Clopidogrel: review of bioanalytical methods, pharmacokinetics/pharmacodynamics, and update on recent trends in drug-drug interaction studies

Biomed Chromatogr. 2009 Jan;23(1):26-41. doi: 10.1002/bmc.1128.

Abstract

Clopidogrel, owing to its excellent inhibitory property of platelet aggregation, is used to reduce the cardiovascular risks in patients with multiple co-morbid conditions such as stroke, myocardial infarction and atherosclerosis. The current review focuses distinctly on three aspects: (a) an in-depth coverage on the bioanalytical methods for the quantification of clopidogrel and its inactive carboxylic acid metabolite as well as the active metabolite in pre-clinical and clinical samples; (b) an overview of the pharmacokinetic/pharmacodynamic aspects of clopidogrel; and (c) enumerating the key findings from drug-drug interaction studies of clopidogrel with various co-substrates such as lanzoprazole, fluvastatin, atorvastatin, pravastatin, digoxin, ketoconazole, donezepil and theophylline.

Publication types

  • Review

MeSH terms

  • Atorvastatin
  • Clopidogrel
  • Drug Interactions
  • Fatty Acids, Monounsaturated / analysis
  • Fatty Acids, Monounsaturated / pharmacokinetics
  • Fluvastatin
  • Heptanoic Acids / analysis
  • Heptanoic Acids / pharmacokinetics
  • Indoles / analysis
  • Indoles / pharmacokinetics
  • Platelet Aggregation Inhibitors / analysis
  • Platelet Aggregation Inhibitors / pharmacokinetics*
  • Pravastatin / analysis
  • Pravastatin / pharmacokinetics
  • Pyrroles / analysis
  • Pyrroles / pharmacokinetics
  • Ticlopidine / analogs & derivatives*
  • Ticlopidine / analysis
  • Ticlopidine / pharmacokinetics

Substances

  • Fatty Acids, Monounsaturated
  • Heptanoic Acids
  • Indoles
  • Platelet Aggregation Inhibitors
  • Pyrroles
  • Fluvastatin
  • Atorvastatin
  • Clopidogrel
  • Pravastatin
  • Ticlopidine