Addendum: Drug Interaction between Opioids and Oral P2Y12 Platelet Inhibitors

Date: March 9, 2020 Issue #:  1593Summary:  Opioids delay gastric emptying and the absorption of many oral drugs, including the P2Y12 inhibitors clopidogrel (Plavix, and generics), prasugrel (Effient, and generics), and ticagrelor(Brilinta), which are commonly used for initial treatment of acute coronary syndrome (ACS). An article in our February 25, 2019 issue reviewed studies showing that coadministration of opioids delayed and decreased absorption of oral P2Y12 inhibitors and increased platelet reactivity. Recently published clinical outcomes data may add to these concerns.
Source: The Medical Letter - Category: Drugs & Pharmacology Authors: Tags: Brilinta cangrelor Clopidogrel Effient Kengreal Morphine Opioids Plavix Prasugrel ticagrelor Source Type: research