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7 Cards in this Set

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  • Back

Warfarin

Warfarin - competitively inhibits vit K epoxide reductase that converts the vit K dependent coagulation factors to their active form

Aspirin

Aspirin - irreversibly acetylates cyclooxygenase and thereby prevents formation of thromboxane A2

P2Y12 inh

P2Y12 inh

Clopidogrel/ prasugel- irreversible

Ticagrelor - reversible binding

Irreversibly binds to P2Y12 rec thereby blocking ADP binding. This P2Y12 rec antagonism inhibits ADP- mediated platelet activation and aggregation

Heparin

Heparin- binds to antithrombin enhancing the rate of thrombin - AT compels formation by up to 10 000 times

UFH binds and (-) ATIII (not AT)

Glycoprotein IIb/ IIIa inh

Glycoprotein IIb/ IIIa

Eg Tirofiban - reversible inhibition of PLT GP IIb/ IIIa rec

- blocks final pathway of platelet aggregation

- it does not block platelet adhesion/ release reaction

Platelet phosphodiesterase inh

Platelet phospho/ diesterase inh

Dipyrimadole

Inhibition of uptake of adenosine into platelets -> decrease adhesion to damaged vessel walls

Dipyrdamole has 3 actions- don’t forget that it (-) PDE in plt-> inc cAMP -> dec Ca -> dec Phospholipase A2 from Arach Acid -> dec TXA2 (also potentiates PGI2 hence potent vasodilator)

Tranexamic Acid

Tranexamic Acid - lysine derivative that inhibits the conversion of plasminogen to plasmin