Recovery of platelet function after discontinuation of clopidogrel treatment in healthy volunteers.

Br J Clin Pharmacol

Institut für Pharmakologie und Klinische Pharmakologie, Heinrich-Heine-Universität, Düsseldorf, Germany.

Published: September 2001

Aims: To study the recovery of platelet function after discontinuation of clopidogrel treatment in healthy volunteers.

Methods: Ten healthy volunteers were treated with clopidogrel (75 mg day(-1)) for 7 days. CD62P expression and PAC-1 binding were measured by flow cytometry.

Results: Adenosine diphosphate (ADP, 30 microM)-induced platelet responses were almost completely inhibited by clopidogrel. After discontinuation of the drug, platelet function gradually increased and complete recovery was seen 7 days after the last clopidogrel dose. The mean difference (95% CI) for ADP-induced PAC-1 binding (fluorescence intensity) between baseline and 7 days after the last dose was 0.01 (0.61, -0.59). Single cell analysis provides direct evidence for an irreversible mode of action of clopidogrel.

Conclusions: This is the first report to directly demonstrate irreversibility of clopidogrel action in humans.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2014541PMC
http://dx.doi.org/10.1046/j.0306-5251.2001.01453.xDOI Listing

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