death by ∼15% and nonfatal vascular events by ∼30%.
Thromboxane synthesis inhibitor
Platelet cAMP enhancer
Dipyridamole
 It is a vasodilator.
 It inhibits phosphodiesterase and increases the concentration of cyclic adenosine monophosphate
(CAMP) levels which inhibits platelet aggre gation.
 It is occasionally used in combination with warfarin during postoperative period in patients with
prosthetic heart valves.
P2Y12 Receptor Blocker
Clopidogrel and Ticlopidine
 These drugs inhibit the ADP pathway of thrombocytes , and thus reduse platelet aggregation.
 The binding of ADP to its receptors in inhibited irreversibly by these durgs .
 Clinically they are used for treating unstable angina pectoris , acute coronary syndrome , acute
neurovascular disease , peripheral vascular disease , for preventing thrombosis coronary surgery.
Dose
 The dose of ticlopidine is 250 mg twice daily via oral route .
 The dose of clopidogrel is 75 mg/day
 Nearly 80 % platelet activity is inhibited by these doses.
Glycopritein llb / llla Receptor inhibitor
 GP Ilb/IIIa receptor inhibitors are integrin or platelet surface adhesive receptors.
 The receptors complex binds fibronectin and Von Willebrand factor and also functions as a receptor
for fibrinogen and vitronectin
 The effect of other platelet agonists (e.g., collagen , thrombin , TXA2 , ADP, etc.) is inhibited by Gp
llb/llla receptor inhibitors
 Gp llb/llla receptors including vitronectin receptor are blocked by abciximab ( a humanise monoclona
antibody ).
 Eptifibatide and Tirofiban ( chemical analogues of fibrinogen ) block fibrinogen binding .
 These drugs are parenterally administered .
Adverse Effects
 he adverse effects of antiplatelet drugs include .
 Stomach upset
 Heartburn
 Nausea
 Constipation
 Flushing
 Dizziness
 Weakness
 Headache
 Bloody stools
 GI bleeding
 Rashes
 Liver impairment
Antiplatelet agent.pptx

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Antiplatelet agent.pptx

  • 1. APOLLO COLLEGE OF PHARMCY Anjora,Durg GUIDED BY :- PRESENTED BY: MR. HARI PRASAD SONWANI JUNAID FALESHWARI GEETANJALI BHUPESH
  • 2. Content  Introduction  Role  Classification  Mechanism of action  Uses  Adverse effect
  • 3.
  • 4. ANTIPLATELET DRUGS  These are drugs which interfere with platelet function and are useful in the prophylaxis of thromboembolic disorders.  In the above scheme, various drugs act on different targets to interfere with platelet function. Therefore, given together, their actions are synergistic.  The clinically important antiplatelet drugs are classified in the chart:
  • 9.
  • 10. Aspirin  Aspirin is the most widely studied antiplatelet drug.  On the basis of > 100 randomized trials in high-risk patients  aspirin reduces vascular death by ∼15% and nonfatal vascular events by ∼30%. Thromboxane synthesis inhibitor
  • 11. Platelet cAMP enhancer Dipyridamole  It is a vasodilator.  It inhibits phosphodiesterase and increases the concentration of cyclic adenosine monophosphate (CAMP) levels which inhibits platelet aggre gation.  It is occasionally used in combination with warfarin during postoperative period in patients with prosthetic heart valves.
  • 12. P2Y12 Receptor Blocker Clopidogrel and Ticlopidine  These drugs inhibit the ADP pathway of thrombocytes , and thus reduse platelet aggregation.  The binding of ADP to its receptors in inhibited irreversibly by these durgs .  Clinically they are used for treating unstable angina pectoris , acute coronary syndrome , acute neurovascular disease , peripheral vascular disease , for preventing thrombosis coronary surgery.
  • 13.
  • 14. Dose  The dose of ticlopidine is 250 mg twice daily via oral route .  The dose of clopidogrel is 75 mg/day  Nearly 80 % platelet activity is inhibited by these doses.
  • 15. Glycopritein llb / llla Receptor inhibitor  GP Ilb/IIIa receptor inhibitors are integrin or platelet surface adhesive receptors.  The receptors complex binds fibronectin and Von Willebrand factor and also functions as a receptor for fibrinogen and vitronectin  The effect of other platelet agonists (e.g., collagen , thrombin , TXA2 , ADP, etc.) is inhibited by Gp llb/llla receptor inhibitors
  • 16.  Gp llb/llla receptors including vitronectin receptor are blocked by abciximab ( a humanise monoclona antibody ).  Eptifibatide and Tirofiban ( chemical analogues of fibrinogen ) block fibrinogen binding .  These drugs are parenterally administered .
  • 17.
  • 18.
  • 19.
  • 20. Adverse Effects  he adverse effects of antiplatelet drugs include .  Stomach upset  Heartburn  Nausea  Constipation  Flushing  Dizziness  Weakness  Headache  Bloody stools  GI bleeding  Rashes  Liver impairment