Description
Prasugrel is a third generation thienopyridine antithrombotic that irreversible inhibits the ADP P2Y12 receptor, inhibiting platelet aggregation. Prasugrel is a prodrug; it undergoes rapid hydrolysis and oxidation in vivo to form its active metabolite. Clinically, prasugrel decreases the potential for ischemic events.
References
Secco GG, Parisi R, Mirabella F, et al. P2Y12 inhibitors: pharmacologic mechanism and clinical relevance. Cardiovasc Hematol Agents Med Chem. 2013 Jun;11(2):101-5. PMID: 22963529
Hagihara K, Kazui M, Kurihara A, et al. Biotransformation of prasugrel, a novel thienopyridine antiplatelet agent, to the pharmacologically active metabolite. Drug Metab Dispos. 2010 Jun;38(6):898-904. PMID: 20228231.
Scott DM, Norwood RM, Parra D. P2Y12 inhibitors in cardiovascular disease: focus on prasugrel. Ann Pharmacother. 2009 Jan;43(1):64-76. PMID: 19050170.