Review

Nature Clinical Practice Cardiovascular Medicine (2006) 3, 387-395
doi:10.1038/ncpcardio0602  
Received 6 December 2005 | Accepted 18 April 2006

Drug Insight: clopidogrel nonresponsiveness

Paul A Gurbel* and Udaya S Tantry

Correspondence *Sinai Center for Thrombosis Research, Hoffberger Building, Suite 56, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA

Email
 pgurbel@lifebridgehealth.org

Clopidogrel is widely used during percutaneous coronary intervention and to treat acute coronary syndromes. Nonresponsiveness and variability in responsiveness to clopidogrel therapy have been noted in numerous studies, and could put some patients at risk of repeat thrombotic events. The possible mechanisms and ways to overcome poor response to clopidogrel are discussed here.

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