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Benefits From New ADP Antagonists as Compared With Clopidogrel in Patients With Stable Angina or Acute Coronary Syndrome Undergoing Invasive Management.

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Conclusion: The combination of ASA and Clopidogrel increases the risk of post PEG bleeding especially when patients are on concomitant use of SSRI's, NSAIDS and steroids 2) Aspirin or Clopidogrel does not appear to significantly increase the risk of bleeding in patients undergoing PEG procedure.

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IIIa inhibitors should be used with great caution, if at all, after full-dose fibrinolytic therapy, because this combination is associated with high rates of bleeding and ICH, particularly in the elderly.

Clopidogrel is a prodrug that must be metabolized in the liver by several CYP proteins, including CYP3A and CYP2C19, to become active.

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Protease activated receptor-1 (PAR-1) mediated platelet aggregation is dependant on clopidogrel response.

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In general, it is recommended that (1) no later than 36 weeks, oral anticoagulants should be switched to LMWH or UFH with similar dosing and monitoring as when used for anticoagulation throughout pregnancy; (2) at least 36 hrs before induction of labor or cesarean delivery, LMWH should be discontinued and the patient converted to intravenous or subcutaneous UFH if needed; (3) intravenous UFH should be discontinued 4 to 6 hrs before anticipated delivery.

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The incidence of hemorrhagic complications during therapeutic anticoagulation with intravenous or subcutaneous heparin is less than 3%; the risk associated with LMWH is slightly lower.

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