P2Y12 platelet inhibitors

Compare the named medicines in this source-linked class directory.

Membership describes a named action or a component of a combination. A medicine may appear in several families. Medicines in one family are not automatically interchangeable; this is a study directory, not a prescribing guide.

Clopidogrel
TicagrelorBrilinta

Generic names and pronunciation

Clopidogrel · kloh-PID-oh-grel
Ticagrelor · tye-KA-grel-or

Pronunciation is shown for the US English generic name.

Body system and related classes

Body systems: Cardiovascular · Hematology

How each medicine works

Clopidogrel — Prodrug; active metabolite irreversibly binds P2Y12 ADP receptors on platelets, inhibiting platelet activation and aggregation.
Ticagrelor — Reversibly binds the platelet P2Y12 ADP receptor, preventing signal transduction and platelet activation.

Each summary is the mechanism line from the medicine’s study card.

What each medicine is used for

Clopidogrel — Acute coronary syndrome (NSTE-ACS, STEMI); Recent MI, recent stroke; Established peripheral arterial disease
Ticagrelor — Reduction of cardiovascular death, myocardial infarction and stroke risk in adults with acute coronary syndrome or prior myocardial infarction; Reduction of stent thrombosis in adults stented for acute coronary syndrome

Each list is the uses line from the medicine’s study card.

Telling these medicines apart

Medicines in this class: 2

By body system: Cardiovascular (Ticagrelor) · Hematology (Clopidogrel)

Listed on more than one card in this class

Common side effects

Bleeding · 2/2: Clopidogrel, Ticagrelor

Interactions

Opioids · 2/2: Clopidogrel, Ticagrelor

Boxed warning

2/2: Clopidogrel, Ticagrelor

Listed on only one card in this class

Clopidogrel: Common side effects — Epistaxis; Hematuria; Bruising · Warnings — Avoid omeprazole or esomeprazole; Bleeding risk; Premature discontinuation raises CV risk · Interactions — Omeprazole, esomeprazole (CYP2C19 inhibitors); NSAIDs, warfarin, SSRIs, SNRIs

Ticagrelor: Common side effects — Dyspnea · Warnings — Dyspnea; Severe hepatic impairment; False-negative HIT platelet function tests · Interactions — Strong CYP3A inhibitors / inducers; Simvastatin / lovastatin

An item counts as shared only when both cards use the same wording. If a card does not list an item, that is not a statement that the effect never occurs.