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Investigation of the interaction between proton pump inhibitors and clopidogrel using VerifyNow P2Y12 assay.
Author: ChangChih-Chun, ChangWei-Lun, ChuFang-Yeh, LinPei-Chin, LinSheng-Feng
Original Abstract of the Article :
BACKGROUND: Randomized trials and observation studies have revealed conflicting results regarding the interaction between clopidogrel and proton pump inhibitors (PPIs). The aim of our study was to provide laboratory evidence regarding whether PPIs blunt the antiplatelet reactivity of clopidogrel. M...See full text at original site
Dr.Camel's Paper Summary Blogラクダ博士について
ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。
* ラクダ博士による解説は、あくまで論文の要点をまとめたものであり、原論文の完全な代替となるものではありません。詳細な内容については、必ず原論文をご参照ください。
* ラクダ博士は架空のキャラクターであり、実際の医学研究者や医療従事者とは一切関係がありません。
* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。
引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7738015/
データ提供:米国国立医学図書館(NLM)
Clopidogrel and Proton Pump Inhibitors: A Delicate Dance
In the vast desert of medical research, understanding drug interactions is crucial. This study delves into the interaction between clopidogrel, a common medication for preventing blood clots, and proton pump inhibitors (PPIs), used to treat heartburn and ulcers. The researchers used a method called the VerifyNow P2Y12 assay to assess how well clopidogrel worked in Asian patients.Dexlansoprazole: A Potential Caution
The results reveal that most PPIs, like lansoprazole, esomeprazole, pantoprazole, and rabeprazole, didn't significantly impact clopidogrel's effectiveness. However, dexlansoprazole, another PPI, showed a concerning decrease in the effectiveness of clopidogrel in Asian patients. This finding suggests that doctors should be cautious when prescribing dexlansoprazole and clopidogrel together, particularly in Asian populations.Balancing Stomach Health and Heart Health
The findings highlight the importance of considering drug interactions, especially when dealing with multiple medications. This study emphasizes the need for further research to understand the complex relationship between PPIs and clopidogrel, particularly in various ethnic groups. For patients taking both clopidogrel and PPIs, it's crucial to discuss potential risks and benefits with their healthcare providers.Dr.Camel's Conclusion
Like a desert traveler navigating a treacherous sandstorm, we must carefully consider the interactions between medications. This research suggests that while most PPIs can be used safely with clopidogrel, dexlansoprazole may pose a potential risk, especially for Asian patients. We should continue to explore these interactions to ensure the health and safety of all desert travelers on their journey to well-being.Date :
- Date Completed 2021-01-08
- Date Revised 2023-11-10
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