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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Ticagrelor Pharmacology

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 25 August 2022

⏱️ 13 minutes

🧾️ Download transcript

Summary

On this episode, I discuss ticagrelor pharmacology, adverse effects, and important drug interactions.



Ticagrelor has a warning with regards to the use of aspirin. Higher doses of aspirin can impair the effectiveness of ticagrelor and I discuss this further on this episode.



Bleeding is the major adverse effect from ticagrelor and naturally, hematocrit and hemoglobin are important monitoring parameters.



I discuss CYP3A4 drug interactions on this episode and how it may affect ticagrelor.

Transcript

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0:00.0

Hey all, welcome back to the Real Life Pharmacology podcast. I'm your host, pharmacist, Eric Christensen.

0:05.3

Thank you so much for listening today. So always go check out real life pharmacology.com.

0:11.8

We've got a free 31 page PDF. It's a great little study guide, review, whether you're out in practice or whether you're taking board exams or in school,

0:21.6

taking pharmacology exams, go get that absolutely for free. Simply an email. We'll get you access

0:27.5

to that and you can go subscribe at real life pharmacology.com. And as soon as you do that,

0:34.4

you'll get an email with that free 31 page PDF on the top 200 drugs.

0:40.6

So no-brainer to go get that for free.

0:43.7

And again, do that at real-life pharmacology.com.

0:47.4

All right, the drug of the day today is Tycagrilor.

0:51.3

Brand name of this medication is Brilinta.

0:59.9

And this medication is an anti-platelet agent, and it falls in the category similar to clopidigril and prasagrel, which I have covered on previous

1:06.7

podcasts.

1:07.9

So you can go to real-life pharmacology.com and search those if you're looking for more

1:11.9

info on those. But this one we're going to stick with Ticagrelor. So knowing it's from the class

1:20.3

of those other two agents, this is a P2i12 inhibitor. So mechanistically, how this works, it binds adenosine diphosphate,

1:32.0

P2y12 receptor on platelets. And that activity ultimately causes blocking of the function of GP2B- 3A complex, which that complex is necessary, basically for

1:50.2

platelets to stick together and function appropriately. So you'll often hear that referred to as

1:56.8

platelet aggregation. They're starting to collect together and obviously start the formation

2:04.9

of a clot eventually. Uses of this medication, acute coronary syndrome, things like stemmy,

2:17.1

primary prevention after heart attack,

2:19.3

potentially there as well, with aspirin, often called dual anti-platelet therapy.

2:26.6

But there is some caveats to that, and I'll talk about that in a little bit here,

...

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