5 Aug 2009
There is a major drug interaction between Plavix (clopidogrel) and Nexium (esomeprazole).
GENERALLY AVOID: Coadministration with proton pump inhibitors (PPIs) may reduce the cardioprotective effects of clopidogrel. The proposed mechanism is PPI inhibition of the CYP450 2C19-mediated metabolic bioactivation of clopidogrel. This is consistent with studies that reported decreased effectiveness of clopidogrel in patients who have common genetic polymorphisms of CYP450 2C19 resulting in reduced or absent enzyme activity.
MANAGEMENT: Until further data are available, patients treated with clopidogrel should preferably avoid the use of proton pump inhibitors. H2-receptor antagonists or antacids should be considered whenever possible.
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... time I have many of the side affects and just want to quit using it. I have been on it for 3 months already and have had problems with the way i ...
1 answer • 13 Oct 2009
1 answer • 3 May 2010
Sir, were you taking plavix before the Heart attacks? Did you have stent placement prior to by pass surgery? How long if at all were you previously ...
2 answers • 2 Aug 2010
Hi I'm a 55 year old lady I'm having all my top teeth pulled I am on plavix they stopping three day?
Before removed I had a heart attack 9 years ago do you think this is safe.
2 answers • 12 Apr 2015