Users

Lansoprazole and Clopidogrel

Posted about 1 year ago by David Chan (MEDIUM significance )

Affecting Drugs

A02BC03  Lansoprazole
A02BC05  Esomeprazole
A02BC01  Omeprazole
A02BC02  Pantoprazole

Effect

Inhibits

Affected Drug

B01AC04  Clopidogrel

Details

PPI use reduces benefit of clopidogrel post-MI
The use of a proton pump inhibitor (PPI) other than pantoprazole (Protonix) is associated with a significantly increased risk of recurrent myocardial infarction (MI) in patients already taking clopidogrel (Plavix). Consider prescribing pantoprazole if a PPI is needed in a post-MI patient. (LOE = 3b)

Evidence

Fair

Reference

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