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Ticlopidine
Ticlopidine (trade name Ticlid) is an antiplatelet drug in the thienopyridine family. Like clopidogrel, it is an adenosine diphosphate (ADP) receptor inhibitor. It is used in patients in whom aspirin is not tolerated, or in whom dual antiplatelet therapy is desirable. Because it has been reported to increase the risk of thrombotic thrombocytopenic purpura (TTP) and neutropenia, its use has largely been supplanted by the newer drug, clopidogrel, which is felt to have a much lower hematologic risk. The usual dose is 250mg twice daily by the oral route.
Action
- Inihibits platelet aggregation by altering the function of platelet membranes.
- Prolongs bleeding time.
- Decreased incidence of stroke in high-risk patients.
Contraindications
Precautions
- Risk of bleeding (trauma, surgery, history of peptic ulcer disease)
- Renal or hepatic impairment
- Geriatric patients (increased sensitivity)
- Pregnancy, lactation, or children under 18
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Antithrombotics (thrombolytics, anticoagulants and antiplatelet drugs) (B01) |
| Vitamin K antagonists |
Acenocoumarol • Clorindione • Coumatetralyl • Dicumarol (Dicoumarol) • Diphenadione • Ethyl biscoumacetate • Phenprocoumon • Phenindione • Tioclomarol • Warfarin |
| Heparin group |
Antithrombin III • Danaparoid • Heparin • Sulodexide • low molecular weight heparin (Bemiparin, Dalteparin, Enoxaparin, Nadroparin, Parnaparin, Reviparin, Tinzaparin) |
| Glycoprotein IIb/IIIa inhibitors |
Abciximab • Eptifibatide • Tirofiban |
Other platelet
aggregation inhibitors |
Acetylsalicylic acid/Aspirin • Aloxiprin • Ditazole • Carbasalate calcium • Cloricromen • Dipyridamole • Indobufen • Picotamide • Triflusal • ADP receptor inhibitors (Clopidogrel, Ticlopidine, Prasugrel) • prostaglandin analogue (Beraprost, Prostacyclin, Iloprost, Treprostinil) |
| Enzymes |
plasminogen activators (Alteplase/Reteplase/Tenecteplase, Streptokinase, Urokinase/Saruplase, Anistreplase) • other serine endopeptidases (Ancrod, Drotrecogin alfa/Protein C, Fibrinolysin) • Brinase |
| Direct thrombin inhibitors |
Argatroban • Bivalirudin • Dabigatran • Desirudin • Hirudin • Lepirudin • Melagatran • Ximelagatran |
| Other antithrombotics |
Defibrotide • Dermatan sulfate • Fondaparinux • Rivaroxaban |
| Non-medicinal |
Citrate • EDTA • Oxalate |
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This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Ticlopidine". A list of authors is available in Wikipedia.
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