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. 2024 Oct 28;20(14):779–794. doi: 10.1080/14796678.2024.2412910

Table 3.

Common antiplatelet drugs and metabolic pathway.

Drug Mechanism of action Pro-drug Metabolized by CYP (isoenzyme) Common prescribed dose
Clopidogrel P2Y12 receptor antagonist Yes Yes (CYP2C19, CYP3A4) 75 mg once daily (loading dose of 300–600 mg)
Ticagrelor P2Y12 receptor antagonist No Yes (CYP3A4, CYP3A5) 90 mg twice daily (loading dose of 180 mg)
Prasugrel P2Y12 receptor antagonist Yes Yes (CYP3A4, CYP2B6) 10 mg once daily (loading dose of 60 mg)
Aspirin COX-1 inhibitor No No 75–162 mg once daily (loading dose of 324 mg)

COX-1: Cyclooxygenase-1; CYP: Cytochrome P450.