SIDE EFFECTS OF ANTIPLATELET DRUGS IN ADULTS
Keywords:
antiplatelet therapy, bleeding, aspirin, clopidogrel, thrombocytopenia, gastrointestinal toxicity, pharmacovigilance.Abstract
Antiplatelet drugs are cornerstone agents in the prevention and management of cardiovascular and cerebrovascular diseases. They play a crucial role in reducing thrombotic events such as myocardial infarction, ischemic stroke, and peripheral arterial disease by inhibiting platelet aggregation through various biochemical pathways. However, these life-saving medications are associated with a spectrum of adverse effects that range from mild gastrointestinal discomfort to severe bleeding and hematologic complications. This article provides a detailed overview of the mechanisms, clinical manifestations, and pathophysiological basis of antiplatelet drug-related side effects in adults. The discussion encompasses both traditional agents such as aspirin and clopidogrel and newer drugs including prasugrel, ticagrelor, and glycoprotein IIb/IIIa inhibitors. Strategies for minimizing adverse reactions through personalized pharmacotherapy, drug monitoring, and risk stratification are also examined.
References
Patrono, C., Morais, J., Baigent, C., & Collet, J. P. Antiplatelet drugs: pharmacology and clinical application. European Heart Journal, 2022.
Capodanno, D., et al. Safety and efficacy of dual antiplatelet therapy after coronary stenting. New England Journal of Medicine, 2018.
Cattaneo, M. P2Y12 inhibitors: pharmacology and clinical applications. Circulation, 2015.
Abraham, N. S., et al. Gastrointestinal safety of antiplatelet therapy in cardiovascular disease. Gastroenterology, 2019.
Wiviott, S. D., et al. Prasugrel versus Clopidogrel in Patients with Acute Coronary Syndromes. New England Journal of Medicine, 2017.




