Prasugrel

Angina, Unstable, Percutaneous Coronary Intervention, Percutaneous Coronary Intervention + 2 more

Treatment

6 FDA approvals

5 Active Studies for Prasugrel

What is Prasugrel

Prasugrel

The Generic name of this drug

Treatment Summary

Prasugrel is a medication used to prevent the activation and aggregation of platelets (blood cells responsible for clotting). It works by blocking the ADP receptors on platelets, thus preventing the formation of clots. Prasugrel is a thienopyridine derivative, similar to clopidogrel and ticlopidine, and is a prodrug requiring enzymatic transformation in the liver to its active metabolite, R-138727. Prasugrel was developed by Daiichi Sankyo Co. and is approved by the FDA for use in patients with acute coronary syndromes planned

Effient

is the brand name

image of different drug pills on a surface

Prasugrel Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Effient

Prasugrel

2009

37

Approved as Treatment by the FDA

Prasugrel, otherwise called Effient, is approved by the FDA for 6 uses including Percutaneous coronary intervention, Unstable angina and Percutaneous Coronary Intervention .

Percutaneous coronary intervention, Unstable angina

Percutaneous Coronary Intervention

prophylaxis of cardiovascular event

Angina, Unstable

Cardiovascular Events

Percutaneous Coronary Intervention

Effectiveness

How Prasugrel Affects Patients

Prasugrel is a drug that prevents blood clots by blocking a specific receptor (P2Y12) on the surface of platelets. It binds to the receptor in an irreversible way, meaning that the effects of the drug last a long time.

How Prasugrel works in the body

Prasugrel is a drug that stops platelets in the blood from sticking together. It does this by blocking a receptor on platelets, preventing the platelets from becoming activated. Prasugrel works in a similar way to clopidogrel.

When to interrupt dosage

The suggested measure of Prasugrel is contingent upon the diagnosed disorder, like Percutaneous Coronary Intervention, Angina, Unstable and prophylaxis of cardiovascular event. The amount of dosage relies upon the technique of delivery (e.g. Tablet, film coated - Oral or Tablet, coated - Oral) featured in the table beneath.

Condition

Dosage

Administration

Angina, Unstable

, 10.0 mg, 5.0 mg

, Oral, Tablet, film coated, Tablet, film coated - Oral, Tablet, Tablet - Oral, Tablet, coated, Tablet, coated - Oral

Percutaneous Coronary Intervention

, 10.0 mg, 5.0 mg

, Oral, Tablet, film coated, Tablet, film coated - Oral, Tablet, Tablet - Oral, Tablet, coated, Tablet, coated - Oral

Percutaneous Coronary Intervention

, 10.0 mg, 5.0 mg

, Oral, Tablet, film coated, Tablet, film coated - Oral, Tablet, Tablet - Oral, Tablet, coated, Tablet, coated - Oral

prophylaxis of cardiovascular event

, 10.0 mg, 5.0 mg

, Oral, Tablet, film coated, Tablet, film coated - Oral, Tablet, Tablet - Oral, Tablet, coated, Tablet, coated - Oral

Cardiovascular Events

, 10.0 mg, 5.0 mg

, Oral, Tablet, film coated, Tablet, film coated - Oral, Tablet, Tablet - Oral, Tablet, coated, Tablet, coated - Oral

Warnings

Prasugrel Contraindications

Condition

Risk Level

Notes

Ischemic Attack, Transient

Do Not Combine

Hemorrhage

Do Not Combine

Stroke

Do Not Combine

There are 20 known major drug interactions with Prasugrel.

Common Prasugrel Drug Interactions

Drug Name

Risk Level

Description

Abrocitinib

Major

The risk or severity of bleeding and thrombocytopenia can be increased when Prasugrel is combined with Abrocitinib.

Albutrepenonacog alfa

Major

The therapeutic efficacy of Albutrepenonacog alfa can be decreased when used in combination with Prasugrel.

Andexanet alfa

Major

The therapeutic efficacy of Andexanet alfa can be decreased when used in combination with Prasugrel.

Anti-inhibitor coagulant complex

Major

The therapeutic efficacy of Anti-inhibitor coagulant complex can be decreased when used in combination with Prasugrel.

Antihemophilic factor (recombinant), PEGylated

Major

The therapeutic efficacy of Antihemophilic factor (recombinant), PEGylated can be decreased when used in combination with Prasugrel.

Prasugrel Toxicity & Overdose Risk

The toxic dose of this drug in rats is between 1,000 and 2,000 milligrams per kilogram of body weight, while in rabbits it is greater than 1,000 milligrams per kilogram.

image of a doctor in a lab doing drug, clinical research

Prasugrel Novel Uses: Which Conditions Have a Clinical Trial Featuring Prasugrel?

Currently, three trials are underway to ascertain the efficacy of Prasugrel in Percutaneous Coronary Intervention, Unstable Angina and other associated conditions.

Condition

Clinical Trials

Trial Phases

Percutaneous Coronary Intervention

0 Actively Recruiting

Cardiovascular Events

4 Actively Recruiting

Not Applicable

Angina, Unstable

0 Actively Recruiting

prophylaxis of cardiovascular event

0 Actively Recruiting

Percutaneous Coronary Intervention

0 Actively Recruiting

Prasugrel Reviews: What are patients saying about Prasugrel?

5

Patient Review

11/3/2013

Prasugrel for Blood Clot Prevention Following Percutaneous Coronary Intervention

I've been taking this for three years with no issues--until now. I recently had to have a heart cath and my platelet count was too low. They did two IVs of platelets and it raised my count enough to be safe. I'm wondering what would happen in an emergency situation though.

5

Patient Review

4/25/2018

Prasugrel for Blood Clot Prevention Following Percutaneous Coronary Intervention

I've been on this medication for 11 months now. It does take a little longer for blood to clot, but I haven't had any problems with black tarry stool.

5

Patient Review

2/15/2013

Prasugrel for Blood Clot Prevention Following Percutaneous Coronary Intervention

I was really struggling to sleep before I tried this treatment, but it's been absolutely wonderful. No more restless legs!

4.7

Patient Review

8/29/2015

Prasugrel for Blood Clot Prevention Following Percutaneous Coronary Intervention

I'm early in taking this drug, but it's going well so far. I take aspirin 81 mg with it and have had no bruising or bleeding.

4

Patient Review

12/26/2010

Prasugrel for Blood Clot Prevention Following Percutaneous Coronary Intervention

2.7

Patient Review

1/26/2012

Prasugrel for Blood Clot Prevention Following Percutaneous Coronary Intervention

I bruise and bleed very easily, which is both unsightly and inconvenient. I take an aspirin with this medication, which helps a little bit.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about prasugrel

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is prasugrel used for?

"Prasugrel is used to prevent strokes, heart attacks, or other serious problems with your heart or blood vessels. It is given to patients before they have a heart procedure called percutaneous coronary intervention (PCI)."

Answered by AI

What is the difference between Plavix and prasugrel?

"Prasugrel is a thienopyridine that works faster than clopidogrel. Dr. Kereiakes said Effient is absorbed by the body more quickly through the intestines and only requires one chemical conversion process in the liver. Plavix requires two chemical reactions to convert it from a prodrug to an active drug."

Answered by AI

What are the side effects for prasugrel?

"The following are side effects that may occur: bleeding, anemia, atrial fibrillation, back pain, slow heart rate, dizziness, shortness of breath, headache."

Answered by AI

Is prasugrel a blood thinner?

"Effient is a blood thinner that prevents heart attacks by making it less likely for blood clots to form after a stent is placed in the heart."

Answered by AI

Clinical Trials for Prasugrel

Image of Brigham and Women's Hospital in Boston, United States.

Rosuvastatin for Cancer-Associated Blood Clots

18+
All Sexes
Boston, MA

Patients with cancer are at high risk for life-threatening venous thromboembolism (VTE) yet rarely receive anticoagulant prophylaxis due to bleeding risks. Thus, effective prophylaxis in oncology requires a method to reduce VTE without increasing hemorrhage. The primary aim of the Statin Therapy to Prevent Cancer Associated Venous Thromboembolism (STAT-CAT) trial is to test whether rosuvastatin 20 mg daily for 12 months compared to placebo can safely prevent VTE in patients with newly diagnosed or recently relapsed cancer who are at increased thrombotic risk, are not planned to be anticoagulated, and who do not otherwise take statin therapy.

Phase 4
Waitlist Available

Brigham and Women's Hospital (+1 Sites)

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