PMID- 24159780 OWN - NLM STAT- MEDLINE DCOM- 20140206 LR - 20181202 IS - 0023-2149 (Print) IS - 0023-2149 (Linking) VI - 91 IP - 5 DP - 2013 TI - [Drug interaction of proton pump inhibitors and clopidogrel taken together]. PG - 15-21 AB - Current clinical practice lays special emphasis on drug interactions. High rates of cardiovascular morbidity and acid-dependent diseases dictates the necessity of antiaggregation and antisecretory therapy. The former uses a variety of medicines with acetylsalicylic acid (ASA) and clopidogrel being the most popular ones. Therapy using drugs with different mechanisms of action on the thrombocytic component of homeostasis appears to be especially promising as having synergic antiplatelet effect. The most common variant of antiplatelet therapy is a combination of ASA and clopidogrel usually referred to as double antiplatelet therapy (DAP). Current consensus recommends intake of proton pump inhibitors (PPI) during DAP to reduce the risk of gastrointestinal complications. However, recent studies showed that this approach is fraught with severe cardiovascular disorders, such as myocardial infarction, stroke, unstable angina, necessity of repeat coronary interventions, and coronary death. Hence, the importance of differential application of PPI in patients treated with ASA and clopidogrel. A comprehensive review of this problem is presented along with results of investigations of PPI action on clinical outcome of clopidrogel therapy. FAU - Maev, I V AU - Maev IV FAU - Samsonov, A A AU - Samsonov AA FAU - Godilo-Godlevskii, V A AU - Godilo-Godlevskii VA FAU - Andreev, D N AU - Andreev DN FAU - Dicheva, D T AU - Dicheva DT LA - rus PT - Journal Article PT - Review PL - Russia (Federation) TA - Klin Med (Mosk) JT - Klinicheskaia meditsina JID - 2985204R RN - 0 (Platelet Aggregation Inhibitors) RN - 0 (Proton Pump Inhibitors) RN - A74586SNO7 (Clopidogrel) RN - OM90ZUW7M1 (Ticlopidine) SB - IM MH - Cardiovascular Diseases/chemically induced/*drug therapy MH - Clopidogrel MH - *Drug Interactions MH - Drug Therapy, Combination/*adverse effects MH - Humans MH - Platelet Aggregation Inhibitors/administration & dosage/*adverse effects MH - Proton Pump Inhibitors/administration & dosage/*adverse effects MH - Ticlopidine/administration & dosage/adverse effects/*analogs & derivatives EDAT- 2013/10/29 06:00 MHDA- 2014/02/07 06:00 CRDT- 2013/10/29 06:00 PHST- 2013/10/29 06:00 [entrez] PHST- 2013/10/29 06:00 [pubmed] PHST- 2014/02/07 06:00 [medline] PST - ppublish SO - Klin Med (Mosk). 2013;91(5):15-21.