Table 1. Acute coronary syndrome medications.

Antiplatelet
Aspirin
P 2Y 12 antagonists
Clopidogrel a
Prasugrel a, b (relatively contraindicated in patients who are at least 75 years old or whose body weight is less than 60 kg)
Ticagrelor
Cangrelor b
Glycoprotein IIb/IIIa inhibitors
Tirofiban b, c
Eptifibatide b, c
Abciximab b
Anticoagulant
Heparin b
Enoxaparin (low-molecular-weight heparin) a, b, c
Dalteparin (low-molecular-weight heparin) b
Fondaparinux c (in the US, use for acute coronary syndrome is off-label)
Argatroban b
Bivalirudin b, c (vascular access site bleeding more often in patients older than 65 years)
Anti-ischemic
Nitroglycerin
Beta blocker c (in the elderly, consider lower initial doses and titrate to response)
Adjunct
Statins c
Angiotensin-converting enzyme inhibitor c
Angiotensin receptor blocker c

^aNeed for age-based dose adjustment. ^bNeed for weight-based dose adjustment. ^cNeed for renal-based dose adjustment.