Publication: Comparison between the effect of omeprazole and rabeprazole on the antiplatelet action of clopidogrel
3
Issued Date
2010-10-25
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ISSN
13474820
13469843
13469843
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2-s2.0-77958069235
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Mahidol University
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SCOPUS
Bibliographic Citation
Circulation Journal. Vol.74, No.10 (2010), 2187-2192
Suggested Citation
Suksiri Siriswangvat, Nakarin Sansanayudh, Surakit Nathisuwan, Duangchit Panomvana Comparison between the effect of omeprazole and rabeprazole on the antiplatelet action of clopidogrel. Circulation Journal. Vol.74, No.10 (2010), 2187-2192. doi:10.1253/circj.CJ-09-0913 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/29499
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Title
Comparison between the effect of omeprazole and rabeprazole on the antiplatelet action of clopidogrel
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Abstract
Background: Emerging data suggests that several proton pump inhibitors (PPIs), including omeprazole, might interfere with the antiplatelet action of clopidogrel. However, there is a lack of data for rabeprazole. This study aimed to investigate and compare the impact of omeprazole and rabeprazole on the antiplatelet action of clopidogrel among patients with coronary artery disease (CAD). Methods and Results: A prospective, randomized, open-labeled study was conducted among 87 CAD patients receiving clopidogrel and aspirin. Forty three and 44 patients were randomized to receive omeprazole 20 mg and rabeprazole 20 mg once daily, respectively, for at least 2 weeks. Adenosine 5-diphosphate 20 μmol/L-induced platelet aggregation was performed before and after PPIs treatment. Mean maximal platelet aggregation (MPA) before and after PPIs treatment of both groups were compared. At baseline, there were no significant differences in the mean MPA between the omeprazole and rabeprazole groups (40.68±18.82% vs 36.42±21.39%; P=0.326). After a 2-week treatment with PPIs, the mean MPA in both groups significantly increased from baseline and there were no differences between the omeprazole and rabeprazole groups (55.73±19.66% vs 48.46±18.80%; P=0.141). Conclusions: Both omeprazole and rabeprazole decreased the antiplatelet effect of clopidogrel. Use of these agents resulted in a similar degree of interference on clopidogrel's action, as measured by ADP-induced platelet aggregation.