Combination antiplatelet therapy: Implications for pharmacists

Robert L. Talbert, Sarah A. Spinier, Jean M. Nappi, Michael B. Bottorff

Research output: Contribution to journalComment/debatepeer-review

1 Scopus citations

Abstract

OBJECTIVES: To present two case reports of patients who received suboptimal oral antiplatelet therapy and to review recent changes in national guidelines for management of acute coronary syndromes. DATA SOURCES: Personal observation by the authors, and clinical practice guidelines and related clinical trials of the American Heart Association and theAmerican College of Cardiology. SUMMARY: The American College of Cardiology and the American Heart Association revised the guidelines for administration of antiplatelet and anticoagulant therapy in patients with unstable angina and non-ST-segment elevation myocardial infarction in March 2002. Two cases observed by the authors illustrate the consequences of suboptimal antiplatelet therapy when a combination of two antiplatelet drugs should have been administered. CONCLUSION: Evidence from recent randomized, controlled trials led to changes in the national guidelines for administration of oral antiplatelet therapy in patients with acute coronary syndromes. Pharmacists should be aware of these changes and counsel patients about appropriate administration of antiplatelet drugs.

Original languageEnglish (US)
Pages (from-to)880-883
Number of pages4
JournalJournal of the American Pharmaceutical Association (Washington, D.C. : 1996)
Volume42
Issue number6
DOIs
StatePublished - Jan 1 2002

ASJC Scopus subject areas

  • Pharmaceutical Science

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