AI Article Synopsis
- * Both drugs are metabolized by the cytochrome P450 2C19 enzyme, which can potentially lead to interactions when taken together.
- * The case study involves an 83-year-old male who experienced stent thrombosis after coronary angioplasty shortly after using both clopidogrel and fluconazole, prompting an investigation into how fluconazole may reduce the effectiveness of clopidogrel, requiring higher doses for the desired effect.
Article Abstract
Clopidogrel is an anti-platelet that exerts its function by selectively inhibiting the binding of adenosine di-phosphate (ADP) to the P2Y12 receptor. Fluconazole is a fungistatic agent that alters fungal cell membranes. Both of these drugs act on the cytochrome P450 2C19. We report the case of an 83-year-old male that presented two days following coronary angioplasty with stent thrombosis, following the concomitant use of clopidogrel and fluconazole. We aim to study the interaction between clopidogrel and fluconazole. We hypothesize that fluconazole decreases the therapeutic level of clopidogrel, requiring an increase in dosage to achieve the same anti-thrombotic effect.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9060737 | PMC |
| http://dx.doi.org/10.7759/cureus.23718 | DOI Listing |
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