Prasugrel-related hepatotoxicity

Prasugrel is usually preferred over Clopidogrel to reduce the risk of recurrent coronary thrombosis in patients who undergo percutaneous coronary interventions during an acute coronary syndrome owing to its more potent and more rapid antithrombotic activation. Little is known about Prasugrel-induce...

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Main Authors: Zeki Dogan, Mustafa Yurtdas, Gokhan Bektasoglu
Format: Article
Language:English
Published: Pakistan Medical Association 2022-10-01
Series:Journal of the Pakistan Medical Association
Online Access:https://www.ojs.jpma.org.pk/index.php/public_html/article/view/3179
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author Zeki Dogan
Mustafa Yurtdas
Gokhan Bektasoglu
author_facet Zeki Dogan
Mustafa Yurtdas
Gokhan Bektasoglu
author_sort Zeki Dogan
collection DOAJ
description Prasugrel is usually preferred over Clopidogrel to reduce the risk of recurrent coronary thrombosis in patients who undergo percutaneous coronary interventions during an acute coronary syndrome owing to its more potent and more rapid antithrombotic activation. Little is known about Prasugrel-induced hepatotoxicity, although mild-to-moderate alanine transaminase (ALT) and gamma glutamyl transpeptidase (GGT) elevations have been noticed in post-marketing surveillance. Herein, we report the case of a patient with Prasugrel-related hepatotoxicity that was reverted after switching from Prasugrel to Ticagrelor. Keywords: Percutanous coronary interventions, antiplatelet drug, Prasugrel, hepatotoxicity.
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spelling doaj.art-51f3c7bb02d7467eac0f2e8f7f4173372023-05-25T04:21:38ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822022-10-01721110.47391/JPMA.3179Prasugrel-related hepatotoxicityZeki Dogan0Mustafa Yurtdas1Gokhan Bektasoglu2Department of Cardiology, Istanbul Atlas University, School of Medicine, Medicine Hospital, TurkeyDepartment of Cardiology, Istanbul Atlas University, School of Medicine, Medicine Hospital, TurkeyDepartment of Cardiology, Istanbul Atlas University, School of Medicine, Medicine Hospital, Turkey Prasugrel is usually preferred over Clopidogrel to reduce the risk of recurrent coronary thrombosis in patients who undergo percutaneous coronary interventions during an acute coronary syndrome owing to its more potent and more rapid antithrombotic activation. Little is known about Prasugrel-induced hepatotoxicity, although mild-to-moderate alanine transaminase (ALT) and gamma glutamyl transpeptidase (GGT) elevations have been noticed in post-marketing surveillance. Herein, we report the case of a patient with Prasugrel-related hepatotoxicity that was reverted after switching from Prasugrel to Ticagrelor. Keywords: Percutanous coronary interventions, antiplatelet drug, Prasugrel, hepatotoxicity. https://www.ojs.jpma.org.pk/index.php/public_html/article/view/3179
spellingShingle Zeki Dogan
Mustafa Yurtdas
Gokhan Bektasoglu
Prasugrel-related hepatotoxicity
Journal of the Pakistan Medical Association
title Prasugrel-related hepatotoxicity
title_full Prasugrel-related hepatotoxicity
title_fullStr Prasugrel-related hepatotoxicity
title_full_unstemmed Prasugrel-related hepatotoxicity
title_short Prasugrel-related hepatotoxicity
title_sort prasugrel related hepatotoxicity
url https://www.ojs.jpma.org.pk/index.php/public_html/article/view/3179
work_keys_str_mv AT zekidogan prasugrelrelatedhepatotoxicity
AT mustafayurtdas prasugrelrelatedhepatotoxicity
AT gokhanbektasoglu prasugrelrelatedhepatotoxicity