N was also fa Signifi cantly mg Temsirolimus Torisel with a gr Eren dose of 600 mg clopidogrel loading closing UNG in connection with a dose of 300. 183 185 The anti-platelet additionally USEFUL 900 mg of clopidogrel 600 mg para-t marginal 183 185 probably because of the limited absorption of drugs. 183 The active metabolite of clopidogrel, a pharmacodynamic model Similar to that of aspirin has, there is inhibition of platelet function by repeated cumulative t Glicher administration of low doses. Platelet function does not return to normality T until 7-10 days after the last dose of clopidogrel. Both the cumulative nature of the inhibitory effects of thromboxane and the slow recovery of the PI Ttchen for production or PI Ttchenaggregation induced by ADP is consistent with the inhibition of COX-1 and P2Y12 receptor permanently in each case the active fractions of aspirin and clopidogrel. This’re as a justification for the rules once a day for aspirin and clopidogrel in patients with normal levels of Blutpl Ttchen sales, despite the short half-life of the two drugs in Road Transport. However, it should be noted that although aspirin at doses instantaneously, consuming a shu 2.5 to 10 times the operators in the 30-mg dose, which completely for ndigen inactivation Blutpl ttchen COX-1 activity of t used the ‘t repeated glicher 28.35 clopidogrel administration, at doses a partial inhibition of the P2Y12 receptor produce. So the most important determinants of interindividual variability t in the antiplatelet effects of both drugs were equally likely to differ considerably. High on treatment Thrombozytenreaktivit t: Numerous studies have shown different inhibition of platelet P2Y12 receptor function in patients treated with clopidogrel and an increased risk of thrombotic events Hten in people with high Thrombozytenreaktivit t to treatment. 186 High Thrombozytenreaktivit t is the treatment in about one third of the prescribed clopidogrel with a fold of 1.5 to fi vefold an occurrence obtained HTES risk for thrombosis. Sch estimates Of Pr Prevalence of high Thrombozytenreaktivit t in patients prescribed clopidogrel varies comorbidities, concomitant medications, and testing and threshold values to define a high reactivity of renal t. Particular attention was paid to the mechanisms that concentrate prescribed for the generation of efficient insufficient active metabolite explanation Tion for high Thrombozytenreaktivit t clopidogrel in patients. Different levels of active metabolite generation may be caused by smoking, drugs that stimulate or inhibit the CYP450 isoenzymes in the conversion of clopidogrel into its active metabolites with genetic polymorphisms and ABCB1 and CYP450 isoenzymes, P-glycoprotein transporter gene influences involved in GI absorption of clopidogrel ux involved. 186 A response to clopidogrel reduces laboratory after co-administration of statins metabolized by CYP3A4 and CYP2C19 metabolizes 187 proton-pump inhibitors, was observed in 188, but the clinical relevance of these pharmacodynamic interactions remains uncertain, as are Bleomycin observational studies and a nachtr Possible analysis of randomized trials confl icting results arise. 189 194 in the study were randomly assigned convincing 3.861 patients with an indication for dual antiplatelet therapy omeprazole or placebo. 191 omeprazole erm IGTE gastrointestinal events, including gastrointestinal bleeding, para.